RN Educator, Clinical Documentation Integrity

🕒 May 6

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $85.6k - $132.6k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🏥📝 Medical Writer

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👻 Ghost score 45%

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Denver Health

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1860

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Denver Health is a comprehensive and integrated health system providing compassionate, mission-based healthcare services to the Denver community and the state of Colorado. With a rich history spanning over 164 years, Denver Health operates numerous facilities including a main campus, family health centers, urgent care clinics, and a school-based health center. The organization is dedicated to delivering exceptional care through its team of over 8,200 employees, and offers services such as telehealth, myChart patient portal, pharmacy assistance, and various specialized healthcare services including orthopedics, bariatric surgery, and emergency services. Denver Health also plays a significant role in public health and community welfare, serving approximately one-third of all births in Denver and supporting numerous public school health programs. As a non-profit health system, Denver Health emphasizes accessibility and community engagement, evidenced by numerous awards and funding initiatives to support its mission.

📋 Description

• Facilitate improvement in the quality, completeness, and accuracy of medical record documentation • Educate and train the Clinical Documentation Integrity team • Conduct extensive audit investigations, clinical criteria research, and data analysis • Develop, facilitate, and coordinate organizational CDI education programs • Create and deliver a formalized CDI orientation curriculum using industry-endorsed content and adult learning methodologies • Perform concurrent and retrospective reviews of inpatient, outpatient, and ambulatory records • Conduct quality reviews and internal compliance and performance audits • Draft and submit written queries to physicians to clarify documentation • Educate providers, coders, and CDI staff on documentation concepts, health data, quality outcomes, and compliance regulations • Partner with Revenue Integrity and Compliance teams on coding and documentation denial appeals and education • Support clinical review for new technologies and projects affecting CDI workflows and outcomes • Collaborate with Coding, Health Information Management, Patient Safety and Quality, Enterprise Compliance Services, Revenue Integrity, and other departments

🎯 Requirements

• Bachelor's Degree in Nursing or related field required, or Associate's Degree with equivalent additional experience • 7–9 years of nursing experience required • At least 2 years of experience in an acute care setting required • 1–3 years of CDI, clinical coding, DRG coordination, or Medicare/Medicaid reimbursement experience required; this experience can be included in the 7–9 years above • 1–3 years of education or supervisory experience preferred • RN-Registered Nurse license through DORA required • Knowledge of clinical criteria, pathophysiology, and evidence-based practice • Clinical expertise in urgent/emergent, medical/surgical, obstetrical, pediatric, and ambulatory care • Knowledge of CMS Medicare, Medicaid, Managed Care, Commercial health plan billing, reimbursement, and regulations • Knowledge of value-based purchasing, bundled payments, accountable care organizations, readmission reduction programs, and public reporting of quality outcomes • Knowledge of ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Coding Clinics, and other coding references • Knowledge of quality measures, patient safety indicators, value-based purchasing, risk adjustments, mortality scoring, hospital-acquired conditions, CMS 5 Star, and externally reported quality metrics • Knowledge of compliance practices, briefs, white papers, and publications guiding ethical and legal CDI practices • Proficiency with multi-platform computer software and applications for tracking, analyzing, calculating, and summarizing data • Proficiency with Microsoft Suite • CDI or Coding certification preferred • Strong critical-thinking, organization, time-management, and prioritization abilities • Strong communication and collaboration abilities • Ability to read and interpret professional journals, financial reports, and legal documents • Ability to define problems, collect and summarize data, establish facts, and draw conclusions

🏖️ Benefits

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays • 100% paid parental leave up to 6 weeks • Immediate eligibility for retirement plans with employer contribution up to 9.5% • Generous medical, dental, vision plans • Employer-paid disability and life insurance • Comprehensive well-being programs • On-site employee fitness center • Free RTD EcoPass (public transportation) • Childcare discount programs • Exclusive perks on large brands, travel, and more • Tuition reimbursement and assistance • Education, coaching, and professional development opportunities • Internal career growth and advancement pathways • Professional clinical advancement program and shared governance • Public Service Loan Forgiveness (PSLF) eligible employer • Free student loan coaching and assistance navigating the PSLF program • National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer