
Lead Clinical Documentation Integrity Specialist
Are you passionate about promoting quality patient care through accurate and comprehensive clinical documentation? Do you have experience in healthcare coding and compliance? Are you a natural leader with strong communication skills and attention to detail? If so, we have an exciting opportunity for you to join our team as a Lead Clinical Documentation Integrity Specialist at AdventHealth!As the Lead Clinical Documentation Integrity Specialist, you will play a crucial role in ensuring the integrity and accuracy of our clinical documentation, ultimately impacting the health and well-being of our patients. You will be responsible for leading a team of documentation specialists and providing guidance and education to help improve documentation practices. Your expertise in coding and compliance will be crucial in identifying areas for improvement and implementing strategies to enhance documentation quality.To excel in this role, you must possess a deep understanding of healthcare coding and compliance standards, as well as exceptional leadership and communication skills. A minimum of 5 years of experience in clinical documentation integrity or a related field is required, along with a Bachelor's degree in Health Information Management or a related field.If you are a driven and dedicated professional with a passion for improving patient outcomes through accurate documentation, we invite you to apply for this exciting opportunity at AdventHealth. Join our team and make a difference in the lives of our patients!
- Oversee a team of documentation specialists and provide guidance and mentorship to ensure accuracy and integrity of clinical documentation
- Collaborate with interdisciplinary teams to identify areas for improvement and implement strategies to enhance documentation quality
- Conduct regular audits and reviews of clinical documentation to ensure compliance with coding and documentation standards
- Develop and deliver educational programs and training for healthcare providers to improve documentation practices and promote accurate and comprehensive clinical documentation
- Stay up-to-date on industry coding and compliance standards and ensure team members are trained on any updates or changes
- Serve as a resource and subject matter expert for coding and compliance related inquiries and issues
- Monitor and analyze data related to documentation integrity and provide reports and recommendations for improvement to leadership
- Maintain a thorough understanding of electronic health record systems and ensure they are utilized effectively for documentation purposes
- Collaborate with revenue cycle and coding departments to ensure accurate coding and billing practices
- Foster a culture of continuous improvement and promote a strong focus on quality patient care through accurate clinical documentation
- Train and onboard new team members and provide ongoing support and development opportunities for current team members.
Bachelor's Degree In Nursing, Health Information Management, Or A Related Field.
Minimum Of 5 Years Of Experience In Clinical Documentation Improvement, Preferably In An Acute Care Setting.
Certified Clinical Documentation Specialist (Ccds) Or Certified Documentation Improvement Practitioner (Cdip) Certification.
Strong Knowledge Of Cms Documentation And Coding Guidelines, As Well As Icd-10-Cm And Pcs Coding.
Excellent Leadership And Communication Skills, With The Ability To Train And Mentor Cdi Staff And Collaborate With Interdisciplinary Teams.
Quality Assurance
Project Management
Data Analysis
Problem Solving
Team Leadership
Interpersonal Communication
Clinical Knowledge
Documentation Analysis
Healthcare Regulations
Electronic Health Records
Coding Experience
Communication
Conflict Resolution
Leadership
Time management
Organization
flexibility
Attention to detail
Teamwork
Adaptability
Problem-Solving
According to JobzMall, the average salary range for a Lead Clinical Documentation Integrity Specialist in St Helena, CA 94574, USA is $82,000 - $130,000 per year. This may vary depending on factors such as years of experience, education, and specific job responsibilities.
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AdventHealth is a faith-based, non-profit health care system headquartered in Altamonte Springs, Florida, that operates facilities within nine states across the United States. The Adventist Health System was rebranded AdventHealth on January 2, 2019.

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