RN Educator, Clinical Documentation Integrity

🔥 0 minutes ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

💵 $85.6k - $132.6k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🏥📝 Medical Writer

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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, including formalized orientation and ongoing education strategies • Perform concurrent and retrospective reviews, quality reviews, and internal compliance and performance audits as requested by the CDI Manager • Support clinical review for new technologies and projects • Educate providers regarding documentation specificity, accuracy, and compliance • Draft and submit written queries to physicians for documentation clarification • Develop and deliver CDI orientation using industry-endorsed content, adult learning methodologies, and subject matter expertise • Develop and perform internal auditing with the CDI Manager to validate query compliance and identify educational opportunities • Educate providers, coders, and the CDI team on clinical documentation, health data, quality outcomes, and compliance regulations • Partner with Revenue Integrity and Compliance teams on appeals and education related to coding and documentation denials • Inform new technology projects affecting CDI workflows, provider queries, and program 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, or Associate's Degree with equivalent level of additional experience — required • 7–9 years of nursing experience with at least 2 years 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 experience in education or supervisory experience — preferred • RN-Registered Nurse license from DORA, Department of Regulatory Agencies — required • Clinical expertise in urgent/emergent, medical/surgical, obstetrical, pediatric, and ambulatory care • Knowledge of clinical criteria, pathophysiology, evidence-based practice, and current medical treatment trends • Knowledge of CMS Medicare, Medicaid, Managed Care, and 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 publicly reported quality metrics • Knowledge of CDI compliance practices, practice briefs, white papers, and ethical and legal guidance • Proficiency with multi-platform computer software and applications for tracking, analyzing, calculating, and summarizing data and qualitative findings • Proficiency with Microsoft Suite • CDI or Coding certification — preferred • Strong critical thinking and ability to autonomously prioritize work, manage time, and stay organized • Ability to articulate complex concepts to physicians and healthcare professionals • 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 • Must reside in Colorado • All applicants for safety-sensitive positions must pass a pre-employment drug test after a conditional offer

🏖️ 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 • Nationally recognized RESTORE 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 through the Workforce Development Center • 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