Clinical Documentation Improvement Team Lead / RN
Clinical Documentation Improvement Team Lead / RN
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Be inspired. Be rewarded. Belong. At Emory Healthcare.
At Emory Healthcare we fuel your professional journey with better benefits valuable resources ongoing mentorship and leadership programs for all types of jobs and a supportive environment that enables you to reach new heights in your career and be what you want to be.
We provide:
- Comprehensive health benefits that start day 1
- Student Loan Repayment Assistance & Reimbursement Programs
- Family-focused benefits
- Wellness incentives
- Ongoing mentorship and leadership programs
- And more!
Description
The Clinical Documentation Improvement Team Lead assists with the daily operations of the clinical documentation improvement program within the Health Information Management (Medical Records) department in addition to the regular responsibilities of a Clinical Documentation Improvement Specialist. The Clinical Documentation Improvement Team Lead assists HIM Management as a point person for clinical documentation improvement activities. The Clinical Documentation Improvement Team Lead provides guidance support and oversight to the CDI Staff to ensure that the clinical documentation improvement team operates efficiently and maintains high standards of quality and compliance.
- Provides patient care treatment and services within the scope of their license certification registration and/or assessed competencies.
- Practice will be in accordance with laws and regulations and will adhere to established policies procedures and practice guidelines.
- Reviews inpatient medical records throughout hospitalization as defined in the Clinical Documentation Improvement Policy and Procedure.
- Analyzes clinical status of patient current treatment plan and past medical history and identifies potential gaps in physician documentation.
- Queries attending physician to validate observations and request additional and/or more specific documentation.
- Monitors day to day operations of the CDI Team; reporting feedback and trends to Management.
- Tracks and analyze query opportunities.
- Monitors CDI Reports on a Weekly basis to ensure accuracy.
- Audits Clinical Documentation Specialists to ensure query compliance.
- Identifies risk factors and educates.
- Monitors outstanding post discharge queries.
- Monitors query responses concurrently. Assists in educating the clinical documentation improvement team.
MINIMUM QUALIFICATIONS: - Must have a valid active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board.
- Minimum five (5) years experience adult inpatient med-surg or critical care.
- Case Management experience preferred. CCS CDIP or CCPC preferred certification.
- Two years hospital or related clinical documentation program management experience in a multi-hospital system.
- Strong knowledge of Coding Guidelines Coding Clinics MS DRGs and Query Guidelines required.
JOIN OUR TEAM TODAY! Emory Healthcare (EHC) part of Emory University (EUV) is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet designated ambulatory practice. We are made up of 11 hospitals-4 Magnet designated the Emory Clinic and more than 425 provider locations. The Emory Healthcare Network established in 2011 is the largest clinically integrated network in Georgia with more than 3450 physicians concentrating in 70 different subspecialties.
Additional Details
Emory is an equal opportunity employer and qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcares Human Resources at . Please note that one weeks advance notice is preferred.
Employment Type
Full-Time
