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Registered Nurse (RN) - Clinical Document Improvement Specialist - $33-54 per hour

Company: Memorial Hermann Health System
Location: Pasadena
Posted on: November 20, 2022

Job Description:

Memorial Hermann Health System is seeking a Registered Nurse (RN) Clinical Document Improvement Specialist for a nursing job in Houston, Texas.Job Description & Requirements

  • Specialty: Clinical Document Improvement Specialist
  • Discipline: RN
  • Start Date: ASAP
  • Duration: Ongoing
  • 36 hours per week
  • Shift: 12 hours, days, nights
  • Employment Type: Permanent
    At Memorial Hermann, we're about creating exceptional experiences for both our patients and our employees. Our goal is to provide opportunities for our diverse employee population that develop and grow careers in a team-oriented environment focused on patient care.Every employee, at every level, begins their journey at Memorial Hermann learning about the history of the organization and its established culture built on trust and integrity. Our employees drive this culture, and we want you to be a part of it.Job SummaryThe Clinical Documentation Improvement (CDI) Auditor Educator will facilitate improvement system-wide in the overall quality, completeness, and accuracy of the medical record documentation through extensive audit investigation, education and data analysis. The incumbent will be responsible for identification of patterns, trends, and opportunities for the entire CDI team, at all acute care facilities, to improve accuracy and outcomes. This position will also be responsible for assisting with large retrospective audits, at the request of hospital clients system-wide, and for educating physicians, if needed. The CDI Auditor reports to the Director as an individual contributor and provides recommendations on clinical documentation quality improvement and education programs.Job DescriptionMinimum QualificationsEducation: Bachelors Degree in clinical or coding discipline preferredLicenses/Certifications:
    • Current RN licensure in the state of Texas; or RHIT/RHIA/CCS/CCA certification with three (3) years clinical documentation improvement experience
    • CCDS certification through the Association of Clinical Documentation Specialist or must obtain within three (3) months of hire date
    • AHIMA approved ICD-10 Certified Trainer preferredExperience / Knowledge / Skills:
      • Minimum of three (3) to five (5) years of CDS experience
      • 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 Cerner 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
      • Demonstrates commitment to the Partners-in-Caring process by integrating our culture in all internal and external customer interactions; delivers on our brand promise of "we advance health" through innovation, accountability, empowerment, collaboration, compassion and results while ensuring one Memorial Hermann.Principal Accountabilities
        • Audits case reviews and queries of Clinical Documentation Specialists (CDIS) to ensure quality and compliance, using audit tools developed.
        • Tracks, trends, and reports audit findings for each Clinical Documentation Specialist (CDIS), Hospital Region, and System-wide to Director/management team.
        • Identifies knowledge gaps and provides clear explanations and interpretations on missing, unclear, conflicting, or non-compliant information captured by the CDIS.
        • Researches, investigates and remains up to date on both clinical and coding guidelines in quarterly Coding Clinics as they relate to physician documentation improvement needed, in an ICD-10 coding environment.
        • Assists in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication, and quality outcomes. Serves as a resource for appropriate clinical documentation.
        • Develops presentation material and provides training and education to physicians and CDIS staff as needed in an effort to strengthen documentation practices and ensure accurate coding that reflects the severity of illness (SOI) and risk of mortality (ROM) of patients they serve.
        • Responsible for using audit tools to conduct clinical quality audits
        • Develops and updates policies and procedures around the CDIS audit function; and refines audit tools as needed in collaboration with Director/management team.
        • Collaborates with leadership to conduct focused post-discharge documentation and coding audits as requested by hospital clients system-wide.
        • Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
        • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
        • Other duties as assigned.Memorial Hermann Health System Job ID #10276_2000925710. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation). Posted job title: CDI Auditor EducatorAbout Memorial Hermann Health SystemCompany Overview:Charting a better future. A future that's built upon the HEALTH of our community. This is the driving force for Memorial Hermann, redefining health care for the individuals and many diverse populations we serve. Our 6,100 affiliated physicians and 29,000 employees practice the highest standards of safe, evidence-based, quality care to provide a personalized and outcome-oriented experience across our more than 270 care delivery sites. As one of the largest not-for-profit health systems in Southeast Texas, Memorial Hermann has an award-winning and nationally acclaimed Accountable Care Organization, 17* hospitals and numerous specialty programs and services conveniently located throughout the Greater Houston area. Memorial Hermann-Texas Medical Center is one of the nation's busiest Level I trauma centers and serves as the primary teaching hospital for McGovern Medical School at UTHealth. For more than 114 years, our focus has been the best interest of our community, contributing more than $411 million annually through school-based health centers and other community benefit programs. Now and for generations to come, the health of our community will be at the center of what we do - charting a better future for all.
          *Memorial Hermann Health System owns and operates 14 hospitals and has joint ventures with three other hospital facilities, including Memorial Hermann Surgical Hospital First Colony, Memorial Hermann Surgical Hospital Kingwood and Memorial Hermann Rehabilitation Hospital-Katy.
          Our MissionMemorial Hermann Health System is a non-profit, values-driven, community-owned health system dedicated to improving health.
          Our VisionTo create healthier communities, now and for generations to come.
          Our ValuesCommunity: We value diversity and inclusion and commit to being the best healthcare provider, employer and partner.Compassion: We understand our privileged role in people's lives and care for everyone with kindness and respect.Credibility: We conduct ourselves and our business responsibly and prioritize safety, quality and service when making decisions.Courage: We act bravely to innovate and achieve world-class experience and outcomes for patients, consumers, partners and the community.Benefits
          • Dental benefits
          • Vision benefits
          • Employee assistance programs
          • 403b retirement plan
          • Health Care FSA
          • Dependent Care FSA
          • School loan reimbursement

Keywords: Memorial Hermann Health System, Pasadena , Registered Nurse (RN) - Clinical Document Improvement Specialist - $33-54 per hour, Healthcare , Pasadena, Texas

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