Post-Acute Clinical Documentation Integrity Specialist

Department

Revenue Cycle Job Summary

The Post-Acute Clinical Documentation Integrity Specialist is responsible for facilitating the improvement in the overall quality and completeness of clinical documentation to support coding in the post-acute inpatient setting, and will be responsible for reviewing daily new admission inpatient post-acute medical records, as well as, subsequent reviews while patient is still in-house (concurrent) until discharged. The Specialist is also responsible for querying physicians on specificity of diagnosis or procedures performed in order to ensure the account appropriately reflects the patient’s acuity and resources used to care for the patient resulting in complete and accurate profiling and reporting outcomes. In addition, the Specialist will provide documentation and coding education as needed.

• Required Qualifications
• Require a Bachelor’s degree (preferably BSN). Associate degree in Nursing (ASN) and two (2) years of relevant work experience in an acute or post-acute setting can substitute for the required degree.
• Require a minimum of three (3) years of clinical experience in the area of hire (CDIS, SNF, IRF, or LTCH).
• Require an active Florida Registered Nurse (RN) license or Medical Doctor (MD) equivalent.

Preferred Qualifications

• Prefer the ability to communicate verbally and in writing.
• Prefer the ability to multi-task, shift priorities, and demonstrate decision-making ability.
• Prefer the ability to work independently and collaboratively in a team environment.
• Prefer certification as Certified Documentation Improvement Professional (CDIP) or Certified Clinical Documentation Specialist (CCDS).
• Prefer Certified Rehabilitation Registered Nurse (CRRN) Certification.
• Prefer knowledge of Prospective Payment System methodology in area of hire (Skilled Nursing Facility Prospective Payment System - Patient Driven Payment Model (PDPM); Inpatient Rehabilitation Facility – Case Mix Group (CMG); Long Term Care Hospital – MS-LTC-DRG).
• Prefer proficiency in Adobe Acrobat and Microsoft Office suite, specifically Excel, PowerPoint, and Word. Reputation. Community. Impact. Growth. Every day, our patients at Sarasota Memorial Health Care System receive a first-class experience in care from a team on a mission to deliver the highest level of care in America. In the process of rising to that challenge, one by one, our people are finding their purpose and feeling their impact. Now it is your turn to see yourself here. Sarasota Memorial Hospital was recently recognized again by ranking #1 Hospital in the Region by the U.S. News's Best Hospital report by scoring a Perfect 10! Not only that, but SMH was also designated at a national "standout" hospital for earning top ratings in all evaluated conditions and procedures - an accomplishment achieved by less than 1% of the 4000+ hospitals. Our system has also earned Magnet® recognition from the American Nurses Credentialing Center (ANCC), as well as these additional accolades: Gallup Great Workplace 2018; recipient of an "A" grade for Patient Safety. Sarasota Memorial Hospital is Magnet designated and the only provider of Level II trauma services, obstetrical services, and Level III neonatal intensive care in Sarasota County. The benefits of being the best: Our commitment to becoming the best community hospital and health care system means providing the best possible benefits to our people. Some highlights: Total Rewards Package Paid Time Off (start earning PTO on day one of employment) Tuition Reimbursement Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars Life Insurance Disability Insurance Retirement Savings Plan: 403b Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp! Bereavement Leave Free Parking On Campus Dining w/ a 10% discount Credit Union w/ teller machines on campus Direct Deposit Free Wellness Screening Free confidential counseling services Employee Discount Programs Recognition Programs Referral Programs Tremendous growth opportunities for hard workers!