Clinical Documentation Quality Coordinator
BJC HealthCare • St. Louis, MO3d • Remote
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Clinical Documentation Quality Coordinator
BJC HealthCare•St. Louis, MO
•Remote
About The Position
The Documentation Quality Coordinator works at the enterprise level, applying extensive clinical documentation improvement (CDI) experience to review complex clinical cases and targeted case populations before final coding and billing across BJC. The coordinator responds to review requests from across the system and escalates unanswered queries to Physician Champions. The role also analyzes data and reports and educates facility-based CDI staff and medical providers about enterprise trends and improvement opportunities. The position performs second-level and retrospective reviews, including DRG verification reviews aligned with the Office of Inspector General workplan and Centers for Medicare and Medicaid Services requirements. It supports accurate documentation of severity of illness, expected risk of mortality, and complexity of care, and helps ensure appropriate representation of clinical documentation in coding and billing. The coordinator serves as a CDI resource and leads enterprise documentation improvement, provider engagement, data analysis, education, and related initiatives across hospitals and service lines. This is a remote position. BJC HealthCare is a nonprofit health care organization serving communities in the greater St. Louis, southern Illinois, and southeast Missouri regions through hospitals and other health services.
Requirements
- Bachelor's degree in Nursing.
- Five to ten years of experience.
- Registered Nurse (RN) license or certification.
- Clinical Documentation certification.
- The additional role information states that two years of CDI experience is needed and that RN and CCDS certification are required.
Nice To Haves
- Master's degree in Nursing.
- Emergency room or ICU nursing experience is highly preferred; medical-surgical experience is also preferred.
- Certified Coding Specialist certification.
- Certified Documentation Improvement Practitioner certification.
- Certified Revenue Cycle Representative certification.
Responsibilities
- Review clinical documentation to support accurate representation of severity of illness, expected risk of mortality, and complexity of care.
- Perform retrospective reviews for DRG verification according to the OIG workplan and CMS requirements, identifying organizational trends or patterns.
- Serve as a resource for the clinical documentation improvement specialist team and apply knowledge of MS-DRGs, CCs/MCCs, quality impact, CMI, ICD-10 coding, and CDI guidelines.
- Lead provider engagement and establish standards, relationships, and shared accountability for enterprise CDI and documentation improvement efforts.
- Identify enterprise trends, variances, deficiencies, and problems using aggregated data and information.
- Perform provider- and group-level CDI data trend analysis, identify issues, and propose solutions to leadership.
- Lead and manage documentation improvement initiatives across service lines and hospitals, including formal and informal education plans.
- Lead enterprise functional teams for education, standard queries, standard processes and technology, analytics, and related areas.
- Consult with quality managers, management, medical staff, and health care staff on core measure performance and documentation opportunities.
- Lead or participate in hospital and organizational documentation improvement projects.
- Coordinate and collaborate with enterprise CDI teams to establish standards for content, process, and technologies.
- Respond to system-wide review requests and escalate unanswered queries to Physician Champions.
- Educate facility-based CDI staff and medical providers on hospital- and enterprise-level trends and improvement opportunities.
Benefits
- Comprehensive medical, dental, vision, life insurance, and legal services available the first day of the month after hire.
- Disability insurance paid for by BJC.
- Annual 4% BJC automatic retirement contribution.
- 401(k) plan with BJC match.
- Tuition assistance available on the first day.
- BJC Institute for Learning and Development.
- Health Care and Dependent Care Flexible Spending Accounts.
- Paid Time Off combining vacation, sick days, holidays, and personal time.
- Adoption assistance.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
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