Clinical Documentation Improvement Educator

Overview: Responsibilities:

• Demonstrates understanding and thorough working knowledge of ICD-9-CM and ICD-10-CM coding guidelines, as well as medical terminology to capture severity of patient illness and final code assignment
• Educates members of the team regarding documentation needs, reimbursement issues, and performance improvement opportunities on an ongoing basis
• Ability to identify organizational risks and opportunities for risk adjustment capture and propose solutions
• Ability to project performance based on internal and external data and determine financial impact to the organization in relation to achieved or underachieved goals. Will work collaboratively with clinical, financial and operational leadership
• Supports validation, management and organization of data reflecting clinical documentation monitoring and trending reports for physician and leadership review
• Preparation of reports summarizing process improvement activities and related performance metrics including but not limited to federal regulatory programs and value-based programs
• Works with external payor representatives to align goals of incentive programs with risk adjustment initiatives
• Participates in project management activities with key stakeholders
• Communicate professionally, clearly and succinctly to provide education related to CDI, as determined by internal data analysis
• Must work effectively independently and be able to organize, prioritize and manage time efficiently in order to meet department deadlines
• Extensive interaction with physicians, nursing staff, and other members of the health care team to ensure complete and accurate clinical documentation
• Participates in other tasks, projects, or initiatives as directed by Population Health leadership team

Qualifications:

• 2 Year/Associate Degree in Nursing, required or...
• Vocational/Technical Diploma in Professional Nursing Program, required or...
• 4 Year/Bachelor's Degree in Nursing, preferred
  • ***All RN's hired and do not currently hold a BSN will be expected to demonstrate enrollment in a bachelor's prepared nursing program within 4 years of hire. BSN must be completed within 10 years. RNs licensed on or before 12/19/17 are/remain exempt from this requirement

• Minimum 3 year's experience with electronic medical records, quality chart reviews, abstracting, and/or coding, required
  • Working knowledge of office procedures, revenue cycle, preferred

• Current NYS License as an RN, required
• COC Certification - required to obtain within 1 year of hire

• Communication
• Computer Skills
• Analysis & Evaluation
• Time Management
• Clinical Skills
• Auditing

• Sedentary Work - Exerting up to 10 lbs of force occasionally, and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking or standing are required only occasionally, and all other sedentary criteria are met
• Occasional repetitive motion, standing
• Frequent typing/clerical/dexterity, hearing, talking
• Constant seeing/monitor/computer use, visual acuity (color, depth, perception)

• Occasional Travel - The job may require travel from time-to-time, but not on a regular basis

Total Rewards:

• Paid time off, including company holidays, vacation, and sick time
• Medical, dental and vision insurance
• Life insurance and disability protection
• Retirement benefits including an employer match
• And more!

Pay Transparency Statement (Text Only): Salary is based on a variety of factors, including, but not limited to, qualifications, experience, education, licenses, specialty, training, and fair market evaluation based on industry standards. The above compensation range represents a good faith belief of the compensation range by Bassett Healthcare Network, and its entities and affiliates, at the time of this posting or advertisement. Min: USD $84,409.51/Yr. Max: USD $126,614.27/Yr. EEO Statement (Text Only): We provide equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex (including pregnancy, childbirth, or related condition), age, national origin or ancestry, citizenship, disability, marital status, sexual orientation, gender identity or expression (including transgender status), genetic predisposition or carrier status, military or veteran status, familial status, status as a victim of domestic violence, or any other status protected by law.