Memorial Hermann Health System · 1 week ago
Clinical Document Improvement Auditor Educator
Houston, TX
Full-time
Onsite
Mid, Senior Level
3+ years expMemorial Hermann Health System is committed to delivering high quality, efficient care while creating exceptional experiences for the community. The Clinical Documentation Improvement Auditor Educator will facilitate improvement in the quality, completeness, and accuracy of medical record documentation through audits, education, and data analysis across all acute care facilities.
Health CareNon Profit
Responsibilities
Audits case reviews and queries of Clinical Documentation Specialists (CDIS) to ensure quality and compliance, using audit tools developed
Tracks, trends, and reports audit findings for each Clinical Documentation Specialist (CDIS), Hospital Region, and System-wide to Director/management team
Identifies knowledge gaps and provides clear explanations and interpretations on missing, unclear, conflicting, or non-compliant information captured by the CDIS
Researches, investigates and remains up to date on both clinical and coding guidelines in quarterly Coding Clinics as they relate to physician documentation improvement needed, in an ICD-10 coding environment
Assists in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication, and quality outcomes. Serves as a resource for appropriate clinical documentation
Develops presentation material and provides training and education to physicians and CDIS staff as needed in an effort to strengthen documentation practices and ensure accurate coding that reflects the severity of illness (SOI) and risk of mortality (ROM) of patients they serve
Responsible for using audit tools to conduct clinical quality audits
Develops and updates policies and procedures around the CDIS audit function; and refines audit tools as needed in collaboration with Director/management team
Collaborates with leadership to conduct focused post-discharge documentation and coding audits as requested by hospital clients system-wide
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues
Other duties as assigned
Qualification
Required
Bachelor's of Nursing
Current State of Texas license or temporary/compact license to practice professional nursing
Certified Clinical Documentation Specialist (CCDS) from the Association of Clinical Documentation Improvement Specialists
Certified Clinical Documentation Integrity Professional (CDIP) from the American Health Information Management Association (AHIMA)
Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA)
Three (3) years of Clinical Documentation Integrity (CDI) experience
Strong computer proficiency including working knowledge of MS Office- Word, Excel and Outlook and 3M Coding and Reimbursement software
Excellent communication, analytical and problem solving skills
Strong organizational skills and must be detail oriented
Highly analytical with strong risk assessment, impact analysis and problem solving skills
Highly self-motivated, yet demonstrate ability to be a team player and take direction
Flexible and able to multi-task and prioritize work load on a daily basis, performing concurrent chart reviews as needed
Preferred
Master's Degree in Nursing or Management
Approved AHIMA ICD-10-CM/PCS Trainer
Previous CDIS auditing and education experience and/or CDIS supervisory/management background
Experience with Epic EMR
Company
Memorial Hermann Health System
Advancing Health. Personalizing Care.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$5MKey Investors
The John M. O'Quinn FoundationBlue Cross and Blue Shield of Texas
2022-08-02Grant· $5M
2022-07-07Grant
Leadership Team
Michael Roussos
SVP, President of Academic Hospitals and CEO, Memorial Hermann-Texas Medical Center Campus
David Wong, MD
Director, Virtual Health Product Management
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