Southwest Healthcare · 13 hours ago
CDI Auditor/Educator
Temecula, CA
Full-time
Hybrid
Senior Level, Lead/Staff
8+ years expSouthwest Healthcare is a comprehensive network of care serving the Southern California community. They are seeking a Full-Time RN Clinical Documentation Auditor/Educator to support staff development and ensure the quality of clinical documentation reviews.
Health CareHospitalMedical
Responsibilities
Providing audits for facilities based on data analytics, impact analysis, and provider performance to support educational direction for providers, leading to the most clinically accurate codeset to reflect patient’s stay while in the care of the facilities
Promote a partnership between CDI staff, Coding staff, Quality and Clinical Program staff, and providers
Provide education for accurate reimbursement with integrity, interacting with providers and staff to accurately represent Severity of Illness, Intensity of Service, Risk of mortality, Quality of Care, and Accurate Reporting for Clinical Programs
Utilize Official Coding Guidelines, AHA Coding Clinics, embedded CDI Software resources, and professional industry guidance to provide education as needed to CDI (Clinical Documentation Integrity) Team, Coders, and providers.Provide reviews of inpatient medical records for evaluation of utilization and documentation of acute care services to ensure appropriate provider documentation of diagnoses and care delivered
Provide cross-coverage in absence of CDI Staff, CDI Manager and/or RN CDI Lead
Position requires travel between sites throughout the Southern California region to support team collaboration, education, and training efforts
Qualification
Required
Associate's degree from an accredited College or University in the field of nursing required
Minimum of five (5) years clinical experience in acute care setting (Critical care, Medical/Surgical or Emergency Medicine) plus 3-5 years in inpatient acute care setting CDI experience required
Current license as a Registered Nurse in the State of California required
Current certification(s) for Certified Clinical Documentation Specialist (CCDS) or Certified Clinical Improvement Practitioner (CDIP) required
Demonstrates knowledge and ensures compliance with The Joint Commission and Title 22 standards and guidelines
Demonstrates compliance with Healthcare policies and procedures at all times
Ability to set priorities and appropriately organize workload and complete assignments in a timely manner
Familiarity with basic medical laws and ethics, i.e. consents, confidentiality
Knowledge of emergency procedures, medical terminology and medical abbreviations
Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public
Must have knowledge of PC and applications
Ability to work independently in a time oriented environment is essential
Working knowledge of current ICD-10-CM coding guidelines, with working knowledge of Medicare reimbursement system required
Working knowledge of inpatient admission criteria
Detailed oriented, ability to collect, trend and report data
Excellent organizational skills required
Preferred
Bachelor's degree from an accredited College or University in the field of nursing
Minimum of five (5) experience in CDI Leadership and/or CDI Education strongly preferred
Dual certification CCDS and CDIP strongly preferred
Dual certification with credentials of CCDS, CDIP, CCDS-O, CCS, RHIT preferred
Benefits
Challenging and rewarding work environment.
Competitive Compensation & Generous Paid Time Off.
Excellent Medical, Dental, Vision and Prescription Drug Plans.
401(K) with company match and discounted stock plan.
SoFi Student Loan Refinancing Program.
Tuition, CEU, Certification, Licenses Reimbursement program.
Career development opportunities within UHS and its 300+ Subsidiaries!
Company
Southwest Healthcare
Quality healthcare is all about teamwork, with providers working together to deliver high-quality services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Cheryl Armijo RN MSN
Interim Chief Nursing Officer
Karen Brandt-Mayo, MSN, FNP, RN
Chief Nursing Officer
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