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Advanced Practice Provider – Clinical Documentation Integrity (CDI)
Overview:
We are seeking an experienced Advanced Practice Provider (APRN or PA) to support Clinical Documentation Integrity (CDI) initiatives within a hospital setting. This role focuses on improving the accuracy, completeness, and compliance of physician documentation while collaborating across clinical and revenue cycle teams.
Key Responsibilities:
- Oversee physician documentation practices to ensure accuracy, completeness, and regulatory compliance
- Analyze data and reporting to identify opportunities for documentation improvement
- Provide education, training, and ongoing support to physicians and clinical teams
- Balance reimbursement integrity with regulatory requirements using sound clinical judgment
- Collaborate with CDI leadership, revenue cycle, coding, and interdisciplinary teams
- Serve as a liaison to align clinical documentation with organizational goals and performance metrics
Required Qualifications:
- Active Florida license as an APRN or Physician Assistant
- 5+ years of clinical experience
- Strong understanding of CDI outcomes, workflows, and operational metrics
- Excellent communication, leadership, and problem-solving skills
Preferred Qualifications:
- 2+ years of experience in an acute care/inpatient setting
- Prior CDI or utilization review experience strongly preferred
Schedule:
- Monday – Friday
- Onsite 9:00 AM – 3:00 PM; remote flexibility after
Compensation & Benefits:
- Salary range: $115,000 – $130,000
- Eligible for 15% leadership bonus
- Comprehensive benefits starting Day 1 (medical, dental, vision, life, disability)
- Generous PTO + paid parental leave (4 weeks fully paid)
- 403(b) retirement plan
- Career development and wellness resources
Locations (Multiple Openings):
- East Orlando
- Celebration / Kissimmee
- Apopka / Winter Garden
- Orlando
Remote working/work at home options are available for this role.
ESSENTIAL FUNCTIONS
Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Deliver patient care through patient preparation, vital sign collection, and documentation. Assist with various procedures, exams, and diagnostic equipment (e.g., tympanometry, spirometry). Maintain aseptic techniques during preparation, procedures, and medication administration.
Administer medications, treatments, and immunizations under the direction of providers.
Prepare and organize patient charts with necessary information. File dictations and ensure completion of all required documentation. Communicate with patient regarding test results and plan of care
Schedule procedures, labs, x-rays, and surgeries; provide pre- and post-surgery information. Assist with patient outreach for overdue visits, labs, and referrals.
Coordinate physician schedules and ensure insurance pre-certifications. Schedule and manage patient follow-ups, ensuring continuity of care.
Maintain patient confidentiality and adhere to organizational standards and ethical guidelines.
Educate patients and families based on assessed needs and discharge plans.
Promote evidence-based resources to optimize nursing practice and patient care.
Proactively serves as a patient advocate by utilizing courteous and professional etiquette at all times reflecting positive tone and speaking distinctly with poise, tact and assurance. Assures accurate and complete messages to appropriate personnel.
Assists in training, orienting, and supporting new colleagues. Work includes cross coverage in other clinic areas as team needs.
Document patient plan(s) of care, tests and examination results in the medical record as directed by the provider. Escalate non-routine issues, questions and/or concerns to the practice manager or healthcare provider(s).
Ensure safety checklists/quality controls are completed as required.
Other duties as needed and assigned by the manager.
Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health’s Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
MINIMUM QUALIFICATIONS
Must be comfortable operating in a collaborative, shared leadership environment.
Successful completion of a medical assistant program accredited by the Commission on Accreditation of Allied Health Programs (CAAHP) or Accrediting Bureau of Health Education Schools (ABHES).
Must obtain one of the following certifications listed for a Medical Assistant with their corresponding listed certification provider within one year of hire:
Acceptable Certifications:
Certification: Certified Medical Assistant (CMA). Provided by the American Association of Medical Assistants (AAMA)
Certification: Registered Medical Assistant (RMA). Provided by the American Medical Technologists (AMT)
Certification: Medical Assistant (NCMA). Provided by the National Center for Competency Testing
Certification: Clinical Medical Assistant Certification (CMA). Provided by the American Medical Certification Association.
Certification: Certified Clinical Medical Assistant (CCMA). Provided by the National Health Career Association.
Certification: Nationally Registered Certified Medical Assistant (NRCMA). Provided by the National Association for Health Professionals (NAHP)
Certification: NPCE MA. Provided by the National Phlebotomy Certification Examination (NPCE).
Basic Life Support (BLS) certification required within 3 months of hire.
Proof of completion of Mandatory Reporter abuse training specific to the population served within 3 months of hire.
Proficient in basic computer skills (Windows environment, web-based navigation, email, MS Office).
Ability to work with diverse groups of people and in a collaborative, shared leadership environment.
Requires the ability to read, write and understand the English language, and communicate effectively with patient, visitors, and colleagues while performing their job duties.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
University Health in San Antonio is seeking board-certified Advanced Practice Providers (Acute Care Nurse Practitioners and Physician Assistants) to join a high-acuity, multidisciplinary critical care team at University Hospital. This role supports a 24/7, high-intensity ICU model serving complex patient populations including solid organ transplantation, cardiothoracic surgery, cardiac care, and ECMO therapy. Our collaborative model integrates Surgical Critical Care and Anesthesia Critical Care services to deliver comprehensive, patient-centered care across all ICU service lines.
About the Program The critical care team is structured to provide:
- 24/7 on-site coverage by Faculty Intensivists and Advanced Practice Providers (APPs)
- Support from multidisciplinary Residents and Critical Care Fellows
- Clearly defined structures and processes to ensure quality and consistency of care
- Real-time collaboration across service lines to develop and implement conjoint care plans
Qualifications
- Board-certified Acute Care Nurse Practitioner (ACNP) or Physician Assistant
- Active or eligible for Texas licensure
- ICU experience strongly preferred
- Demonstrated ability to thrive in a high-acuity, team-based environment
- Strong clinical judgment, communication, and collaboration skills
Why Join University Health? University Health is proud to offer a supportive and rewarding work environment, including:
- Competitive total compensation package
- Affordable medical insurance and comprehensive benefits
- Loan repayment program up to $50,000 over 5 years
- Annual professional business expense allowance plus CME days
- Annual tuition reimbursement and certification support
- Deferred compensation retirement plan with employer match
- Generous paid time off
- Opportunity to work alongside highly skilled and respected physicians
- Strong culture of teamwork and peer camaraderie
About University Health University Health is a nationally recognized academic health system committed to delivering high-quality care, advancing medical education, and improving community health across South Texas.
Why San Antonio?
San Antonio offers an exceptional quality of life with a low cost of living, rich cultural heritage, a vibrant culinary and arts scene, and easy access to the Texas Hill Country. The city combines major metropolitan amenities with a welcoming, family-friendly atmosphere and year-round outdoor activities.
POSITION SUMMARY/RESPONSIBILITIES Provides indirect and direct patient care activities and performs clerical duties under direct supervision of the provider/ licensed nurse.
Supports and maintains University Health's policies, protocols, values and guest relations.
EDUCATION/EXPERIENCE High school diploma or GED is required.
Medical Assistant diploma from an accredited school or certification from an approved credentialing body for medical assistants is required.
National certification as a registered Medical Assistant is preferred.
Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
One-year experience in a clinic, doctor's office or ambulatory setting is desirable, but not required.
POSITION SUMMARY/RESPONSIBILITIES Provides indirect and direct patient care activities and performs clerical duties under direct supervision of the provider/ licensed nurse.
Supports and maintains University Health's policies, protocols, values and guest relations.
EDUCATION/EXPERIENCE High school diploma or GED is required.
Medical Assistant diploma from an accredited school or certification from an approved credentialing body for medical assistants is required.
National certification as a registered Medical Assistant is preferred.
Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
One-year experience in a clinic, doctor's office or ambulatory setting is desirable, but not required.
University Health in San Antonio is seeking board-certified Advanced Practice Providers (Acute Care Nurse Practitioners and Physician Assistants) to join a high-acuity, multidisciplinary critical care team at University Hospital. This role supports a 24/7, high-intensity ICU model serving complex patient populations including solid organ transplantation, cardiothoracic surgery, cardiac care, and ECMO therapy. Our collaborative model integrates Surgical Critical Care and Anesthesia Critical Care services to deliver comprehensive, patient-centered care across all ICU service lines.
About the Program The critical care team is structured to provide:
- 24/7 on-site coverage by Faculty Intensivists and Advanced Practice Providers (APPs)
- Support from multidisciplinary Residents and Critical Care Fellows
- Clearly defined structures and processes to ensure quality and consistency of care
- Real-time collaboration across service lines to develop and implement conjoint care plans
Qualifications
- Board-certified Acute Care Nurse Practitioner (ACNP) or Physician Assistant
- Active or eligible for Texas licensure
- ICU experience strongly preferred
- Demonstrated ability to thrive in a high-acuity, team-based environment
- Strong clinical judgment, communication, and collaboration skills
Why Join University Health? University Health is proud to offer a supportive and rewarding work environment, including:
- Competitive total compensation package
- Affordable medical insurance and comprehensive benefits
- Loan repayment program up to $50,000 over 5 years
- Annual professional business expense allowance plus CME days
- Annual tuition reimbursement and certification support
- Deferred compensation retirement plan with employer match
- Generous paid time off
- Opportunity to work alongside highly skilled and respected physicians
- Strong culture of teamwork and peer camaraderie
About University Health University Health is a nationally recognized academic health system committed to delivering high-quality care, advancing medical education, and improving community health across South Texas.
Why San Antonio?
San Antonio offers an exceptional quality of life with a low cost of living, rich cultural heritage, a vibrant culinary and arts scene, and easy access to the Texas Hill Country. The city combines major metropolitan amenities with a welcoming, family-friendly atmosphere and year-round outdoor activities.
University Health in San Antonio is seeking board-certified Advanced Practice Providers (Acute Care Nurse Practitioners and Physician Assistants) to join a high-acuity, multidisciplinary critical care team at University Hospital. This role supports a 24/7, high-intensity ICU model serving complex patient populations including solid organ transplantation, cardiothoracic surgery, cardiac care, and ECMO therapy. Our collaborative model integrates Surgical Critical Care and Anesthesia Critical Care services to deliver comprehensive, patient-centered care across all ICU service lines.
About the Program The critical care team is structured to provide:
- 24/7 on-site coverage by Faculty Intensivists and Advanced Practice Providers (APPs)
- Support from multidisciplinary Residents and Critical Care Fellows
- Clearly defined structures and processes to ensure quality and consistency of care
- Real-time collaboration across service lines to develop and implement conjoint care plans
Qualifications
- Board-certified Acute Care Nurse Practitioner (ACNP) or Physician Assistant
- Active or eligible for Texas licensure
- ICU experience strongly preferred
- Demonstrated ability to thrive in a high-acuity, team-based environment
- Strong clinical judgment, communication, and collaboration skills
Why Join University Health? University Health is proud to offer a supportive and rewarding work environment, including:
- Competitive total compensation package
- Affordable medical insurance and comprehensive benefits
- Loan repayment program up to $50,000 over 5 years
- Annual professional business expense allowance plus CME days
- Annual tuition reimbursement and certification support
- Deferred compensation retirement plan with employer match
- Generous paid time off
- Opportunity to work alongside highly skilled and respected physicians
- Strong culture of teamwork and peer camaraderie
About University Health University Health is a nationally recognized academic health system committed to delivering high-quality care, advancing medical education, and improving community health across South Texas.
Why San Antonio?
San Antonio offers an exceptional quality of life with a low cost of living, rich cultural heritage, a vibrant culinary and arts scene, and easy access to the Texas Hill Country. The city combines major metropolitan amenities with a welcoming, family-friendly atmosphere and year-round outdoor activities.
POSITION SUMMARY/RESPONSIBILITIES Implements the nursing process and delegates patient care activities to ancillary staff as appropriate.
Accepts mentoring from experienced nursing staff.
EDUCATION/EXPERIENCE Verification of course completion in accordance with all American Heart Association Basic Cardiac Life Support and Health Care Provider guidelines is required.
BSN highly preferred.
LICENSURE/CERTIFICATION Two years or more nursing experience required.
Must maintain career ladder Staff Nurse II criteria for worked area.
Current license from the Board of Nurse Examiners of the State of Texas to practice as a registered nurse is required.
Must have a current AHA BLS Healthcare Provider or AHA BLS Instructor Provider card.
University Health in San Antonio is seeking board-certified Advanced Practice Providers (Acute Care Nurse Practitioners and Physician Assistants) to join a high-acuity, multidisciplinary critical care team at University Hospital. This role supports a 24/7, high-intensity ICU model serving complex patient populations including solid organ transplantation, cardiothoracic surgery, cardiac care, and ECMO therapy. Our collaborative model integrates Surgical Critical Care and Anesthesia Critical Care services to deliver comprehensive, patient-centered care across all ICU service lines.
About the Program The critical care team is structured to provide:
- 24/7 on-site coverage by Faculty Intensivists and Advanced Practice Providers (APPs)
- Support from multidisciplinary Residents and Critical Care Fellows
- Clearly defined structures and processes to ensure quality and consistency of care
- Real-time collaboration across service lines to develop and implement conjoint care plans
Qualifications
- Board-certified Acute Care Nurse Practitioner (ACNP) or Physician Assistant
- Active or eligible for Texas licensure
- ICU experience strongly preferred
- Demonstrated ability to thrive in a high-acuity, team-based environment
- Strong clinical judgment, communication, and collaboration skills
Why Join University Health? University Health is proud to offer a supportive and rewarding work environment, including:
- Competitive total compensation package
- Affordable medical insurance and comprehensive benefits
- Loan repayment program up to $50,000 over 5 years
- Annual professional business expense allowance plus CME days
- Annual tuition reimbursement and certification support
- Deferred compensation retirement plan with employer match
- Generous paid time off
- Opportunity to work alongside highly skilled and respected physicians
- Strong culture of teamwork and peer camaraderie
About University Health University Health is a nationally recognized academic health system committed to delivering high-quality care, advancing medical education, and improving community health across South Texas.
Why San Antonio?
San Antonio offers an exceptional quality of life with a low cost of living, rich cultural heritage, a vibrant culinary and arts scene, and easy access to the Texas Hill Country. The city combines major metropolitan amenities with a welcoming, family-friendly atmosphere and year-round outdoor activities.
University Health in San Antonio is seeking board-certified Advanced Practice Providers (Acute Care Nurse Practitioners and Physician Assistants) to join a high-acuity, multidisciplinary critical care team at University Hospital. This role supports a 24/7, high-intensity ICU model serving complex patient populations including solid organ transplantation, cardiothoracic surgery, cardiac care, and ECMO therapy. Our collaborative model integrates Surgical Critical Care and Anesthesia Critical Care services to deliver comprehensive, patient-centered care across all ICU service lines.
About the Program The critical care team is structured to provide:
- 24/7 on-site coverage by Faculty Intensivists and Advanced Practice Providers (APPs)
- Support from multidisciplinary Residents and Critical Care Fellows
- Clearly defined structures and processes to ensure quality and consistency of care
- Real-time collaboration across service lines to develop and implement conjoint care plans
Qualifications
- Board-certified Acute Care Nurse Practitioner (ACNP) or Physician Assistant
- Active or eligible for Texas licensure
- ICU experience strongly preferred
- Demonstrated ability to thrive in a high-acuity, team-based environment
- Strong clinical judgment, communication, and collaboration skills
Why Join University Health? University Health is proud to offer a supportive and rewarding work environment, including:
- Competitive total compensation package
- Affordable medical insurance and comprehensive benefits
- Loan repayment program up to $50,000 over 5 years
- Annual professional business expense allowance plus CME days
- Annual tuition reimbursement and certification support
- Deferred compensation retirement plan with employer match
- Generous paid time off
- Opportunity to work alongside highly skilled and respected physicians
- Strong culture of teamwork and peer camaraderie
About University Health University Health is a nationally recognized academic health system committed to delivering high-quality care, advancing medical education, and improving community health across South Texas.
Why San Antonio?
San Antonio offers an exceptional quality of life with a low cost of living, rich cultural heritage, a vibrant culinary and arts scene, and easy access to the Texas Hill Country. The city combines major metropolitan amenities with a welcoming, family-friendly atmosphere and year-round outdoor activities.
