Clinical Documentation Integrity Specialist - HIM - FT - Days - MSS - Hybrid Eligible
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About the role
Facilitates improvement in the overall quality, completeness and accuracy of medical record documentation to ensure that the patient's acuity of care and severity of illness are accurately reflected in the medical record. Obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and Health Information Management coding staff to ensure that clinical documentation is complete and accurate. Educates all members of the patient care team on documentation guidelines on an ongoing basis. Reviews electronic medical records to construct compliant provider documentation clarifications.
Responsibilities
- Competencies:
- ACCOUNTABILITY, ACCURACY - CDI, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTH INFORMATION MANAGEMENT (HIM) SYSTEMS - SPECIALISTS, HUMAN ANATOMY - CLINICAL DOC, MEDICAL CODING (CDI), MEDICAL TERMINOLOGY (2), PROBLEM SOLVING, PRODUCTIVITY - CDI, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR
- Education and Certification Requirements:
- Accredited Program (Required)Registered Nurse Compact License (RN LICENSE COMPACT) - Compact RN Multistate, Registered Nurse License (RN LICENSE) - State of Florida (FL)
- Additional Job Information:
- Required Work Experience: RN with two (2) years of clinical nursing experience or RHIA/RHIT with two (2) years inpatient coding experience or CCS with two (2) years inpatient coding experience.
- Working Conditions and Physical Requirements:
- Bending and Stooping = 60%
- Climbing = 0%
- Keyboard Entry = 60%
- Kneeling = 40%
- Lifting/Carrying Patients 35 Pounds or Greater = 0%
- Lifting or Carrying 0 - 25 lbs Non-Patient = 40%
- Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
- Lifting or Carrying > 75 lbs Non-Patient = 0%
- Pushing or Pulling 0 - 25 lbs Non-Patient = 60%
- Pushing or Pulling 26 - 75 lbs Non-Patient = 60%
- Pushing or Pulling > 75 lbs Non-Patient = 0%
- Reaching = 40%
- Repetitive Movement Foot/Leg = 40%
- Repetitive Movement Hand/Arm = 60%
- Running = 0%
- Sitting = 60%
- Squatting = 40%
- Standing = 60%
- Walking = 60%
- Audible Speech = 60%
- Hearing Acuity = 60%
- Sme
Benefits
Additional Information
Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.
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