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RN Clinical Documentation Specialist - Winter Park - Day

Company: Florida Hospital
Location: Winter Park
Posted on: May 17, 2017

Job Description:

Description:Clinical Documentation Specialist - Maitland - Day Maitland seeks to hire Clinical Documentation Specialist who will embrace our mission to extend the healing ministry of Christ. Facility Profile\: Established in 1908, Florida Hospital is one of the largest not-for-profit healthcare systems in the country, caring for more than a million patients each year. The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources. The Trickel Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style caf and quaint chapel. The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment. . Department Profile\: I Clinical Documentation Improvement Department is a system wide department that has programs at Orlando South Campus, Altamonte Campus, Winter Park Campus, East Orlando Campus, Kissimmee Campus, Celebration Health Campus and Apopka Campus. Our team is a very enthusiastic and highly trained group of Clinical Documentation Specialist that provide recommendations to physicians and other healthcare providers when critical documentation is needed in the medical record. This documentation helps to show how sick the patients are here at Florida Hospital. It also helps with the risk of mortality scores and the overall quality of the medical record. Perks of joining this team are flexible schedules, no weekend or night schedules and great team members to work with. Work Hours/Shifts\: Mon Fri / 8\:00a.m. 5\:00p.m. Job Summary\: Under general supervision of the Director of Clinical Documentation Improvement and more closely the supervision of the Clinical Documentation Improvement Manager, and in collaboration with physicians, nursing and HIM coders, the Clinical Documentation Specialist (CDS), strategically facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, and to support ICD-10 implementation. The CDS educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and care management. The CDS adheres to strict departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality documentation and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.. Knowledge, Skills, Education, & Experience Required\: Four - five years of acute care experience in med/surg, critical care, emergency room, or PACU Ability to learn/develop and fine-tune the skills necessary to perform Clinical Documentation ManagementOrganizational, analytical, writing and interpersonal skillsDependable, self-motivated and pleasantCritical-thinking, problem-solving and deductive-reasoning skillsKnowledge of Pathophysiology, disease process and treatmentsBasic computer skills - familiarity with Windows-based software programsKnowledge of regulatory environmentStrong interpersonal skills Strong ability to organize/triage work and manage multiple priorities at onceBSN, MSN (Preferred)Minimum of one year as a Clinical Documentation Specialist (Preferred)Knowledge of clinical documentation requirements that identify clinical conditions or procedures to support and enhance ICD-9 and ICD-10 coding. (Preferred)Insert bulleted requirement here (remove bullet points before copying) Licensure, Certification, or Registration Required\: Current active Florida State license as a Registered Nurse, Nurse Practitioner, or Physicians AssistantCertified Clinical Documentation Specialist (issued by the Association for ClinicalDocume

Keywords: Florida Hospital, Orlando, RN Clinical Documentation Specialist - Winter Park - Day, Healthcare, Winter Park, Florida

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