Registered Nurse Clinical Documentation Specialist Full Time $10,000 Sign on Bonus

AdventHealth Tampa - Tampa, FL3.6

Clinical Documentation Specialist AdventHealth Tampa

Location Address: 3100 East Fletcher Avenue Tampa, Florida 33613

Top Reasons to Work at AdventHealth Tampa

AdventHealth Tampa Pepin Heart Institute, known across the country for its advances in cardiovascular disease prevention, diagnosis, treatment and research.
Surgical Pioneers – the first in Tampa with the latest robotics in spine surgery
Building a brand new, six story surgical and patient care tower which will ensure state of the art medical and surgical car for generations to come
Awarded the Get With The Guidelines – Stroke GOLD Quality Achievement Award from the American Heart Association/American Stroke Association and have been recognized as a recipient of their Target: Stroke Honor Roll for our expertise in stroke care. We have also received certification by The Joint Commission in collaboration with the American Stroke Association as a Primary Stroke Center.

Work Hours/Shift:
FT Days

You Will Be Responsible For:
Demonstrates, through behavior, Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork
Reviews concurrent medical record for compliance including completeness and accuracy for severity of illness (SOI) and quality using the Compliant Documentation Management Program (CDMP) documentation strategies.
Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise input of data into CDMP Trak resulting in accurate metrics provided by the CDMP program. Understands and supports CDMP documentation strategies (upon completion of training) and continues to educate self and team members using educational tools, videos and provided WebEx’s.
Transcribes documentation clarifications as appropriate for SOI, ROM, PSI, HCCs and HACs to ensure documentation compliance is accomplished.
Strategically educates members of the patient-care team regarding documentation regulations and guidelines, including attending physicians, allied health practitioners, nursing, and care management. This includes quarterly compliance updates from Medicare.


What You Will Need:
Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations.
Able to organize and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills.
Ability to learn/develop and fine-tune the skills necessary to perform optimally as a Clinical Documentation Specialist
Dependable, self-motivated and pleasant
Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills
Knowledge of pathophysiology, disease processes and treatments
Knowledge of regulatory environment
Strong ability to organize/triage work and manage multiple priorities at once
Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience
Current active State license as a Registered Nurse
Adventist Health Care online learning
Achieve a 70% or greater on JA Thomas Clinical Competency Pre-Assessment.
Knowledge of clinical documentation requirements that identify clinical conditions or procedures (Preferred)
Coding background (Preferred)
BSN, MSN (Preferred)
Clinical Documentation Specialist experience(Preferred)
CCDS (Certified Clinical Documentation Specialist) certification (Preferred)

Job Summary:
Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity 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. 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.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.