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Providence Health & Services Clinical Documentation Integrity Educator in Burbank, California

Description:

Providence St. Joseph Health is calling a Clinical Documentation Integrity Educator (Full-Time, Days) to our location in Burbank, CA.

We are seeking a Clinical Documentation Integrity Educator who will assist the CDS team in meeting revenue, quality, and productivity goals and objectives by identifying opportunities for continuous quality improvement and knowledge advancement. Involved with testing and education on system upgrades and new system implementations. Conducts regular reviews to identify educational opportunities within the CDI team and providers to ensure consistency and compliance with state and national standards. The CDI Educator will deploy the education curriculum designed by the center of excellence.

The CDI Educator is involved in improving CDI core workflow standardization, performance, productivity, and innovations across the inpatient setting that support documentation across the continuum of care. The CDS is responsible for supporting and facilitating the overall quality improvement process of medical record documentation by educating CDI staff and physicians thru improved process and feedback to accurately reflect patient care in the medical record. This position has the ability to resolve high complexity issues, acts as a subject matter expert (SME) and demonstrates leadership through education, coaching and mentoring for CDI staff and physicians.

In this position you will have the following responsibilities:

  • Responsible for delivery of the clinical documentation education program for providers and clinical staff.

  • Assists individual and group education sessions on documentation improvement initiatives to department chairs, providers, and other clinical staff. Assists with new provider onboarding sessions to provide education and training resources related to Inpatient CDI as needed.

  • Acts in the capacity of a clinical documentation specialist as business needs dictate.

  • Acts as a SME for clinical documentation content and guidelines.

  • Provides process development or leads implementation of multiple cross-functional improvement efforts.

  • Demonstrates leadership through education, coaching and mentoring for CDI staff and physicians.

  • Orients and trains new hire CDS and/or Physicians, creates educational materials, and identify learning needs for multidisciplinary staff.

  • Ensures that staff are in compliance with enterprise standards and adhering to policy; Regularly communicates education program’s performance, gaps, opportunities, and progress.

  • Educates CDS and Providers on identified knowledge gaps, at‐risk DRGs, etc.; Delivers targeted education material and provides on‐site or remote education as appropriate.

  • Performs internal audits to ascertain where stronger education is needed.

  • Stays updated on CDI-related literature, participates in work groups, serves as mentor to CDI staff, and analyzes data to identify potential process improvement opportunities.

  • Able to breakdown raw information and undefined problems into specific workable components that in-turn clearly identifies the issues at hand. Makes logical conclusions, anticipates obstacles and considers different approaches that are relevant to the decision making process.

  • Identifies and acts upon opportunities. Motivates others during times of organizational stress, ambiguity, and change.

  • Creates an environment that encourages prudent risk-taking, sharing of best practices, and alerting groups to alternative approaches.

  • Consistently displays awareness and sensitivity to the needs of internal and/or external clients.

  • Proactively ensures these needs are met or exceeded.

  • Communicates ideas or positions in a persuasive manner that builds support, agreement, or commitment. Takes actions that directly or indirectly influence others to create buy-in, gain trust, and motivate actions in others or win concessions without damaging relationships.

  • Voluntarily takes the first steps to identify and address existing and potential obstacles, issues, and opportunities.

  • Innovation: Improves organizational performance though the application of original thinking to existing and emerging methods, processes, products and services.

  • Employs sound judgment in determining how innovations will be deployed to produce return on investment.

  • Reviews coded documentation to ensure proper code assignment and send through proper billing process timely to avoid any delays in DNFC/DNFB.

  • Anticipates, identifies and defines problems. Seeks root causes. Develops and implements practical and timely solutions.

  • Sets and accomplishes challenging goals.

  • Fosters an environment of collaboration in pursuit of common goals. Inspires, motivates and guides others.

  • Develops leadership skills in others by directing, coaching, mentoring, and reinforcing.

  • Encourages and facilitates cooperation within the organization and with client groups; fosters commitment, team spirit, pride and trust.

  • An enterprise-wide understanding of business functions and the corresponding technical strategies, benefits, risks, and costs that impact the business. Examples business functions include: marketing, sales, finance, HR, and other clinical teams.

  • Maintains clear communication with clients regarding mutual expectations. Anticipates clients' needs by seeking information about the apparent, as well as underlying, requirements. Matches requirements to new or existing products and services. Makes concrete attempts to add value and enhance clients' ability to achieve their business goals.

  • Expresses technical and business concepts, ideas, feelings, opinions, and conclusions so that others understand or are persuaded to act. Creates an environment that encourages and values the opinions of others, and promotes sharing of information and ideas.

  • Maintains and applies up-to date knowledge of current clinical documentation practices to ensure the medical record accurately reflects patient care and ensures proper coding including MS-DRG, APR-DRG, ICD-10, CPT and HCPCS codes

  • Knowledge and support of performance metrics for compliance and workflow optimization across CDI operations. Embraces achieving best practices efficiently.

  • Understands the broader impact of work efforts across the revenue cycle function, critical business processes, and applications. Conceptualizes impact of changes upon workflow and best practices.

  • Provides ongoing education to the CDS team and/or physicians on documentation guidelines, regulations, and chart review functions in order to meet and maintain organizational goals and objectives, regulatory compliance, policies and procedures, and personnel management.

  • Serves as expert resource to clinical documentation specialists, coders, providers, revenue cycle, and other specialty groups and meetings.

  • Researches coding updates, new procedures, and disease pathophysiology and documentation requirements.

  • Provide presentation/educational materials (recognized resources) to CDI, Physicians, and Coding staff.

  • Promotes compliance with CMS, Medicare documentation, third party payers, coding, and billing regulations.

  • Acts as super user for all CDI related systems necessary for complete an accurate documentation. Updates policies and procedures for those areas of responsibility. In-services appropriate staff regarding changes in these areas.

  • Works closely with the CDI staff to identify areas of non-specific documentation and improve documentation and query templates to support accurate and complete documentation.

Qualifications:

Required qualifications for this position include:

  • 8 years experience as PA, RN or Foreign Medical Graduate with CDI experience in a multi-hospital integrated delivery network health system.

  • 1 year ICD-10 experience and/or understanding.

  • 1 year experience in understanding of MS-DRG and APR-DRG assignment and fundamentals of establishing a DRG.

Preferred qualifications for this position include:

  • Bachelor of Science in Nursing or a Bachelor of Science degree in healthcare, education or other related field (Foreign Medical Graduate).

  • 5 years clinical experience in an acute care setting.

  • 2 years experience with EPIC, Meditech, Iodine, JATA Guide, 3M 360 or similar applications.

  • 2 years knowledgebase of current technological trends and developments in healthcare.

About the department you will serve.

Providence Shared Services provides a variety of functional and system support services for our Providence family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise.

For information on our comprehensive range of benefits, visit:

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Clinical Education

Location: California-Burbank

Req ID: 281695

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