Clinical Documentation Integrity (CDI) Liaison

This is an advanced level position utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems and is responsible for design, implementation, and monitoring of facility physician education around clinical documentation integrity for the Fairview system.  The CDI Liaison is focused on quality and support including quality assurance checks and education for inpatient providers and CDI specialists to support the enterprise goal of accurate, specific, consistent, and complete Hospital Coding & Billing. This work will involve the use of provided CDI software and other technical tools to assist and enhance the CDI Program efforts. The CDI Liaison’s will also be working with Governance Taskforces to address documentation issues and functionality as well as education with nursing and ancillary staff to assist in clinical support of the provider documentation as appropriate documentation assists in improving the organizational financial performance.  

This position is eligible for benefits!

Some of the benefits we offer at Fairview include medical insurance - as low as $0, dental insurance - also a $0 option, PTO (24 days per year starting), and a 403B with up to a 6% employer match; visit www.fairview.org/benefits to learn more and get all the details.

Job Expectations:

• Work with providers, advance practice practitioners, clinical departments, CDI, and Coding staff to accurately document and report the patient’s medical condition and illness severity.
• Educate staff to improve performance on risk-adjusted CMS mortality measures and monitor metrics to identify areas of growth opportunity.
• Monitor reimbursement impact after education.
• Educate providers on documentation guidelines.
• Assist in physician documentation templates for diagnosis and procedures.
• Assist in education to capture Hierarchical Condition Categories, quality initiatives, severity of illness measures, risk of mortality measures, patient safety indicators, observed-to-expected (o/e) rates.
• Capture and report educational time metrics.
• Analyzes data, documentation, and workflows related to the quality and accuracy of CDI staff work and provider documentation performance related to CDI/HB Coding to identify trends and opportunities for education.
• Completes quality assurance checks on CDI Specialists basis based on best practice and reports finding regularly.
• Creates and presents educational content for CDI staff in coordination with CDI leadership.
• Creates and presents educational content for providers (orientation and ongoing education). Coordinates with program administrators to schedule orientation sessions for provider onboarding.
• Creates and presents information for leadership and faculty meetings of Service Lines/Domains.
• Maintains an advanced level of understanding related to CDI and HB Coding rules and compliance.
• Attends and completes educational sessions and webinars as appropriate to support personal understanding. Cascades pertinent information from these sessions to the CDI staff.
• Actively participate in CDI workstreams and improvement tasks as assigned.
• Support and assist CDI staff during back-logs or as assigned.
• Works collaboratively with CDI leadership, Physician Advisor/or designated physician leadership, and others to ensure issues are tracked, monitored, and resolved for compliance and program advancement
• Timely and accurate work
• Contributes to the process or enablement of collecting expected payment
• Understands and Adheres to Revenue Cycle’s Escalation Policy
• Performs other responsibilities as needed/assigned.

Organization Expectations, as applicable:

• Provide on-going learning to providers regarding coding and documentation practices.
• Complete projects as assigned.
• Fulfills all organizational requirements
  • Completes all required learning relevant to the role
  • Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
• Fosters a culture of improvement, efficiency and innovative thinking.
• Performs other duties as assigned
• Respect the confidentiality of all information, including information regarding patients, staff members or Fairview business issues, and share information only with those who need to know per Fairview policy

Required Qualifications

• Associate degree (or higher) in Nursing or Health Information Management (HIM) degree or related field or equivalent experience.
• At least 2 years as a Clinical Documentation Integrity (CDI) Specialist
• One of the following: RHIT, RHIA or RN

Preferred Qualifications

• Bachelor's degree (or higher) in Nursing or Health Information Management (HIM) or related filed or equivalent experience
• 5 years of experience as a Clinical Documentation Integrity (CDI) Specialist.
• One of the following: RN, CCDS, CDIS, CDIP, CDEI, CCS, CPC, CCDSO or CCIO

Additional Requirements (must be obtained or completed within a period of time):

• Knowledge of clinical documentation requirements related to regulatory and reimbursement rules and regulations.
• Knowledge of medical terminology, anatomy and pathophysiology, pharmacology, ancillary test results.
• Knowledge of ICD-10-CM and DRG classification systems.
• Knowledge of physician and nursing unit practices.
• Excellent interpersonal, analytical critical thinking, problem solving and conflict management skills to foster a positive working environment.
• Strong attention to detail.
• Ability to enter data, track, and reconcile sensitive material with minimal errors.
• Ability to problem-solve, work independently, prioritize multiple tasks, identify process improvement opportunities.
• Excellent verbal and written communication skills.
• Builds effective partnerships with other coding and documentation staff, ancillary staff, and medical providers, fostering open lines of communications and establishing trust.
• Experience with Epic and knowledge of encoder products and computer-assisted coding preferred
• Basic knowledge of Windows based computer software.