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Clinical Documentation Education Lead

đź•’ vor 2 Monaten

🇺🇸 Vereinigte Staaten – Remote

⏰ Vollzeit

đźź  Senior

🏥📝 Medizinischer Autor

🗣️🇺🇸🇬🇧 Englisch erforderlich

Woher diese Stelle stammt

Veröffentlicht auf der Karriereseite von Wellstar Health System, nicht über eine Jobbörse

Von Remote Rocketship zum ersten Mal gesehen vor 2 Monaten

Noch offen auf der Website von Wellstar Health System. GeprĂĽft vor 57 Minuten.

Logo of Wellstar Health System

Wellstar Health System

10.000+ Mitarbeiter

GegrĂĽndet 1992

🏥 Gesundheitswesen

⚕️ Krankenversicherung

Healthcare • Healthcare Insurance

Das Wellstar Health System ist eine umfassende Gesundheitsorganisation, die sich der Bereitstellung personalisierter und einfühlsamer Betreuung für Patienten in Georgia und South Carolina widmet. Mit einer Vielzahl an Karrieremöglichkeiten unterstützt Wellstar das berufliche Wachstum und das Wohlbefinden der Mitarbeiter durch eine positive Kultur, herausragende Vorteile und einen Fokus auf Vielfalt, Gleichheit und Inklusion. Die Organisation betont die Bedeutung, sowohl Patienten als auch Mitarbeiter mit Respekt und Sorgfalt zu behandeln, was sie zu einem gefragten Arbeitsplatz in der Gesundheitsbranche macht. Wellstar engagiert sich dafür, hochwertige Gesundheitsdienstleistungen anzubieten und eine starke Einbindung der Gemeinschaft zu pflegen.

Beschreibung

• Collaborate with CDI leadership, coding teams, providers, auditors, and operational leadership to improve documentation and coding accuracy • Assess provider and CDI team knowledge and skill gaps using data trends, CDI KPIs, audit results, industry events, and leadership needs • Develop, tailor, and deliver live and recorded CDI education and training • Train providers on documentation best practices and clinical documentation specialists on operations, skills, teamwork, customer service, and change management • Conduct new employee orientations, skills development, and new-user technology training • Create education materials, training materials, presentations, and meeting resources • Provide timely follow-up education based on CDI and Coding audit results and query activity • Assist with testing future CDI technology enhancements and function as a super user for CDI software and applications • Review clinical documentation remotely during patient admissions • Perform hospital-wide medical record reviews to improve completeness, accuracy, coding compliance, reporting, and patient outcomes • Submit compliant electronic queries to clinicians and provide appropriate follow-up • Escalate unanswered queries according to the Wellstar Query Escalation process • Reconcile records daily in the Solventum/3M 360 Encompass CDI tool • Review Coding Clinic changes and maintain current knowledge of coding, billing, medical terminology, procedures, medications, and diseases • Participate in required meetings, conference calls, and stakeholder presentations • Support regulatory compliance and departmental policies • Perform other duties as assigned

🎯 Anforderungen

• Associate's degree in Nursing, bachelor's degree in Health Science, accredited Health Science program, or Doctorate of Medicine • Certified Clinical Documentation Specialist within 180 days of hire or Certified Documentation Improvement Practitioner within 180 days of hire • Minimum 2 years working in an acute care setting as a Clinical Documentation Specialist (CDS) • Minimum 5 years of healthcare experience • Strong understanding of disease processes, clinical indications, treatments, and provider documentation requirements • Knowledge of Medicare, Medicaid, and commercial payer coding and billing rules • Familiarity with an encoder and current working knowledge of Coding Clinic Guidelines and federal updates to MS and APR DRG systems • Expert knowledge/experience in Clinical Documentation Integrity, including productivity, quality, education and training, compliance auditing, data analysis and trending, report management, and performance improvement initiatives • CDI/Coding chart review experience • Excellent communication, presentation, problem-solving, time management, training, and peer development skills • Ability to interpret, adapt, and apply guidelines, procedures, and continuous quality improvement initiatives • Proficient computer skills in Microsoft Word, Excel, PowerPoint, and CDI technology tools • Comfortable performing data analysis and preparing and maintaining records and written reports • Ability to leverage technology and reporting capabilities to identify education opportunities • RNs must be licensed, knowledgeable, and uphold nursing practice standards upon hire • Non-clinical/coding candidates must have at least one active/current CCS, CPC, RHIA, or RHIT certification upon hire

🏖️ Vorteile

• Virtual/remote work arrangement • Supportive work environment • Meaningful work in healthcare • More rewarding life and employee support

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