Clinical Doc Improve Auditor-Trainer

1 month ago

Fresno, United States Community Medical Centers Full time
Overview:

We got our start 125 years ago as a boarding house and medical facility for people traveling in Central California. If people then could see us now... Today, Community Health System is the region’s largest healthcare provider and includes three divisions: Community Medical Centers hospitals, Community Care Health and Community Provider Network. These three pillars of healthcare – hospitals, health insurance and physicians – work best when they work together.

 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care begins with taking care of our incredible teams. Want to learn more? Click here. 

Responsibilities:The Clinical Documentation Improvement (CDI) Auditor and Trainer oversees and performs quality audits designed to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Educates members of the patient care team regarding documentation guidelines and other special projects designed to add value and reduce risk to the strategies and objectives of the CDI department and Community Health System (CHS). Designs and prepares audit programs, conducts fieldwork, prepares work papers, drafts reports, and follows up on management corrective actions and denials in accordance with professional audit standards. Responsible for on-boarding of new CDIS.  Qualifications:
  • One of the following is required:
    • Associate's Degree or higher in Nursing
    • Doctor of Medicine (MD) from an accredited medical school
    • Doctor of Osteopathic Medicine (DO) from an accredited medical school
    • Medical Degree from a foreign medical school with successful completion of the USMLE Step 1 and Step 2 Exams
    • Master's Degree in Nursing preferred

 

  • Experience:
    • 5 years of clinical experience in an acute hospital setting with demonstrated expertise in Med/Surg, OB. Trauma, ICU, and/or CCU required
    • 3 years of Clinical Documentation Improvement experience required
    • 1 year of auditing and training experience preferred

 

  • Licenses and Certifications:
    • RN - Current and valid Registered Nurse license to work within the state of California (if education is in Nursing) required
    • ECFMG - Educational Commission for Foreign Medical Graduates (if education is from a foreign medical school) required
  • One of the following is required:
    • CCDS - Certified Clinical Documentation Specialist
    • CDIP - Certified Documentation Improvement Practitioner
    • CCS - Certified Coding Specialist preferred
Disclaimer:

• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.

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