CLIN DOC INTGY COORDINATOR

UT Southwestern Medical Center•Dallas, TX

About The Position

Works under the general supervision of the CDI Manager as a clinical subject matter expert, mentor, and liaison for the CDI, Coding, and Quality teams. The coordinator performs second-level reviews of inpatient UTSW hospital medical records to assess clinical documentation accuracy and identify opportunities to improve medical record integrity. The role manages post-discharge, pre-bill work queues, evaluates potential Patient Safety Indicators (PSIs), and responds to CDI team questions about concurrent patients. This position also supports education and training, reviews targeted cases and metrics, and collaborates with departments, leadership, physician champions, physician advisors, and other healthcare team members. It is security-sensitive and subject to criminal history record information checks under Texas Education Code 51.215.

Requirements

  • Three years of acute-care, hospital-based nursing experience; critical care experience is preferred.
  • Three years of experience working in a Clinical Documentation Integrity program.
  • Comprehensive knowledge of ICD-10-CM/PCS and ability to identify gaps between clinical documentation and coding.
  • Experience developing and delivering education on clinical documentation and coding guidelines to CDI and Coding Teams.
  • Registered Nurse (RN) license upon hire.
  • Clinical Documentation Specialist (CCDS) certification within 180 days, or Clinical Documentation Improvement Practitioner (CDIP) certification within 180 days.
  • Excellent written and verbal communication, critical thinking, decision-making, and interpersonal skills.
  • Ability to prioritize varied duties as assignments, priorities, and deadlines change frequently.

Nice To Haves

  • Bachelor’s degree in Nursing.
  • Experience in an academic environment.
  • AHIMA Certified Coding Specialist (CCS) credential upon hire.
  • Acute-care nursing experience in critical care.

Responsibilities

  • Acts as a clinical subject matter expert, mentor, and liaison for the CDI Team and assists with staff education and training.
  • Identifies educational opportunities during medical record reviews and provides feedback to individuals and, where relevant, to educators for broader CDI or Coding Team education.
  • Performs second-level clinical reviews for targeted high-impact metrics, including targeted DRGs, DRG mismatch, compliance, and CDI quality.
  • Reviews potential PSIs for exclusions and escalates cases to the Physician Advisor when unable to exclude a PSI.
  • Collaborates with and serves as a liaison to other departments, leadership, service-line physician champions, physician advisors, and other healthcare team members.
  • Manages the concurrent physician query escalation process to support completion of queries before discharge.
  • Prioritizes and completes varied duties in an environment where assignments, priorities, and deadlines change frequently.
  • Uses written and verbal communication, critical thinking, decision-making, and interpersonal skills; proactively escalates risks and issues to CDI Leadership for timely resolution.
  • Performs other duties as assigned.

Benefits

  • PPO medical plan, available day one at no cost for full-time employee-only coverage.
  • 100% coverage for preventive healthcare with 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.
  • Healthcare coverage, paid holidays, on-site childcare, and merit increases are mentioned as part of the employee benefits offering.
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