Top 54 Clinical documentation specialist Jobs in Daytona Beach Fl

Clinical Documentation Specialist RN
Houston Methodist —Florida
- Full-time
- Nursing
- RN License
- Customer service
3h
Clinical Document Specialist PRN
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.82 - $59.17 an hour
- PRN
- Background check
- Nursing
- RN License
- Paid parental leave
- Disability insurance
Medical Coding Manager
Confidential —Florida
- Full-time
- Remote
- HIPAA
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Oncology Data Specialist Certified
AdventHealth Daytona Beach —Daytona Beach, FL
- $23.71 - $44.09 an hour
- Full-time
- Background check
- Mid-level
- Fingerprint clearance
- Paid parental leave
- Disability insurance
Physician Billing & Coding Specialist I
Halifax Health —Daytona Beach, FL
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
Medical Billing & Coding Specialist, Daytona Beach Campus
Embry-Riddle Aeronautical University —Daytona Beach, FL
- Online Application
- Mid-level
- Residential
- University
- Paid holidays
- Health insurance
RN Wound Ostomy
AdventHealth New Smyrna Beach —New Smyrna Beach, FL
- $31.53 - $52.24 an hour
- PRN
- Background check
- 18 years or older
- Nursing
- Paid parental leave
- Disability insurance
Registered Nurse Rehab Unit Night
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
10d
Baylor (weekend) Nurse, RN, Registered Nurse, Sat & Sun
Concierge Home Care —Port Orange, FL
- $45 - $50 an hour
- 12 hour shift
- Background check
- RN License
- Mid-level
- Mileage reimbursement
- Health insurance
Quick Apply
Registered Nurse and Training Program for Neuro/Surgical/Medical PCU Days/Nights
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
Registered Nurse Medical PCU
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
7d
Registered Nurse Med Surg Surgical
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.53 - $52.24 an hour
- Full-time
- Acute care
- Background check
- CPR Certification
- Paid parental leave
- Disability insurance
Registered Nurse Medical PCU Nights
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
Registered Nurse Cardiovascular Post Procedure Unit Partime
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.53 - $52.24 an hour
- Day shift
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
RN Med Surg Ortho
AdventHealth New Smyrna Beach —New Smyrna Beach, FL
- $31.53 - $52.24 an hour
- Full-time
- Acute care
- Background check
- CPR Certification
- Paid parental leave
- Disability insurance
M/S Medical RN
AdventHealth DeLand —DeLand, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
Registered Nurse Med Surg Transition to Acute Care Program
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.53 - $52.24 an hour
- Full-time
- Acute care
- Background check
- CPR Certification
- Paid parental leave
- Disability insurance
3d
Registered Nurse Emergency Department Nights
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
Registered Nurse Float Pool Nights
AdventHealth Daytona Beach —Daytona Beach, FL
- $31.53 - $57.47 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
Registered Nurse Medical Surgical
AdventHealth New Smyrna Beach —New Smyrna Beach, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance

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Clinical Documentation Specialist RN

Houston Methodist -
Florida

Apply Now

Job Details

Full-time
3 hours ago

Qualifications

Direct patient care
Customer communication
RN License
English
Acute care experience

Full Job Description

At Houston Methodist, the Clinical Documentation Specialist RN position is responsible for improving the overall quality and completeness of clinical documentation. This position analyzes medical records for DRG's, complications, and comorbidities; identifies trends; and notes observations and recommendations for documentation improvement. This Clinical Documentation Specialist RN position also facilitates modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient care givers, and medical records coding staff to ensure that appropriate reimbursement is received for the level of service rendered to all patients. Additional duties for this position include supporting the accuracy and completeness of the clinical information used for measuring and reporting physician and hospital outcomes and educating all members of the patient care team on an ongoing basis.

FLSA STATUS
Exempt

QUALIFICATIONS

EDUCATION

Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section

EXPERIENCE

Five years of recent clinical experience caring for adults in an acute care hospital setting
Coding and utilization review experience preferred

LICENSES AND CERTIFICATIONS
Required

RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)

Preferred

CCDS - Clinical Documentation Specialists (ACDIS) or
CDIP - Certified Documentation Integrity Practitioner (AHIMA) or
CCS - Certified Coding Specialist (AHIMA)

KNOWLEDGE AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Demonstrates knowledge of DRG payor issues, appropriate DRG assignment alternatives, clinical documentation requirements, and referral policies and procedures
Demonstrates accountability and professional development
Excellent observation skills, analytical thinking, problem solving, plus good verbal and written communication
Regular significant contacts with other personnel throughout the institution (including but not limited to physicians and their staff, mid-level providers, mid-level staff, coders, Case Managers). Contacts may be in person, by telephone, or through correspondence

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

Improves the overall quality, completeness and accuracy of clinical documentation by performing open record reviews using clinical documentation guidelines.
Supports the accuracy and completeness of clinical information used for measuring and reporting physician and medical outcomes.

SERVICE ESSENTIAL FUNCTIONS

Seeks additional information regarding clinical condition from appropriate clinical personnel and follows up as necessary.
Tracks responses and trends completion of DRG/Documentation worksheets as pertinent to scope of department.
Conducts follow-up reviews of clinical documentation to ensure points of clarification have been recorded in the patient’s chart.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

Demonstrates knowledge of DRG payor issues, optimization strategies, clinical documentation requirements and referral policies and procedures.
Requests clarification and/or correction from physicians for unclear diagnoses, complications, procedures, and clinical information.
Helps identify appropriate ICD10 codes for diagnoses or procedures related to projects or studies being conducted as needed.

FINANCE ESSENTIAL FUNCTIONS

Promotes clarification to clinical documentation to ensure that appropriate reimbursement is received for the level of service rendered to all patients.
Identifies diagnoses and procedures performed and comorbidities and complications.
Impacts discharges by updating the DRG worksheet to reflect any changes in status, procedures/treatments, conferring with physician to finalize diagnosis as necessary.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS Educates all internal customers on clinical documentation opportunities, coding, and reimbursement issues, as well as performance improvement methodologies.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

- Uniform: No
- Scrubs: No
- Business professional: Yes
- Other (department approved): No

ON-CALL*

- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* No

TRAVEL**

**Travel specifications may vary by department**

- May require travel within the Houston Metropolitan area No
- May require travel outside Houston Metropolitan area No

QUALIFICATIONS

EDUCATION

Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section

EXPERIENCE

Five years of recent clinical experience caring for adults in an acute care hospital setting
Coding and utilization review experience preferred

LICENSES AND CERTIFICATIONS
Required

RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)

Preferred

CCDS - Clinical Documentation Specialists (ACDIS) or
CDIP - Certified Documentation Integrity Practitioner (AHIMA) or

Company Profile:

Houston Methodist is one of the nation’s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!

Houston Methodist is an Equal Opportunity Employer.

Apply Now

Refine Your Search

clinical documentation specialist jobs in daytona beach fl

Clinical Documentation Specialist RN

Clinical Document Specialist PRN

Medical Coding Manager

Oncology Data Specialist Certified

Physician Billing & Coding Specialist I

Medical Billing & Coding Specialist, Daytona Beach Campus

RN Wound Ostomy

Registered Nurse Rehab Unit Night

Baylor (weekend) Nurse, RN, Registered Nurse, Sat & Sun

Registered Nurse and Training Program for Neuro/Surgical/Medical PCU Days/Nights

Registered Nurse Medical PCU

Registered Nurse Med Surg Surgical

Registered Nurse Medical PCU Nights

Registered Nurse Cardiovascular Post Procedure Unit Partime

RN Med Surg Ortho

M/S Medical RN

Registered Nurse Med Surg Transition to Acute Care Program

Registered Nurse Emergency Department Nights

Registered Nurse Float Pool Nights

Registered Nurse Medical Surgical

I want to receive the latest job alert for clinical documentation specialist in daytona beach fl

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