Posted in Other 2 days ago.
Location: Miami, Florida
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The University of Miami is among the top research universities and academic medical centers in the nation, and one of the largest private employers in South Florida.
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The Department of CDI has an exciting opportunity for a full-time Clinical Documentation Specialist 2 at UTower. 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.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
Bachelor's degree in health information management, Medicine or Nursing required.
Certification and Licensing:
Current RN license required with Critical Care, OR, ER experience preferred; or RHIA/RHIT/CCS certification required; or MBBS required
3-5 yrs. experience in Inpatient Coding/HIM, Case Management, Quality Review and/or other related clinical experience in an acute care facility preferred.
Knowledge, Skills and Attitudes:
IBA Proton Therapy
IBA Proton Therapy