Posted in Other 12 days ago.
Location: Miami, Florida
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The University of Miami, Uhealth has an exciting opportunity for a Clinical Documentation Specialist II in the HMI-CDI department at the UTower location. The Clinical Documentation Specialist II (CDI) provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services. The CDI II facilitates accurate documentation for severity of illness and quality in the medical record. This involves extensive record review, interaction with physicians, health information management professionals, and nursing staff. Active participation in team meetings and education of staff in the Compliant Documentation Management Program (CDMP) process is a key role. Facilitates appropriate physician documentation of care to accurately reflect patient severity of illness and risk mortality. Obtains accurate and compliant reimbursement for acute care services and reports quality of care outcomes. Collects data regarding timeliness of report completion to assist physicians in meeting applicable rules and regulations. Verifies the documentation of the correct admission type and follows up on incorrect assignments immediately. Directs clinical documentation improvement and data abstraction. Ensures accurate and timely reviews of inpatient records. Adheres to University and unit-level policies and procedures and safeguards University assets.
Bachelor's degree in health information management, Medicine or Nursing required. Current/Valid FL/multistate RN License required with Critical Care, OR, ER experience preferred; or RHIA/RHIT/CCS certification required; or MBBS required; CCDS certification preferred; Active BLS certification. Three-Five (3-5) years experience required. Experience in Inpatient Coding/HIM, Case Management, Quality Review and/or other related clinical experience in an acute care facility preferred. Any combination of relevant education, work experience, and/or certifications will be considered
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.
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