RN Educator, Clinical Documentation Integrity
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Job Description
RN Educator enhancing clinical documentation integrity at Denver Health, requiring strong nursing and CDI experience. Focus on education and training for improved documentation quality and compliance.
Responsibilities:
- Facilitate improvement in the overall quality, completeness, and accuracy of medical record documentation
- Educate and train of the Clinical Documentation Integrity team through extensive audit investigation, clinical criteria research, and data analysis
- Develop and deliver a formalized CDI orientation process
- Draft and submit written queries to providers to clarify documentation
- Collaborate with Coding, HIM, Patient Safety and Quality, Enterprise Compliance Services, and Revenue Integrity
- Perform complex clinical documentation of designated patient records to assess accuracy
- Develop and perform an internal auditing process in partnership with the CDI Manager to validate query compliance
- Educate providers, coder, and CDI team regarding clinical documentation concepts, health data, quality outcomes, and compliance regulations.
Requirements:
- Bachelor's Degree Nursing or related field (or Associates 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, Medicare/Medicaid reimbursement experience. This experience can be included in the 7-9 years above. Required
- 1-3 years of experience in education or supervisory experience preferred
- RN-Registered Nurse - DORA - Department of Regulatory Agencies Required
- Knowledge of clinical criteria, pathophysiology, evidence-based practice and the ability to stay current on new trends in medical treatment.
- Ability to articulate concepts to physicians and other health care professionals in an effort to educate on clinical documentation requirements.
- Must be able to demonstrate clinical expertise in areas of urgent/emergent, medical/surgical, obstetrical, pediatric, and ambulatory care.
- Knowledge of CMS Medicare, Medicaid, Managed Care and Commercial health plan billing, reimbursement and regulations.
- Knowledge including but not limited to, value-based purchasing, bundled payments, accountable care organizations and readmission reduction program, and public reporting of quality outcomes.
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 in addition to employer paid disability and life insurance.
- Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
- Free RTD EcoPass (public transportation)
- Childcare discount programs & exclusive perks on large brands, travel, and more
- Tuition reimbursement & assistance
- Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
- Professional clinical advancement program & 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
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