Job Information
MCR Health Clinical Documentation Improvement Specialist in Bradenton, Florida
Why MCR Health?
A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time", and to support our Mission to serve everyone. Whether you are providing direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our Company where you can grow your career and serve with your heart.
In our time of Company growth, we seek a CDI Specialist (Clinical Documentation Improvement).
Work Location: Bradenton, FL
The Clinical Documentation Improvement (CDI) Specialist is responsible for facilitating the improvement in the overall quality and completeness of provider-based clinical documentation in the medical record. This position will be responsible for assisting treating providers to ensure that documentation in the medical record accurately reflects the severity of the illness of the patient as well as the level of services rendered.
As part of this role, you will:
- Review and audit patient charts in the EHR for the clinical status of the patient, current treatment plan, past medical history, and quality measures (e.g. HEDIS, HCC, etc..), and identify potential gaps in physician documentation
- Communicate with physicians when more specific documentation and/or diagnoses may be required
- Collaborate with and educate physicians and coding staff to promote complete and accurate clinical documentation
What you need to bring to this role:
- Bachelor's degree in the healthcare-related field required
- Required certification or license must be one of the following:
- Registered or Licensed Practical Nurse
- Certified Coder (AAPC or AHIMA preferred)
- MD Equivalent
- AHIMA Clinical Documentation Improvement Practitioner (CDIP) certification
- 1+ years' experience in population health required (3+ preferred)
- 1+ years' experience working in a healthcare setting required (3+ in outpatient ambulatory setting preferred)
- 1+ years' experience with abstracting and data entry related to clinical documentation required
- Proficient in Microsoft Office Suite required
- Valid driver's license required
- Ability to move between sites as needed (with mileage reimbursement)
- Bilingual (Spanish/English) a plus
**MCR Health Services is a drug-free workplace. All job applicants selected for employment must submit to a pre-employment drug test and background check.