Dir CDI QA & Education

General Summary of Position
Provides ongoing education to Clinical Documentation Improvement staff system-wide. Provides education and training to newly hired Clinical Documentation Specialists. Participates in the department quality audit processes by performing assigned audits, communication of findings, and data entry for reporting. Leads system-wide clinical documentation operating plan and collaborating closely with the Director of Coding, Quality, and Education. Collaborates with Medical Staff Leadership in the ongoing education efforts involving clinical documentation improvement. Collaborates with system-wide VPMAs and Physician Advisors, Corporate Quality, and Coding Operations and Quality Assurance.

Primary Duties and Responsibilities

Minimum Qualifications
Education

• Bachelor's degree in Nursing required or
• Master's degree preferred or
• Foreign Medical Graduate with relevant experience; required and
• completed coding courses in ICD-10-CM/PCS; required and
• certification in clinical documentation improvement from AHIMA preferred or
• ACIDIS preferred

Experience

• Experience in the acute care setting; experience in working with physicians and clinical professionals; experience in documentation review including coding and DRG analysis; experience in the clinical documentation specialist role;knowledge of inpatient acute care standards for coding, the joint commission, HIPPA, and other regulatory requirements. required and
• Knowledge of maryland rate setting and reimbursement under the CMS waiver preferred

Licenses and Certifications

• CDIP - Clinical Documentation Improvement Professional Clinical documentation improvement certification from ACDIS preferred or
• AHIMA ICD-10 Trainer Certif - ICD-10 AHIMA; completion of ICD-10-CM/PCS approved Trainer credential preferred

Knowledge, Skills, and Abilities

• Basic computer skills including working knowledge of word processing and spreadsheet software applications.
• Excellent interpersonal skills, including verbal and written communications; Good public speaking and presentation skills; attention to detail; follow up on outstanding issues; ability to organize, priorities and meet deadlines.
• Experience with Electronic Medical Records Systems and prior work with 3m Clintrac, 3m 360, and Cerner a plus.

Why MedStar Health?
At MedStar Health, we understand that our ability to treat others well begins with how we treat each other. We work hard to foster an inclusive and positive environment where our associates feel valued, connected, and empowered. We live up to this promise through:

• Strong emphasis on teamwork—our associates feel connected to each other and our mission as an organization. In return, our effective team environment generates positive patient outcomes and high associate satisfaction ratings that exceed the national benchmark.
• Strategic focus on equity, inclusion, & diversity—we are committed to equity for all people and communities. We continue to build a diverse and inclusive workplace where people feel a sense of belonging and the ability to contribute to equitable care delivery and improved community health outcomes at all levels of the organization.
• Comprehensive total rewards package—including competitive pay, generous paid time off, great health and wellness benefits, retirement savings, education assistance, and so much more.
• More career opportunities closer to home—as the largest healthcare provider in the Baltimore-Washington, D.C. region, there are countless opportunities to grow your career and fulfill your aspirations.

About MedStar Health
MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 32,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It’s how we treat people.

MedStar Health is an Equal Opportunity (EO) Employer and assures equal opportunity for all applicants and employees. We hire people to work in different locations, and we comply with the federal, state and local laws governing each of those locations. MedStar Health makes all decisions regarding employment, including for example, hiring, transfer, promotion, compensation, benefit eligibility, discipline, and discharge without regard to any protected status, including race, color, creed, religion, national origin, citizenship status, sex, age, disability, veteran status, marital status, sexual orientation, gender identity or expression, political affiliations, or any other characteristic protected by federal, state or local EO laws. If you receive an offer of employment, it is MedStar Health's policy to hire its employees on an at-will basis, which means you or MedStar Health may terminate this relationship at any time, for any reason.