Clinical Documentation Auditor and Educator
About The Position
Develop, implement, and oversee the Clinical Documentation Integrity (CDI) audit plan. Utilize audit findings to develop, implement, and maintain training to providers and staff. Perform concurrent and retrospective reviews of medical records utilizing evidence-based knowledge, protocols, and documentation criteria. Develop training and education material. Implement and facilitate training with providers and staff to improve the overall quality and completeness of clinical documentation. Assist Health Information Management leadership in developing goals, metrics and targets representing CDI's work performance and provider documentation performance. Assist leadership in the development of the CDI plan as it relates to quality metrics and provider education. Responsible for education and mentoring of CDI staff and report on progress. Establish relationships with providers and team members in order to communicate the benefits of complete and accurate documentation.
Requirements
- Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
- High School diploma equivalency with 2 years of cumulative experience OR Associate'sdegree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
Responsibilities
- Develop, implement, and oversee the Clinical Documentation Integrity (CDI) audit plan.
- Utilize audit findings to develop, implement, and maintain training to providers and staff.
- Perform concurrent and retrospective reviews of medical records utilizing evidence-based knowledge, protocols, and documentation criteria.
- Develop training and education material.
- Implement and facilitate training with providers and staff to improve the overall quality and completeness of clinical documentation.
- Assist Health Information Management leadership in developing goals, metrics and targets representing CDI's work performance and provider documentation performance.
- Assist leadership in the development of the CDI plan as it relates to quality metrics and provider education.
- Responsible for education and mentoring of CDI staff and report on progress.
- Establish relationships with providers and team members in order to communicate the benefits of complete and accurate documentation.
Benefits
- Paid time off (PTO)
- Various health insurance options & wellness plans
- Retirement benefits including employer match plans
- Long-term & short-term disability
- Employee assistance programs (EAP)
- Parental leave & adoption assistance
- Tuition reimbursement
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
