Description of Job Clinical Documentation Improvement Specialist will provide concurrent review of clinical documentation in medical record. The reviewer will include a thorough review to identify comorbidities and complications and clinical findings. The specialist will be responsible for writing queries to the medical staff and meet face to face with physicians to discuss care provided/clinical documentation that may support care given for severity of patient illness/risk of mortality. All efforts will also be made to capture documentation in the medical record for all appropriate secondary diagnoses for quality ratings and physician profiling. Specialist will be responsible for conducting initial, extended stay concurrent reviews on selected admissions and conduct follow-up on unanswered queries within a timely manner. They will also be responsible for working with coding team on discharged queries. Clinical Documentation Improvement Specialist also will be responsible for providing information and informal in-services to physicians and ancillary staff. The CDI team will be expected to meet on a regular basis with the coding team to review monthly reports for operational, financial, compliance and quality rating impact for the facility, discuss coding clinic's, share clinical knowledge and discuss process improvements for team. Team member will work independently, with the other CDI team members, coders, physicians, nurses and Director, HIM. They must have good organizational, time management, interpersonal and communication skills. Our staff have the responsibility, accountability, & authority to provide Safe Passage for our patients and families by utilizing the six dimensions of Relationship Based Care: Resources, Teamwork, Care Delivery, Outcomes, Professional Practice and Leadership. Our model of shared decision making provides a structure for team members to drive practice decisions that impact the practice environment and patient outcomes starting at the unit level and ultimately throughout the medical center. Participation and collaboration are encouraged and supported. Our enterprise-wide decision system, the JMC Pathway, provides the structure, methodologies and tools needed to support objective, data-driven decision making. The Pathway delivers excellence always, to both our physicians and customers, by maximizing the value generated from every hospital process and function. Team member participation, support and active use of JMC Pathway concepts and tools are required.
Jupiter Medical Center is located in the seaside community of Jupiter, Florida in Northern Palm Beach County. At Jupiter Medical Center, our team members and volunteers (Auxiliary) are the heartbeat of the hospital. Our 1,500 team members and 700 volunteers are united by their common goal to deliver excellent and compassionate healthcare, each and every day. Our team practices “Relationship Based ...Care” which is a philosophy of caring that places the patient and family at the center of all that we do. This is achieved through creating and sustaining relationships with patients, families, other team members and self. Jupiter Medical Center is committed to being the Employer of Choice for the Palm Beach County Area. Our vision to be recognized as the leading healthcare organization in the region is evident by some of our accomplishments: Consistently ranked as one of Top Hospitals in Palm Beach County in "Likelihood to recommend", Certification as a Primary Stroke Center (4 consecutive terms) and the Laureate Award for Workplace Enhancement. We have earned an unprecedented level of patient confidence, team spirit among colleagues, and loyalty amongst the communities we proudly serve. As a not-for-profit medical facility, Jupiter Medical Center continually reinvests in facilities and new equipment to provide our patients with the highest quality of care in state-of-the-art facilities. Jupiter Medical Center is a 100% Tobacco-Free Campus.