Second Level Reviewer I
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. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 900 HOPE WAY City: ALTAMONTE SPRINGS State: Florida Postal Code: 32714 Job Description: Recognizes opportunities for documentation improvement using strong critical-thinking skills and formulates clinically credible clarifications for inpatients. Transcribes documentation clarifications as appropriate to ensure documentation compliance. Educates members of the patient-care team regarding documentation regulations and guidelines, including physicians, allied health practitioners, and nursing staff. Communicates effectively with physicians and other healthcare providers to ensure appropriate, accurate, and complete clinical documentation. Collaborates with health information management staff to resolve discrepancies with diagnostic assignments and other coding issues. Completes well-timed follow-up case reviews on all cases, prioritizing those with clinical documentation clarifications. Participates in department meetings, providing feedback on outstanding issues and presenting educational opportunities. Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency. Assists in new hire orientation through precepting and mentoring. Maintains regional productivity standards and demonstrates competence on compliance audit scores. Maintains a 97% physician response rate to all valid clarifications. Annual participation in Advanced Practice call. Maintains CCDS credentialing. Other duties as assigned. Reviews concurrent medical records for documentation compliance, including completeness, accuracy and quality. Inputs data accurately and concisely into assigned software, resulting in accurate metrics obtained through the reconciliation process. The expertise and experiences you’ll need to succeed: QUALIFICATION REQUIREMENTS: Bachelor's of Nursing (Required), Master'sAdult Acute Care Nurse Practitioner (ACNPC) - EV Accredited Issuing Body, Certified Clinical Documentation Specialist (CCDS) - EV Accredited Issuing Body, Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Documentation Improvement Practitioner (CDIP) - EV Accredited Issuing Body, Physician Assistant (PA) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body Pay Range: $66,170.74 - $123,073.07 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. Every day, our fellow team members show up to work, unified by one shared mission: Extending the Healing Ministry of Jesus Christ. As a faith-based health care organization, our story is one of hope as we strive to heal and restore the body, mind and spirit. Though our facilities are spread across the country, this unwavering belief binds us together. Across every office, exam and patient room, we’re committed to providing individualized, holistic care. This is our Christian mission, and it inspires us to help make communities healthier and happier.