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Quality Documentation - CDI Specialist II at Lee Health

Posted in Other 27 days ago.

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Type: Full Time
Location: Fort Myers, Florida





Job Description:

QUALITY DOCUMENTATION - CDI SPECIALIST II

LOCATION: 12901 McGregor Blvd, Fort Myers, FL
DEPARTMENT: CDI - Clinical Documentation
CATEGORIES: HIM / CDI, Professional
TYPE: Full-Time
SHIFT: 8:00 AM-4:30 PM
SCHEDULE: Days

DESCRIPTION:

The role of the Quality Documentation / Clinical Documentation Improvement Specialist (CDIS) II, while incorporating the CDIS level I role, is expected to demonstrate a higher level of comprehension of the concurrent review process through knowledge and experience. The CDIS II is able to consistently recognize clinical indicators and use knowledge pertaining to nursing experience and deep knowledge of pathophysiology to obtain physician documentation that reflects accuracy in care and diagnoses in the patient's record. The CDIS II is able to consistently identify opportunities to query for assignment of DRG, major co- morbidities (mcc) and simple co-morbidities (cc) when clinical evidence is present. The CDIS II query's are consistent and obtain a high level of quality and complexity with clinical indicators when warranted. The query's are diverse and pertain to all patient populations within the health system.

Requirements:

EDUCATIONAL REQUIREMENTS

DEGREE/DIPLOMA OBTAINED
PROGRAM OF STUDY
Required/
Preferred AND/OR

Bachelor's
Required

Bachelor's
Nursing
Preferred

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EXPERIENCE REQUIREMENTS

MINIMUM YEARS REQUIRED
AREA OF EXPERIENCE
Required/
Preferred AND/OR

2 Years
CDI
Required

ADDITIONAL REQUIREMENTS

Knowledge of coding guidelines and sequencing of diagnoses. Must be knowledgeable of business medicine and transitional healthcare changes.
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STATE OF FLORIDA LICENSURE REQUIREMENTS

LICENSES
Required/
Preferred AND/OR

Registered Nurse License
Required

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CERTIFICATIONS/REGISTRATION REQUIREMENTS

CERTIFICATES/REGISTRATIONS
Required/
Preferred AND/OR

CCDS (Certified Clinical Documentation Specialist)
Required

ADDITIONAL REQUIREMENTS

Current License as RN in the state of Florida. CCDS within 6 months of promotion, mandatory

Lee Health is a drug/tobacco-free workplace. Pre-employment drug testing is required.
We are an equal opportunity employer.