Clinical Documentation Integrity Specialist, Full-Time, Baptist Metro Square

Job Summary

Baptist Health is hiring a Clinical Document Integrity Specialist to join our Clinical Documentation Integrity (CDI) team at Baptist Metro Square, located in Jacksonville, FL. This is a full-time day shift opportunity.

Our Clinical Documentation Integrity team works collaboratively with physicians, nursing, patient care providers, and coding staff to improve the quality, completeness, and compliance of clinical documentation. In this role, you will help ensure medical records accurately reflect patient conditions and support appropriate inpatient DRG assignments. The ideal candidate brings acute care and coding experience, strong analytical skills, and the ability to collaborate with clinical teams.

Clinical Document Integrity Specialist Job Responsibilities:

• Facilitate improvements in the quality, completeness, and compliance of clinical documentation through collaboration with physicians, nursing, patient care providers, and coding staff.
• Conduct initial and concurrent reviews of patient admissions to ensure clinical documentation is accurate and complete.
• Ensure documentation accurately reflects patient outcomes and supports appropriate DRG assignment, to the extent agreed upon by the physician.
• Monitor patient status assignments and use designated, approved tools to track case progress.
• Serve as a resource to physicians and coding staff regarding clinical documentation and the appropriateness of inpatient DRG assignment.
• Identify opportunities to improve clinical documentation and support accurate, compliant reporting of patient care.

Clinical Document Integrity Specialist Experience:

• 3–5 years of coding experience required.
• 3–5 years of experience working in an acute care setting required.
• Minimum of four years of acute care nursing experience.
• 3–5 years of utilization review experience preferred.
• 3–5 years of knowledge of Coding Clinic guidelines preferred.
• Leadership experience preferred.

Clinical Document Integrity Specialist Education & Credential Requirements:

Education — one of the following required:

• Associate of Science in Nursing (ASN).
• Bachelor of Science in Nursing (BSN).
• Doctor of Medicine (MD).

Licensure — one of the following required:

• Licensed Registered Nurse (RN).
• Licensed Advanced Registered Nurse Practitioner (ARNP).
• Licensed Nurse Practitioner (NP).
• Licensed Physician Assistant (PA).

Preferred Certifications:

• Certified Documentation Improvement Professional (CDIP).
• Certified Clinical Documentation Specialist (CCDS).

If you are interested in this Clinical Document Integrity Specialist position at Baptist Metro Square, please apply now!

Responsible for facilitating the improvement in the overall quality, completeness and compliance of the clinical documentation through extensive interaction with physicians, nursing, other patient care givers and coding staff to ensure that documentation supports the DRG assigned to each case to the extent that the physician concurs• Ensures that the documentation used in measuring patient outcomes is accurate and complete by conducting initial and concurrent reviews on admissions• Monitors assignment of patient status; utilizes designated and approved tools to track progress; serves as resource to physicians and coding regarding issues related to the appropriateness for inpatient DRG assignment• Minimum of four years experience in acute care nursing experience, leadership preferred.

Education Required

Associate Degree (AA/AS) - Nursing

Experience

• Coding Experience
• Experience working in an Acute Care setting

License and Certification

• Licensed Nurse Practitioner - State Nursing Boards
• Driver's License - DMV
• Licensed Physician Assistant (PA) - Board of Medicine
• Advanced Registered Nurse Practitioner - State Nursing Boards
• Registered Nurse (RN) - State Nursing Boards

Location