Clinical Documentation Quality Liaison

Tampa, Florida

Adventist Health System
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All the benefits and perks you need for you and your family: Paid Days Off from Day One Student Loan Repayment Program Career Development Whole Person Wellbeing Resources Mental Health Resources and Support Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Schedule: Full Time Shift : Days The community you'll be caring for: AdventHealth Tampa AdventHealth 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. The role you'll contribute: 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 Quality Auditor Manager strategically facilitates and obtain 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 Clinical Documentation Quality Auditor Manager educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, care management and quality abstracters. The Clinical Documentation Quality Auditor Manager 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. The value you'll bring to the team: Demonstrates, through behavior, Integrity, Compassion, Balance, Excellence, Stewardship, and Teamwork Reviews mortality reviews and quality audits to ensure the ROI/SOM scores are appropriate and consistent in documentation of care delivered. Quality audits consist of but not limited to concurrent, mortality, Iodine Retrospect and other internal CDI audits to ensure compliance to guidelines. Completes accurate and timely record review to ensure the integrity of documentation compliance. Completes accurate and concise input of data into Iodine resulting in accurate metrics provided by the Iodine metrics. Understands and supports documentation strategies (upon completion of training) and continues to educate self and team members using educational tools, videos and provided webinars. Recognizes opportunities for documentation improvement using strong critical-thinking skills. Uses critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance. Initiates/formulates Iodine severity worksheets and clinically credible clarifications for inpatients, sending/presenting opportunities for improved documentation compliance to physicians, nurse practitioners and other medical staff. Transcribes documentation clarifications as appropriate for SOI, ROM, PSI, HCCs and HACs to ensure documentation compliance is accomplished. Qualifications The expertise and experiences you'll need to succeed : Minimum of five years acute care experience in medical/surgical, intensive care, progressive care, or emergency department as a registered nurse, nurse practitioner, physician assistant, or physician Nurses must hold a BSN 2 years Clinical Documentation Specialist experience Nurses must hold current active state license as a registered nurse Mid-level providers must hold active credentials as a nurse practitioner or Physician's Assistant Physicians must hold either a certificate from the Educational Commission for Foreign Medical Graduates or a state license as a Medical Doctor All quality liaisons must hold a Certified Clinical Documentation Specialist (CCDS) certification through Association of Clinical Documentation Integrity Specialists This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location. Category: Quality/Clinical Effectiveness Organization: AdventHealth Tampa Schedule: Full-time Shift: 1 - Day Req ID: We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.
Date Posted: 18 April 2024
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