Clinical Documentation Educator
Clinical Documentation Educator
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Job Description
The Clinical Documentation Improvement (CDI) program at UI Health Care has an opening for a full-time Clinical Documentation Educator. The Clinical Documentation Educator plans develops and implements network-wide education specific to clinical quality and documentation improvement that promotes complete and accurate documentation and capture. This role will help to maximize efficiency and quality of clinical documentation health information management and provider teams.
The Clinical Documentation Educator maintains responsibility for all education needs related to clinical documentation improvement and quality. This role is responsible for development implementation and maintenance of high quality formal and informal educational programs related to documentation improvement opportunities coding and reimbursement issues as well as performance improvement methodologies for internal customers and physicians.
Job Responsibilities Include (but are not limited to):
- Works with program leadership to plan develop and implement clinical documentation education programs and onboarding for Clinical Documentation Specialists and patient care teams.
- Takes lead role in provider education opportunities including resident and new provider orientation.
- Facilitates and develops regular individual and large group educational sessions for all Clinical Documentation Specialists and/or providers.
- Works closely with Health Information Management (HIM) Clinical Documentation Specialists and the Quality Improvement Program (QuIP) to successfully identify review and develop education patient safety indicators hospital acquired conditions and other quality driven measures.
- Conducts second level CDI reviews of clinical documentation to ensure points of clarification have been recorded in the patients chart and captured accurately in coding.
- Super-user level responsibility for vendor and software applications utilized by CDI QuIP and HIM.
- Leads CDI orientation committee; meets regularly to review process for quarterly updates to the program that ensure continued high-quality engaged onboarding of new Clinical Documentation Specialists.
- Leads CDI onboarding program to ensure efficient and complete education and development of Clinical Documentation Specialists.
- Plays a key role with implementation of training for nursing staff physicians and mid-level practitioners that addresses documentation issues and variances related to quality metrics and measures.
- Teaches and mentors other Clinical Department Specialists on clinical documentation improvement principles and concepts serving as a resource person to key stakeholders across the organization
- Provides actionable quality driven feedback for leadership and CDI Specialists that allows consistent accountability in regard to high performance and high engagement culture by articulating expectations monitoring performance and providing feedback consistency across areas of responsibility.
- Contact to request a copy of the full job description.
Percent of Time: 100% (full-time)
Work schedule: Typically between the hours of 7:30 AM to 4:30 PM Monday through Friday.
Location: Healthcare Support Services Building (HSSB) 3231 Ridgeway Drive Coralville IA 52241. This position is eligible to participate in remote work after the initial training and onboarding has been completed. Remote work must be performed at a location within the state of Iowa and will require a work arrangement form to be completed upon the start of your employment. Per policy work arrangements will be reviewed annually and must comply with the remote work program and related policies and the employee travel policy when working at a remote location.
Salary level 5A. Starting salary will be based on qualifications and related/relevant experience. To view the full pay range for salary level 5A:P&S Pay Structures (Future) University Human Resources - The University of Iowa
Benefits Highlights: Fringe benefit package including paid vacation; sick leave; health dental life and disability insurance options; and generous employer contributions into retirement plans. Complete information regarding the full benefits package may be viewed at: Qualifications:
- A Baccalaureate degree in Nursing or Masters degree in Nursing or an equivalent combination of education and experience.
- License to practice nursing in Iowa
- A minimum of two (2) years of recent work experience as a Clinical Documentation Improvement Specialist with at least five (5) years of med/surg clinical (or CDI) experience at an academic medical center.
- Advanced clinical expertise and extensive knowledge of complex disease processes with a broad clinical experience in an inpatient setting required.
- A broad knowledge of the disease process normal/abnormal findings and reasonable course of treatment quality measures and risk management issues is essential.
- Healthcare education experience with a strong understanding of the requirements for clinical coding and billing according to the rules of Medicare Medicaid and commercial payers preferred.
- Extensive knowledge of CDI related quality measures including AHRQ measures and AHIMA query practice guidelines. knowledge of coding structures/national coding guidelines and related appropriate chart documentation
- Demonstrated competency in teaching/learning process organizational skills and computer literacy required including proficiency with computer software applications utilized within the CDI programs (i.e. Excel Word PowerPoint 3M 360)
- Excellent professional demeanor and communication skills
- Excellent interpersonal skills with physicians nursing staff and interdisciplinary team members as demonstrated through written and verbal communication including presentation and training skills
- Excellent organizational time management and problem-solving skills
- Currently holds Clinical Documentation certification OR obtains certification within one (1) year i.e.:
- Certified Clinical Documentation Specialist (CCDS) or
- Certified Documentation Improvement Practitioner (CDIP)
- Certified Clinical Documentation Specialist (CCDS) or
- Electronic Medical Records experience (EPIC preferred).
- Experience with performance improvement methodologies
- Experience with data mining and/or data analytics
Desired Qualifications:
- Demonstrated knowledge of healthcare outcomes and performance improvement initiatives/techniques.
- Experience with hospital quality/safety metrics.
- Holds a quality related certification
- Holds coding certification (CCS RHIT) or additional outpatient CDI certification (CCDS-O)
Application Process:
- Applicants must upload a current resume and a cover letter that clearly addresses how they meet the listed required and desired qualifications of this position.
- Job openings are posted for a minimum of 14 calendar days. Applications will be accepted until 11:59 PM onJuly 1 or on date of closing.
- Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check.
- Professional references will be requested at a later step in the recruitment process.
- This position is not eligible for University of Iowa sponsorship for employment authorization.
- For questions contact Heidi Bodensteiner at .
Employment Type
Full Time
