CDI Quality Coordinator

Hennepin Healthcare•Minneapolis, MN

1d•Remote

About The Position

The CDI Quality Coordinator is chiefly responsible for reviewing PSI/HAC accounts, reviewing encounters, identifying documentation issues and concerns, reporting PSI/HAC information at meetings, and following up on and reporting outcomes. The role supports the daily workload of clinical documentation specialists and contributes to continuing education for CDI staff and providers, including attending providers, PAs, and APPs. The coordinator communicates with Physician Liaisons, Quality, and other departments as needed. The position requires considerable knowledge, experience, judgment, and problem-solving ability, along with working knowledge of ICD-10-CM and PCS documentation requirements and Hennepin Healthcare documentation requirements. The position is remote, scheduled Monday through Friday on day shifts, with eight-hour shifts and 1.00 FTE (80 hours per pay period).

Requirements

Associate degree in Nursing, Health Information Management, or another healthcare-related field.
Three to five years of experience working in CDI and/or inpatient coding.
Certified Clinical Documentation Specialist (CCDS).
One of the following credentials: Registered Nurse, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Coding Specialist-Physician (CCS-P).
Proficiency with computer hardware and software, including Microsoft Office, Epic Electronic Medical Record, 3M Encoder, and other coding, EMR, and CDI systems, with the ability to learn and use programs on an ongoing basis.
Ability to work independently and in a team environment; self-directed and self-motivated.
Ability to contribute to process improvement and adapt workflows to meet customer and program needs.
Ability and desire to develop positive working relationships with physicians and other professional healthcare staff.
Strong collaboration, interpersonal, and negotiation skills, including the ability to build trusting working relationships and gain support.
Ability to offer innovative and thoughtful process-improvement ideas.
Knowledge of care-delivery documentation systems and related medical-record documentation.
Knowledge of age-specific needs, disease processes, and related procedures.
Broad-based clinical knowledge and understanding of anatomy and pathophysiology.
Excellent written and verbal communication and critical-thinking skills.
Working knowledge of inpatient admission criteria.
Working knowledge of overall inpatient documentation requirements.
Working knowledge of the Medicare reimbursement system and coding structures.

Nice To Haves

Bachelor’s degree in Nursing, Health Information Management, or another healthcare field.

Responsibilities

Conduct coding consults and PSI/HAC reviews daily.
Validate reported PSI codes against AHRQ technical specifications and CMS-reported HACs, with assistance from the Medical Director of Clinical Documentation Improvement and Physician Liaisons.
Maintain updated AHRQ PSI technical specifications and updates to reportable HACs from CMS.
Review and compare quarterly or monthly PSI/HAC cases reported by the Quality Department and SAS reports for accuracy.
Enter data for PSI/HAC spreadsheets and Epic as directed, and enter events into MCCM and the event system as needed for reporting.
Report monthly PSI/HAC data to CDI and Inpatient Coding Manager, CDI Supervisor, Medical Director of Clinical Documentation Improvement, and other departments and leaders as needed.
Participate in and represent Clinical Documentation at meetings.
Identify documentation trends involving PSI/HACs and help create education for coding and clinical documentation staff.
Assist Physician Liaisons with provider education for attending physicians, PAs, and APPs.
Participate in final decisions and recommendations regarding PSI and HAC issues with the Medical Director of Clinical Documentation Improvement and CDI and Inpatient Coding Supervisors.
Run reports as requested after appropriate training.
Assist the CDI Supervisor with daily communication and workload for clinical documentation specialists.
Assist clinical documentation specialists with follow-up on query responses.
Assist with training and education for new clinical documentation specialists.
Serve as a resource for clinical documentation specialists on documentation and coding issues.
Conduct initial and continued stay reviews as directed by the supervisor and/or department manager.
Collaborate with the HB Outpatient and Inpatient Educator on education materials for monthly roundtable meetings.
Assist Physician Liaisons with questions about documentation and coding requirements.
Perform additional duties as assigned.