Clinical Documentation Auditor – Educator

🔥 12 minutes ago

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Logo of Memorial Hermann Health System

Memorial Hermann Health System

10,000+ employees

⚕️ Healthcare Insurance

🧘 Wellness

💰 $5M Grant on 2022-08

Healthcare Insurance • Healthcare • Wellness

Memorial Hermann Health System is a comprehensive healthcare organization that provides a wide range of medical services, including cancer care, cardiovascular services, emergency and trauma care, women’s health, and surgical services. With the largest network of emergency centers in Greater Houston, it focuses on delivering advanced healthcare and wellness programs tailored to individual needs. Memorial Hermann is committed to advancing health equity and enhancing community health through its various medical facilities and services.

📋 Description

• Facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation • Conduct extensive audit investigations, education, and data analysis • Responsible for identification of patterns, trends, and opportunities for improvement • Assist with large retrospective audits at the request of hospital clients system-wide • Educate physicians as needed • Report to the CDI Quality/Education Manager and provide recommendations on clinical documentation quality improvement and education programs • Audit case reviews and queries of Clinical Documentation Specialists (CDIS) • Track, trend, and report audit findings • Identify knowledge gaps and provide clear explanations on missing information • Research, investigate and remain updated on clinical and coding guidelines • Collaborate with leadership to conduct focused post-discharge documentation and coding audits as requested • Develop presentation material and provide training and education to physicians and CDIS staff • Develop and update policies and procedures around the CDIS audit function • Ensure adherence to Memorial Hermann policies, procedures, and standards

🎯 Requirements

• Bachelor's of Nursing, required • Master’s Degree in Nursing or Management preferred • Current State of Texas license or temporary/compact license to practice professional nursing • One of the following is required: Certified Clinical Documentation Specialist (CCDS) from the Association of Clinical Documentation Improvement Specialists, Certified Clinical Documentation Integrity Professional (CDIP) from the American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) from the American Health Information Management Association (AHIMA) • Three (3) years of Clinical Documentation Integrity (CDI) experience required • Approved AHIMA ICD-10-CM/PCS Trainer preferred • Previous CDIS auditing and education experience and/or CDIS supervisory/management background preferred • Strong computer proficiency including working knowledge of MS Office- Word, Excel and Outlook and 3M Coding and Reimbursement software; experience with Epic EMR preferred • Excellent communication, analytical and problem solving skills are essential • Strong organizational skills and must be detail oriented • Highly analytical with strong risk assessment, impact analysis and problem solving skills • Highly self-motivated, yet demonstrate ability to be a team player and take direction • Flexible and able to multi-task and prioritize work load on a daily basis, performing concurrent chart reviews as needed.

🏖️ Benefits

• Health insurance • Flexible working arrangements • Professional development opportunities

Apply Now

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