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Clinical Documentation Integrity Specialist and Educator
4 weeks ago
Job Summary:
The Clinical Documentation Integrity Implementation Specialist and Educator will design, plan, and execute initiatives and processes for Clinical Documentation Integrity under the direction of the corporate Director of Clinical Documentation Integrity and the corporate Operations Manager of Clinical Documentation Integrity for AdventHealth. This role will educate, guide, and direct Clinical Documentation Integrity Specialists (CDIS) on key responsibilities, including corporate compliance, quality outcome measures, and documentation integrity management. The Implementation Specialist and Educator will participate in auditing newly implemented workflows to monitor compliance and provide process improvement recommendations.
Key Responsibilities:
- Develops, produces, and delivers training for CDI on an ongoing basis related to CDI processes, standard workflow, software enhancements, and other CDI initiatives.
- Audits CDS concurrent and retrospective cases to assist with missed documentation opportunities as needed.
- Maintains CDI website by reviewing and updating content on a regular basis, including CDI regulatory information and educational resources.
- Monitors communication of CDSs on Microsoft teams to assure corporate compliance.
- Identifies resources in the community and coordinates education opportunities for CDI staff, including webinars and continuing education.
- Acts as a liaison between CDI leadership and other interdisciplinary teams at all applicable levels of leadership and external partners.
- Participates in educational strategies and development of training materials for software conversions.
- Develops and presents educational material to target groups and conducts education in necessary forums, including video conferences, webinars, printed materials, and on-site training.
- Provides train-the-trainer, super-user, and end-user training on all CDI software platforms, providing follow-up on-site and remote support for all participating facilities.
- Assists in auditing, tracking, and reporting of metrics that measure Clinical Documentation Integrity compliance activities and provides process improvement recommendations.
- Actively participates in system updates and testing for all CDI software prior to and during system software conversion.
- Participates in internal and external meetings to coordinate training and implementation of CDI software.
- Serves as a resource for designated facilities when problems are reported from the facilities and provides guidance on solutions to the Clinical Documentation Integrity teams and corporate team members.
Requirements:
- Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience.
- Three years of Clinical Documentation Integrity Specialist experience.
- Experience as an educator, two years.
- Current active State license as a Registered Nurse, Nurse Practitioner, Physicians Assistant, Medical Doctor, Doctor of Osteopath, or an unlicensed physician who has graduated from a medical school that is listed in the World Directory of Medical Schools (World Directory) as meeting eligibility requirements for its graduates to apply to the Educational Commission for Foreign Medical Graduates (ECFMG) for ECFMG Certification and examination at the time of graduation.
- Certified Clinical Documentation Specialist, CCDS, and/or Certified Documentation Improvement Practitioner, CDIP, or willing to obtain as soon as qualification met on the job.
Preferred Qualifications:
- Masters or higher degree in Nursing or healthcare-related field.
- Experience utilizing spreadsheets to gather, analyze, and report data.
- Knowledge of medical record investigative review.
- Knowledge of hospital reimbursement models, trends, and their impact.
- Knowledge of ICD-10 coding compliance and regulations.
- Prosci Certified Change Practitioner.
- Certified Coding Specialist (CCS).
Equal Employment Opportunity:
AdventHealth is an equal opportunity employer and complies with federal, state, and local anti-discrimination laws, regulations, and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience, and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical location.
