Clinical Documentation Improvement Auditor - Emanuel Medical Ctr
|CLINICAL DOCUMENTATION IMPROVEMENT AUDITOR
The Clinical Documentation Improvement Auditor coordinates and performs quality audits for the Clinical Documentation Improvement (CDI) Program to ensure compliance with national standards. Serves as a Clinical Documentation Improvement Program trainer for ongoing quality improvement. Maintains accurate data and provides timely feedback. Communicates new developments in Clinical Documentation to the department. Provides training and education under the supervision and management of the CDI Manager. Collaborates with other departments throughout the Legacy system to identify documentation improvement needs. Reviews accounts that are high risk and queries the LIP’s as needed. Works with contracted services established by Legacy for chart reviews.
As required by licensure. Academic degree in nursing (BSN or MSN/MN) required.
Minimum 2 years of experience as a Clinical Documentation Improvement Specialist. Minimum 5 years of experience in an acute care clinical setting. Minimum of 2 years coding experience in an acute care setting preferred. Recent experience (within last 5 years) in compliance management or other management or supervision required. Background showing high level of clinical proficiency required. Experience and knowledge of quality outcomes in a patient care environment preferred. Denials experience preferred.
Current applicable state RN license required.
CCDS or CDIS credential required.
Strong communication and negotiating skills adaptable to a wide variety of interpersonal encounters with the entire healthcare team and outside auditors.
Strong organizational skills with demonstrated leadership ability.
Demonstrated and highly developed problem solving skills and self-directed, motivated behavior.
Demonstrated ability to develop and maintain supportive, collaborative relationships with physicians.
Strong computer/PC skills essential, including Excel, PowerPoint, and multiple software systems.
Working knowledge with Joint Commission, State and Medicare Standards.
Working knowledge of ICD-9-CM and ICD-10-CM/PCS coding and MS-DRG’s.
Ability to analyze complex clinical scenarios and apply critical thinking.
PREFERRED EMPLOYEE PROFILE
Follow guidelines set forth in the Preferred Employee Profile.