Top 13 Clinical documentation improvement specialist Jobs in Ocala Fl

CDI Specialist
HCTec —Florida
- Up to $95,000 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
EHR Data Integrity Specialist
HEART OF FLORIDA HEALTH CENTER INC —Ocala, FL
- Mid-level
- Office
- Associate's degree
REGISTERED NURSE SPECIALIST - 64051502
The State of Florida —Ocala, FL
- $69,495.97 a year
- Weekends as needed
- Background check
- Spanish
- Inventory control
- Paid holidays
- Dental insurance
Regional Coding Operations Manager WFH
HCA Florida Ocala Hospital —Ocala, FL
- Full-time
- 5 years
- Critical & Intensive Care
- Travel
- Employee stock purchase plan
- Disability insurance
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9d
RN Med Surg Nights
AdventHealth Corporate —Ocala, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
11d
RN NICU III Part Time Nights
AdventHealth Ocala —Ocala, FL
- $31.53 - $52.24 an hour
- Part-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
RN Critical Care Days
AdventHealth Corporate —Ocala, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
11d
RN Critical Care Nights
AdventHealth Corporate —Ocala, FL
- $31.53 - $52.24 an hour
- Full-time
- Background check
- CPR Certification
- Nursing
- Paid parental leave
- Disability insurance
11d
Staff RN - ECMO Spec / FT, D/N
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule
Staff RN - ECMO Spec / FT, nights
Children's Nebraska —United States
- Overtime
- Nursing
- RN License
- BLS Certification
- Flexible schedule

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EHR Data Integrity Specialist
HEART OF FLORIDA HEALTH CENTER INC —Ocala, FL
Associate or bachelor's degree in healthcare administration, Health Information Management, or related field OR equivalent healthcare operations experience.

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Medical Scribe
Oak Street Health —Columbus, OH
Leveraging Oak Street's population health tools to support clinical documentation improvement. Qualified applicants with arrest or conviction records will be…
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Drug Safety Specialist I, II, III
Gifthealth Inc —Columbus, OH
Bachelor’s degree in life sciences, healthcare, nursing, pharmacy, or related field (Preferred). Experience with pharmacy systems, ticketing platforms, or…
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clinical documentation improvement specialist jobs near ocala fl

CDI Specialist

HCTec -
Florida

Quick Apply

Job Details

Full-time
Up to $95,000 a year

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance

Qualifications

Nursing
Teamwork
RN License
Coding for hospital billing
Clinical information systems
Health information management
Productivity software
Medical terminology
Nursing
DRG

Full Job Description

Clinical Documentation Integrity Specialist (CDI Specialist)

Location: Miramar, Florida
Position Type: Full-Time Employment
Number of Openings: 8
Start Date: ASAP / Based on candidate availability
On-site Requirements: Hybrid Eligible (anywhere in Florida but must reside in Florida and can work almost entirely remote)
Relocation: Potentially available for highly qualified candidates

Position Summary

Hospital system is seeking a Clinical Documentation Integrity Specialist (CDI Specialist) to support ongoing documentation integrity initiatives across the health system. This role is responsible for improving the overall quality, completeness, and accuracy of provider documentation to ensure patient acuity, severity of illness, risk of mortality, reimbursement integrity, and quality outcomes are appropriately reflected within the medical record.

The CDI Specialist will work collaboratively with physicians, nursing staff, coding professionals, quality teams, and clinical leadership to facilitate compliant provider documentation clarification practices and support accurate DRG assignment and clinical documentation standards.

This individual will serve as a key resource in physician education, concurrent medical record review, documentation compliance, and CDI reporting initiatives within a highly collaborative healthcare environment.

Key Responsibilities / Job Duties

Review inpatient electronic medical records concurrently to identify documentation improvement opportunities
Construct compliant provider documentation clarifications/queries to improve documentation accuracy
Ensure severity of illness (SOI), risk of mortality (ROM), and patient acuity are accurately reflected in documentation
Assign and update working DRGs, diagnoses, and procedures during ongoing record review
Collaborate closely with physicians, nursing staff, coding teams, quality management, and HIM leadership
Provide one-on-one and group education to physicians, APPs, nursing staff, and allied health professionals regarding documentation integrity and compliance
Partner with CDI Auditors and HIM leadership on ongoing staff education initiatives
Conduct follow-up reviews to ensure provider clarification opportunities have been addressed appropriately
Collaborate with coding teams regarding clinical presentation, coding guidelines, and documentation clarification opportunities
Generate CDI reports to monitor:
Provider clarification response rates
Case Mix Index (CMI)
Reimbursement impact
Documentation quality trends
Participate in quality improvement initiatives related to PSIs, HACs, BPCI, and DRG optimization efforts (Remote Nursing Jobs)

Position Qualifications

Graduate of an accredited Nursing or Health Information Management program
One of the following credentials required:
Registered Nurse (RN)
RHIT
RHIA
CCS
Active Florida RN license or Compact RN license if applicable
Minimum of:
Two (2) years of clinical nursing experience OR
Two (2) years of inpatient coding experience
Strong understanding of:
Clinical documentation improvement (CDI)
DRG assignment methodologies
ICD-10 coding principles
Medical terminology
Inpatient clinical workflows
Experience working with EMRs and computerized encoder systems
Proficiency with Microsoft Office applications
Strong communication and physician collaboration skills
Ability to work independently in a fast-paced healthcare environment (Remote Nursing Jobs)

#INDFLEX

Pay: Up to $95,000.00 per year

Benefits:

401(k)
Dental insurance
Health insurance
Vision insurance

Work Location: Remote

Quick Apply

Refine Your Search

clinical documentation improvement specialist jobs in ocala fl

CDI Specialist

EHR Data Integrity Specialist

REGISTERED NURSE SPECIALIST - 64051502

Regional Coding Operations Manager WFH

RN Med Surg Nights

RN NICU III Part Time Nights

RN Critical Care Days

RN Critical Care Nights

Staff RN - ECMO Spec / FT, D/N

Staff RN - ECMO Spec / FT, nights

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