OP CDI EDUCATOR - Population Health

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This position assists the CDI team in meeting revenue, quality, and productivity goals and objectives by identifying opportunities for continuous quality improvement and knowledge advancement. Involved with testing and education on system upgrades and new system implementations. Conducts regular quality audits within the CDI Specialists group to ensure consistency and compliance with state and national standards.

Minimum Qualifications

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

• Must have one of the following Education and Certification Qualifications:
• Graduate of Health Information Technology (HIT) or equivalent program with RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) AND Seven (7) years’ experience in inpatient acute care hospital coding OR;
• Current West Virginia Licensed Registered RN (RN) AND Seven (7) years clinical experience in acute care setting OR;
• Current West Virginia Licensed Practical Nurse (LPN) AND Eight (8) years of clinical experience in acute care setting OR
• High School Diploma or Equivalent AND CCS (Certified Coding Specialist) AND Seven (7) years of experience in inpatient acute care hospital coding OR;
• One of the above credentials AND Five (5) years of CDI experience OR;
• High school diploma or equivalent AND Ten (10) years of clinical documentation improvement experience.
• Must have the CDIP (Certified Documentation Improvement Practitioner) OR CCDS (Certified Clinical Documentation Specialist) within One (1) year of hire.
• Obtain Certified Clinical Documentation Specialist Outpatient (CCDS-O) within 17 months of hire.
  
  

Preferred Qualifications

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

• Bachelor’s Degree in Health Information Management, or Nursing, or other related healthcare field.
• Certified Clinical Documentation Specialist Outpatient (CCDS-O).
  
  

Experience

• Previous supervisory or project management experience preferred.
  
  

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Responsible for planning, development, and implementation of clinical documentation education program for providers, APPs, and clinical staff. Assists individual and group education sessions on documentation improvement initiatives to department chairs, providers, APPs, and other clinical staff. Assists with new provider onboarding sessions to provide education and training resources related to Inpatient and Outpatient CDI.
• Provides ongoing education to the CDI Specialists team on documentation guidelines, regulations, and chart review functions in order to meet and maintain organizational goals and objectives, regulatory compliance, policies and procedures, and personnel management.
• Serves as mentor and key educator for CDI Specialists team and develops CDI apprenticeship/orientation program to include auditing, mentoring and education modules.
• Responsible analyzing data to ascertain where stronger education for providers and staff.
• Serves as expert CDI resource to clinical documentation improvement specialists, coders,, revenue cycle, and other specialty groups and meetings.
• Promotes compliance with CMS, Medicare documentation, third party payers, LCDs, NCDs and coding and billing regulations.
• Participates in the processes to assess and improve the services provided and compliance with regulatory requirements. Reports results assessment and improvement processes to the appropriate administrative levels.
• Conducts facilitation of quarterly quality assurance audits to ensure CDI workflow meets quality performance, improvement standards. Works closely with CDI Manager on education opportunities in areas of need.
• Acts as Super user for all CDI-related EHR Systems necessary for complete an accurate documentation and EMR Data Governance. Updates policies and procedures for those areas of responsibility. In-services appropriate staff regarding changes in these areas.
• Continually communicates with CDI Staff, CDI leadership, Coding leadership team, Medical Staff, Medical Director, Physician Advisors, Department Chairman, Department Administrators, and Population Health.
• Works closely with CDI specialists to identify areas of non-specific documentation and improve documentation templates in support of clinical protocols.
  
  

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to sit for long periods of time.
• Must have visual and hearing acuity within the normal range.
• Must have manual dexterity needed to operate computer and office equipment.
  
  

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Standard office environment.
• May be exposed to standard patient care environment.
• Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
• May require travel.
  
  

Skills And Abilities

• Must possess excellent written and verbal communication skills, as well as interpersonal skills necessary to communicate effectively.
• Must possess the knowledge of related provider healthcare compliance, revenue cycle operations, and auditing techniques required.
• Must possess the ability to mentor, educate and train others.
• Must meet quality and productivity standards.
• Must be able to handle high stress and critical situations in a calm and professional manner.
• Must be able to concentrate and maintain accuracy during constant interruptions.
• Must possess independent decision-making ability.
• Must possess the ability to prioritize job duties.
• Must be able to adapt to changes in the workplace and work assignments.
• Must possess organizational and time management skills.
• Must possess the knowledge of anatomy, physiology and medical terminology.
• Must possess analytical and problem solving skills.
• Must be proficient in office software programs.
• Must possess the ability to analyze complex data and reports.
  
  

Additional Job Description

Scheduled Weekly Hours:

40

Exempt/Non-Exempt

Shift:

United States of America (Exempt)

Company

SYSTEM West Virginia University Health System

Cost Center

415 SYSTEM Population Health Management