Sr Specialist Clinical Documentation Integrity

Envision Healthcare • Nashville, TN

1d

About The Position

The Senior Clinical Documentation Integrity Specialist (CDI) is responsible for reviewing documentation, providing education to and for our clinicians and other stakeholders, and developing processes in support of ongoing documentation improvement and enhancements. Envision Healthcare is a leading national medical group focused on delivering high-quality care to patients when and where they need it most. You’ll find clinicians and clinical support professionals across the nation who are proud to call Envision home. We welcome teammates of every background and work in communities that reflect the racial, ethnic, gender, sexual orientation, and economic diversity of our country.

Requirements

• Willingness to travel up to < 25% of time.
• Strong analytic skills (clinical, operational, process, systems)
• Excellent interpersonal skills, both telephonic and in person
• Experience in clinician coding and reviewing documentation guidelines.
• Demonstrated ability to work independently
• Flexibility to change with rapidly evolving health care system
• Familiarity with various electronic health record (EHR) systems.
• Demonstrated ability to communicate effectively with clinicians, nursing staff, and hospital administration
• Bachelor’s degree or combination of education and/or equivalent work-related experience required
• Minimum of 6 years’ experience in clinical documentation management or coding
• Proven track record of engaging clinicians in documentation improvement

Nice To Haves

• CPC or equivalent specialty certification / eligibility preferred
• Clinical experience preferred (RN, LPN, PA, NPP)

Responsibilities

• Analyzes key performance indicators
• Reviews medical records for development and potential delivery of customized clinician training initiatives based upon evaluation of performance indicators
• Collaborates with multiple stakeholders (clinical leadership, revenue cycle, quality team) to create a unified approach for documentation improvement
• Conducts documentation reviews for sites with documentation opportunities and/or new locations until coding and documentation are stabilized
• Develops tailored, site-specific provider training as needed dictated by chart review findings
• Routinely engages with clinicians and other stakeholders on accurate documentation practices for concurrent and continuous documentation improvement.
• Performs ongoing outreach education for clinicians on coding and documentation requirements using a variety of formats, including onsite, classroom, telephonic, electronic, and web-based applications.
• Participates in monthly clinician group sessions at local or regional level
• Presents performance status during Practice Operational Review (POR) meetings
• Coordinates and schedules conference calls and site reviews / preparation of materials for meetings
• Supports ad-hoc request for site documentation training
• Documents, monitors, and tracks all clinician outreach and training activities
• Disseminates information regarding changes or updates in coding and documentation policies and payor rule changes to clinicians and other stakeholders
• Communicates coding-related findings weekly via a SharePoint file to coding partners
• Leads bi-weekly calls with coding to review second-level review disagreements
• Tracks and monitors coding and CDI education opportunities and develops tools to improve accuracy
• Trains new CDI Specialists on internal processes
• Maintains coding-driven statistics to share with the Revenue Cycle leaders

Benefits

• Medical
• Dental
• Vision
• Life
• Disability
• Healthcare FSA
• Dependent Care FSA
• Limited Healthcare FSA
• FSAs for Transportation and Parking & HSAs
• Paid Time Off
• 9 observed holidays
• paid family leave

What This Job Offers

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