Clinical Documentation Specialist

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POST DATE 9/13/2016
END DATE 10/14/2016

HCA Healthcare Port Charlotte, FL

Port Charlotte, FL
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Mid-Career (2 - 15 years)
Associates Degree


Job Code: 01371-5550


No Weekends

Fawcett Memorial Hospital is a 238 bed size facility serving Charlotte County in Port Charlotte, Florida. Fawcett Memorial Hospital and its medical staff represent a broad range of services in many different medical, surgical, diagnostic and rehabilitation specialties. Fawcett is accredited by the Joint Commission and many of our programs have additional recognition by other national certifying agencies. The facility is part of the HCA West Florida Hospital division, which is a comprehensive network of hospitals, outpatient surgery, and diagnostic imaging facilities that meet the healthcare needs of residents and businesses in West Florida communities. Last year the HCA West Florida Division treated approximately 1 million patients. Our parent company, HCA, is the nation s leading provider of healthcare services operating 163 hospitals and 112 outpatient centers nationwide.

We have expanded our CDI job role to include both RNs with critical care backgrounds, and experienced inpatient coding professionals. The role of the CDI specialist involves reviewing the medical record and querying concurrently for more specificity to ensure a complete and accurate medical record. An accurate medical record is important for the patient, for continuity of care by the next provider, and to demonstrate high quality care by the physician and the hospital. The CDI Specialist will identify potential gaps in clinical documentation for inpatient and payer populations as directed on admission and throughout hospitalization. He/she will also educate physicians and key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.


Associates or Baccalaureate Degree

2-5 years ICU/CCU/ER/OR

CDI, CM, Quality experience also helpful as long as they possess 2-5 years Critical Care experience


RHIT (2 year) or RHIA (4 year)

3-5 years of experience Acute inpatient coding

ICD-10 trained

CCS required

Last Edited: 05/04/2016