AdventHealth University

Clinical Documentation Team Lead

AdventHealth University$69K — $129K *
US-AnywhereRemote in Gordon, AL
Hospitals & Medical Centers
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Registered Nurse (RN) license is mandatory.
  • Certified Clinical Documentation Specialist (CCDS) certification required.
  • 1+ year experience in clinical documentation and/or quality roles is essential.
  • 2+ years of clinical documentation specialist experience required for examination eligibility.
  • 5+ years nursing experience in med/surg or critical care environments is significant.
  • Strong organizational skills are crucial for managing processes effectively.
  • Excellent presentation and communication skills are necessary for staff development.

Responsibilities

  • Ensure competency of Clinical Documentation Specialist staff through ongoing reviews.
  • Provide timely feedback to enhance staff development.
  • Lead hiring, training, and performance management of CDI team members.
  • Assist in developing CDI program policies and procedures.
  • Collaborate with coding leadership for accurate DRG assignments.
  • Maintain time and attendance records, and troubleshoot technical issues.
  • Develop educational programs for staff on regulatory updates.

Benefits

  • Ongoing professional development and training opportunities.
  • Supportive environment for staff growth through mentorship.
  • Access to updated educational resources on regulatory changes.
  • Collaboration with leadership in coding for career advancement.
  • Potential for career progression within the CDI program.
Full Job Description
Schedule:
Full time

Shift:
Day (United States of America)

Address:
1035 RED BUD RD NE

City:
CALHOUN

State:
Georgia

Postal Code:
30701

Job Description:

  • Ensures competency of Clinical Documentation Specialist staff through ongoing reviews and skills assessments.
  • Provides timely and constructive feedback to enhance staff development.
  • Leads hiring, training, and performance management processes for all site-based CDI employees.
  • Assists in the development of policies and procedures for the CDI program. Coaches, mentors, and empowers employees to complete tasks by providing information and support.
  • Partners with coding leadership to ensure the accuracy of final DRG assignments.
  • Other duties as assigned.
  • Maintains time and attendance logs, approves PDO, and troubleshoots technical issues as needed.
  • Develops and/or utilizes educational programs to keep Clinical Documentation Specialists, physicians, service lines, and advisors up to date on regulatory changes and identified gaps.

Knowledge, Skills, and Abilities:
• Self-motivated [Required]
• Strong organizational skills [Required]
• Excellent speaking and presentation skills. [Required]
• Achieves 70% or greater on annual Clinical Competency Assessment [Required]
• Coding background [Preferred]
• Quality guidelines: IPPS, CMS guidelines. [Preferred]

Education:
• Associate's of Nursing [Required]
• Bachelor's of Nursing [Preferred]

Field of Study:
• ASN
• BSN

Work Experience:
• 1+ year of experience as a clinical documentation specialist and/or quality experience [Required]
• 2+ year cds experience required to sit for the exam [Required]
• 5+ years nursing experience in either med/surg or critical care [Required]

Licenses and Certifications:
• Registered Nurse (RN) [Required]
• Certified Clinical Documentation Specialist (CCDS) [Required]

Pay Range:

$69,563.22 - $129,389.27

About AdventHealth University

AdventHealth University is a private university in Orlando, Florida. It was founded in 1992 and is affiliated with the Seventh-day Adventist Church. The university offers undergraduate and graduate degree programs in various fields including nursing, radiography, and sonography. AdventHealth University is accredited by the Southern Association of Colleges and Schools Commission on Colleges.
Learn more about AdventHealth University
Size
1,000 employees
Industry

Similar Jobs

More Jobs at AdventHealth University

More Hospitals & Medical Centers Jobs

Find similar Clinical Documentation Team Lead jobs: