Clinical Documentation Specialist, Remote, FT
University of Miami

Miami, Florida

This job has expired.

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The Clinical Specialist, facilitates appropriate physician documentation of care to accurately reflect patient severity of illness and risk mortality. Obtains accurate and compliant reimbursement for acute care services and reports quality of care outcomes. Collects data regarding timeliness of report completion to assist physicians in meeting applicable rules and regulations. Verifies the documentation of the correct admission type and follows up on incorrect assignments immediately. Directs clinical documentation improvement and data abstraction. Ensures accurate and timely reviews of inpatient records. Adheres to University and unit-level policies and procedures and safeguards University assets.


Bachelor's degree in Nursing, Health Information Management, or related medical field required. Graduate Foreign Medical degree will be considered.

Certification and Licensing:

  • Current RN, MD or RHIA required
  • CCDS or CDIP certification preferred; must obtain CCDS or CDIP within 3 years from date of hire
  • Coding certification (CCS, CIC, or CPC) preferred

  • Minimum two (2) years direct patient care in acute care hospital or (3) years inpatient coding experience required. Prior clinical documentation improvement (CDI) experience preferred.
  • Demonstrated extensive clinical knowledge, critical-thinking skills, and understanding of disease processes, anatomy, pathophysiology, and disease management/treatment required.
  • Proficiency with Microsoft Office (Excel, PowerPoint, Word, Outlook) required.
  • Proficiency with technology/software required. Experience with 3M 360 Encompass preferred.
  • Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

Patient safety is a top priority. As a result, during the Influenza ("the flu") season (September through April), the University Of Miami Miller School Of Medicine requires all employees who provide ongoing services to patients, work in a location (all Hospitals and clinics) where patient care is provided, or work in patient care or clinical care areas, to have an annual influenza vaccination. Failure to meet this requirement will result in rescinding or termination of employment.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

Job Status:
Full time

Employee Type:

Pay Grade:

This job has expired.

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