Search jobs > Tallahassee, FL > Part-time > Clinical documentation

Clinical Documentation Specialist

Ensemble Health Partners
Tallahassee, FL
Part-time

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups.

They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful.

This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference

The Opportunity :

PT - 20 hour / week positions available. Candidate must be able to work onsite, if necessary, at Tallahassee Memorial Hospital

The CDI Specialist facilitates and obtains appropriate physician documentation for any patient clinical condition or procedure to support the appropriate severity of illness, expected risk of mortality, and complexity of care as documented in patient medical records.

Extensive medical record review and interaction with physicians, nursing staff, other patient care givers and HIM coding professionals is done to ensure the documentation is complete and accurate.

Job Responsibilities :

  • Completes initial patient medical record review within 24-48 hours of patient's admission; completes subsequent reviews of patient's medical record reviews every 24-48 hours and enters review findings in CDE software system
  • Assigns Principal diagnosis, CC / MCC (complication and comorbidity / major complication and comorbidity), evaluate for Severity of Illness (SOI) and Risk of Mortality (ROM) on all patients while in-house.

Assigns working ICD-10-CM and PCS codes and DRG (Diagnosis Related Group) using encoder in CDE software.

Clarifies with physicians regarding missing, unclear, unsupported or conflicting health record documentation by requesting and obtaining additional documentation from physicians when needed.

Face to face physician interaction and written clarifications are used.

  • Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record.
  • Partners with coding professionals to ensure accuracy of diagnostic and procedural data and completeness of supporting documentation to determine the working and final DRG assignment.

Reviews DRG denial letters and writes denial appeal letters.

  • Collaborates with care coordination, nursing staff and other ancillary staff regarding interaction with physicians on documentation and to resolve physician clarifications prior to patient discharge.
  • Maintains and upholds all clinical documentation regulatory guidelines
  • Formulates and submits timely, well prepared appeals for reconsideration by third party administrators (payors). Including supporting documented clinical evidence, Coding / CDE Guidelines and other regulatory standards / guidelines as appropriate.

Works collaboratively with co-works and management to effectively resolve root cause issues that impact payor contracts, hospital operations, or departmental to maintain reimbursement and minimize appeal requests and / or denials.

Experience We Love :

  • Minimum of five years acute care nursing experience with specific medical / surgical, Intensive Care, or Emergency Department experience
  • Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations
  • Ability to organize and present information clearly and concisely; excellent computer and keyboarding skills; high degree of prioritization skills

Minimum Education

Current RN Licensure

Certifications :

CRCR Required within 9 months of hire (Company Paid)

LI-LS1

Join an award-winning company

Three-time winner of Best in KLAS 2020-2022

2022 Top Workplaces Healthcare Industry Award

2022 Top Workplaces USA Award

2022 Top Workplaces Culture Excellence Awards

Innovation

Work-Life Flexibility

Leadership

Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include :

  • Associate Benefits We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
  • Our Culture Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always.

Our culture is rooted in collaboration, growth, and innovation.

  • Growth We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
  • Recognition We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.

Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.

If you require accommodation in the application process, please contact .

EEOC Know Your Rights

FMLA Rights - English

La FMLA Español

16 days ago
Related jobs
Ensemble Health Partners
Tallahassee, Florida

Educates key healthcare providers such as physicians, nurse practitioners, allied health professionals, nursing and care coordination regarding clinical documentation improvement, documentation guidelines and the need for accurate and complete documentation in the health record. The CDI Specialist f...

Promoted
MetroNet Inc.
Tallahassee, Florida

The Quality Assurance Specialist will perform quality control inspections and repairs on residential, commercial, and enterprise customer premises pertaining to workmanship of in-house & contract partners to ensure compliance with quality & safety guidelines (includes compliance with requirements ou...

Promoted
Metronet
Tallahassee, Florida

The Quality Assurance Specialist will perform quality control inspections and repairs on residential, commercial, and enterprise customer premises pertaining to workmanship of in-house & contract partners to ensure compliance with quality & safety guidelines (includes compliance with requirements ou...

Promoted
Capital Health Plan
Tallahassee, Florida

Assists with providing patients with ready access to their own healthcare team for direct patient care, health promotion, disease prevention and patient education.Assists provider with ensuring the care is patient-centered, team based, and community-aligned.Florida-licensed RN and Basic Life Support...

Promoted
Maverc Technologies
Tallahassee, Florida

Quality Assurance and Control: Oversee all phases of testing to ensure software quality and compliance with specifications. Maverc Technologies is seeking an experienced Quality Assurance Analyst to support one of our State Agency customers. Defines and tracks quality assurance metrics such as defec...

Promoted
Aveanna Healthcare
Clarcona, FL, US

Our local office is looking for a team of compassionate nurses to provide care for a very special client/patient. Aveannas Private Duty nurses assist our patients with transitioning home from the hospital and provide the continuous care they need so they can remain at home with their loved ones. We ...

Promoted
Jessie Trice Community Health System, Inc.
FL, United States

Jessie Trice Community Health System is seeking a highly organized and professional Executive Assistant to provide comprehensive administrative support to our CEO. Provide general administrative support such as filing, scanning, and copying documents. Proven experience as an Executive Assistant or s...

Promoted
Romanoff Recruiting
FL, United States

We have partnered with a top Florida GC and assisting them in a search for a Senior Project Manager with ground up multi-family experience. Direct and oversee completion of project. Overlook multiple project team members and provide mentorship to junior staff. Experience leading ground up multifamil...

Promoted
Salt
FL, United States

Working knowledge of message queuing, stream processing, and highly scalable ‘big data’ data stores. Working with business partners to find practical solutions to their business problems based on data. Analyzing large sets of data to understand the impact of product changes on the customer journey. ...

Promoted
SR COMPANIES LLC
Tallahassee, Florida

The Clinical Specialist is responsible and accountable for all nursing care and services for the assisted living/memory care communities. Responsible for and accountable for the organization, planning, and daily operations of the clinical department of assisted living and/or memory care community. R...