Clinical Documentation Education Lead

🕒 il y a 21 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟠 Senior

🏥📝 Rédacteur Médical

👻 Score fantôme 11%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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Wellstar Health System

Site WebLinkedInTous les Emplois

10 000+ employés

Fondée en 1992

🏥 Santé

⚕️ Assurance santé

Healthcare • Healthcare Insurance

Wellstar Health System est une organisation de santé complète dédiée à fournir des soins personnalisés et compatissants aux patients de Géorgie et de Caroline du Sud. Avec une gamme diversifiée de possibilités de carrière, Wellstar soutient la croissance professionnelle et le bien-être de ses employés grâce à une culture positive, d'excellents avantages sociaux et un accent sur la diversité, l'équité et l'inclusion. L'organisation souligne l'importance de traiter à la fois les patients et le personnel avec respect et soin, ce qui en fait un lieu de travail recherché dans le secteur de la santé. Wellstar s'engage à offrir des services de santé de haute qualité et à maintenir un fort engagement communautaire.

Description

• 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

🎯 Exigences

• 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

🏖️ Avantages

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