Clinical Documentation Integrity Coordinator (RN)

UT Southwestern Medical Center • Dallas, TX

1d • Onsite

About The Position

Works under general supervision of the CDI Manager to act as a clinical subject matter expert, mentor, and liaison for the CDI, Coding, and Quality teams by performing second-level reviews on inpatient University of Texas Southwestern Medical Center (UTSW) hospital medical records for clinical documentation accuracy. Conducts second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The CDI Coordinator manages various post-discharge, pre-bill work queues, evaluates potential Patient Safety Indicators (PSI), and responds to questions from the CDI team on concurrent patients.

Requirements

• 3 years acute care Hospital-based nursing experience, preferred in critical care
• 3 years of experience working in a Clinical Documentation Integrity program
• Comprehensive knowledge of ICD10 CM/PCS, ability to identify the gaps between clinical documentation and coding
• Experience developing and delivering education on clinical documentation and coding guidelines to CDI and Coding Teams.
• (RN) REGISTERED NURSE Upon Hire
• (CCDS) Cert Clinical Documentation within 180 Days or (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC within 180 Days

Nice To Haves

• Bachelor's Degree in Nursing
• Experience in academic environment
• (CCS) CERT CODING SPECIALIST AHIMA Certified Coding Specialist (CCS) credential Upon Hire

Responsibilities

• Acts as a clinical subject matter expert, mentor, and liaison for the CDI Team.
• Assists with on-going education and training of staff.
• Identifies educational opportunities in reviewing medical records and provides education feedback to individuals and if relevant, to the Trainer/Educator and/or Audit/Educator for broader education to the CDI and/or Coding Teams.
• Performs second-level clinical reviews for high impact targeted metrics including, but not limited to targeted DRGs, DRG Mismatch, Compliance, and CDI quality.
• Performs clinical reviews of any potential PSIs for exclusions and escalates cases to the Physician Advisor when unable to exclude a PSI.
• Works collaboratively with, and is a liaison to other Departments, Leadership, Service Line Physician Champions, Physician Advisors, and other members of the Healthcare Team.
• Responsible for the concurrent physician query escalation process to support query completion prior to discharge.
• Demonstrates skill in prioritizing and performing a variety of duties within an environment where assignments, priorities, and deadlines change frequently.
• Demonstrates excellent written and verbal communication skills, critical thinking, decision making, and interpersonal skills.
• Proactively escalates risks and issues to CDI Leadership to ensure timely and effective resolution.
• Performs other duties as assigned.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100%25 coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level