• Florida

Clinical Documentation Special, Health Information Management - Boca Raton Regional Hospital

FT, 8A-4:30P

800 Meadows Rd Boca Raton, FL 33486


Boca Raton Regional Hospital

Job Id 108845

Baptist Health has a commitment to strengthening the compassionate care we provide. With the addition of Boca Raton Regional Hospital, Baptist Health is able to provide the Palm Beach community expanded access to healthcare services. Boca Raton Regional Hospital is an advanced tertiary medical center with 400 beds and is a recognized leader in Cardiovascular Care, Oncology, Women's Health, Orthopedics, Emergency Medicine and the Neurosciences, all of which offer state-of-the-art diagnostic and imaging capabilities. The Hospital is now a part of Baptist Health South Florida is the region's largest not-for-profit healthcare organization with more than 23,000 employees working across 11 hospital campuses and more than 100 outpatient facilities throughout Miami-Dade, Monroe, Broward, and Palm Beach counties. In 2016 we welcomed the newest weapon in the fight against cancer, the world-class Miami Cancer Institute and proton therapy center. Baptist Health South Florida is once again one of the 2019 Fortune 100 Best Companies to Work For! This is the 19th time Baptist Health has been recognized on the list. We have also been recognized for being among the best healthcare providers in the nation by U.S. News & World Reports in its 2019-2020 Best Hospitals report and have been honored as one of PEOPLE's 2019 50 Companies That Care by PEOPLE magazine and Great Place to Work. Everything we do at Baptist Health, we do to the best of our ability. That includes supporting our team with extensive training programs, millions of dollars in tuition assistance, comprehensive benefits and more. Working within our award-winning culture means getting the respect and support you need to do your best work ever. Find out why this is the best place to be your best!

Description: Utilizes advanced skills and knowledge in DRG documentation requirements to conduct concurrent medical record reviews. The Clinical Documentation Specialist is primarily responsible for managing one or more processes/initiatives/projects that support appropriate clinical documentation, MSDRG assignment, utilization and regulatory compliance and querying physician for clear and concise documentation.Duties include data collection, trending, analysis, CDI review, MSDRG assignment, and track and trend The Program Evaluating for Payment Patterns Electronic Report (Pepper report) any identified opportunities. The Clinical Documentation Specialist will educate members of the health care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing and case management.Educates physicians regarding appropriate documentation necessary to accurately reflect severity of illness, mortality statistics, and length of stay of patients.

Qualifications:Degrees: Bachelors Additional Qualifications: MD or Foreign Medical Graduate Doctor. Medical Doctor with a minimum of 2 years experience in utilization review/quality review and/or other related clinical experience in an acute care facility required. Minimum of 2 years of acute care clinical documentation specialist, or coding experience preferred. Minimum Required Experience: