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AdventHealth

Integrated health system delivering whole-person care

Clinical Documentation Integrity Physician Advisor

Medical, Clinical & VeterinaryConfirmed live in the last 24 hours
Full-timeOrmond Beach, FL, USANo salary listedIn-person

About the Job

Requirements

  • Demonstrated interest or experience in clinical documentation improvement, coding, or revenue cycle management.
  • Knowledge of clinical documentation improvement principles, coding guidelines (ICD-10-CM and ICD-10-PCS), MS-DRG assignment, and CMS regulations.
  • Ability to work collaboratively with physicians, clinical documentation improvement professionals, and hospital administration.
  • A doctorate from an accredited medical school; an MD or DO is required.
  • Three or more years of experience are required.

Responsibilities

  • Analyze patient medical records to identify documentation improvement needs, including missing diagnoses, unclear clinical findings, and inconsistencies in treatment plans, ensuring accurate representation of diagnoses, procedures, and severity of illness.
  • Provide clinical expertise and guidance to clinical documentation improvement specialists and coders in clarifying documentation issues.
  • Identify opportunities to enhance documentation to support the level of care provided.
  • Participate in interdisciplinary case reviews and clinical documentation improvement meetings to drive process improvements.
  • Work with medical staff to ensure documentation accurately reflects severity of illness, risk of mortality, and complexity of care.
  • Educate physicians and advanced practice providers on best practices in clinical documentation and coding compliance.
  • Coordinate with graduate medical education to provide focused education on documentation best practices to incoming residents and fellows.
  • Serve as a resource for providers regarding clinical terminology, coding nuances, and regulatory requirements.
  • Provide ongoing feedback and coaching to improve documentation practices and compliance.
  • Conduct physician outreach sessions to address common documentation issues and promote awareness of clinical documentation improvement initiatives.
  • Assist in developing and refining compliant physician queries to attending physicians when clinical clarification is needed for accurate coding.
  • Interpret physician responses and collaborate with the clinical documentation improvement team to resolve documentation discrepancies.
  • Provide feedback on query responses and encourage accurate, thorough documentation.
  • Participate in mortality reviews, diagnosis-related group downgrade denials management, and clinical validation processes.
  • Ensure clinical documentation aligns with coding guidelines, Centers for Medicare & Medicaid Services regulations, and hospital policies.
  • Support hospital initiatives related to compliance, audit readiness, and quality reporting metrics.
  • Participate in clinical documentation improvement committees and performance-improvement initiatives.
  • Collaborate with quality teams on hospital-acquired conditions, patient safety indicators, and mortality-review initiatives.
  • Contribute to hospital-wide efforts to improve revenue integrity and performance benchmarks.
  • Stay current on coding standards (ICD-10-CM and CPT), Centers for Medicare & Medicaid Services guidelines, and DNV requirements, and communicate their implications to clinical teams.
  • Monitor and analyze clinical documentation improvement metrics, including length-of-stay and geometric mean length-of-stay variance, case mix index, and major and complicating comorbidity capture rate.
  • Prepare regular reports on clinical documentation improvement outcomes, including recommendations to optimize reimbursement and clinical quality.
  • Collaborate with hospital leadership to implement clinical documentation improvement strategies that improve documentation and patient outcomes.
  • Perform other duties as assigned.

Desired Qualifications

  • Familiarity with electronic health record systems and clinical documentation improvement software.
  • Advanced training or certification in clinical documentation improvement, medical coding, or healthcare compliance.
  • Experience conducting educational programs for clinical staff.
  • Experience with data analysis and performance-improvement initiatives.
  • Certification by ABQAURP or ACPA.
  • Experience working directly with a clinical documentation improvement program.
  • A Master's degree in Business or Healthcare Administration.

About the Company

AdventHealth

Integrated health system delivering whole-person care

AdventHealth operates a nationwide network that provides whole-person health care across hospitals, physician practices, ambulatory surgery centers, outpatient clinics, home health, hospice, and digital tools. It coordinates care through an integrated system where care teams work across inpatient, outpatient, and at-home settings, supported by the AdventHealth app for scheduling, telehealth, and records. It differentiates itself with a mission-driven focus rooted in Christian heritage and a large, connected network designed to cover the full patient journey from hospital to home. Its goal is to extend the healing ministry of Christ by improving the health and prosperity of the communities it serves, offering accessible, coordinated care that addresses physical, mental, and spiritual well-being.

Company size
10,001+
Company stage
Grant
Total funding
$250K
Headquarters
Florida, United States
Founded
1973

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