RN-Clin Documentation Auditor

4 weeks ago

Austin, United States Ascension Seton Northwest Full time
RN-Clin Documentation Auditor

Details * Department: Coding Documentation * Schedule: M-F /8am-4:30pm * Hospital: Seton Admin Offices * Location: Austin, TX (may be remote, but must be able to travel to the area as needed) Benefits Paid time off (PTO) Various health insurance options & wellness plans Retirement benefits including employer match plans Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community * Please note, benefits and benefits eligibility can vary by position, exclusions may apply for some roles (for example: Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your Talent Advisor for additional specifics. Responsibilities Develop, implement, and have oversight over the Clinical Documentation Integrity (CDI) audit plan, utilize audit findings to develop, implement, and maintain formal and informal training to physicians, mid-level providers and ancillary staff. Responsibilities: * Oversee and develop the audit plan and schedule for CDI department, including performing concurrent and retrospective reviews of the medical records, utilizing evidence-based knowledge, protocols, and documentation criteria. * Develop formal and informal training and education material related to findings from audits and staff feedback; implement and facilitate this training with CDI staff, physicians, clinical and ancillary staff to improve the overall quality and completeness of clinical documentation. * Assist Health Information Management leadership in developing meaningful goals, metrics and targets representing CDI's work performance and provider documentation performance. Assist leadership in the development of the CDI plan as it relates to quality metrics and provider education. * Responsible for education of newly hired CDI staff, setting up orientation process, monitoring of orientee throughout orientation and reporting to leadership meeting of milestones and successes. * Establish relationships with physicians, other health team members and the coding team in order to communicate the benefits of complete and accurate documentation. Requirements Licensure / Certification / Registration: * Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date required. * Registered Nurse credentialed from the Texas Board of Nursing obtained prior to hire date or job transfer date required. Education: * Diploma from an accredited school/college of nursing OR Required professional licensure at time of hire. Additional Preferences * Prior clinical documentation program experience * 5 years RN or 3-5 coding quality audit experience strongly preferred * ICU and/or ED nursing experience preferred * CDI experience preferred Why Join Our Team Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including Dell Seton Medical Center at The University of Texas and Dell Children's Medical Center. Join us and create a career path you will love. Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you. Equal Employment Opportunity Employer Ascension will provide equal employment opportunities (EEO) to all associates and applicants for employment regardless of race, color, religion, national origin, citizenship, gender, sexual orientation, gender identification or expression, age, disability, marital status, amnesty, genetic information, carrier status or any other legally protected status or status as a covered veteran in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster. As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension. Pay Non-Discrimination Notice Please note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants. This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

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