RN Educator, Clinical Documentation Integrity

Role Overview

• Facilitate improvement in the overall quality, completeness, and accuracy of medical record documentation
• Educate and train of the Clinical Documentation Integrity team through extensive audit investigation, clinical criteria research, and data analysis
• Develop and deliver a formalized CDI orientation process
• Draft and submit written queries to providers to clarify documentation
• Collaborate with Coding, HIM, Patient Safety and Quality, Enterprise Compliance Services, and Revenue Integrity
• Perform complex clinical documentation of designated patient records to assess accuracy
• Develop and perform an internal auditing process in partnership with the CDI Manager to validate query compliance
• Educate providers, coder, and CDI team regarding clinical documentation concepts, health data, quality outcomes, and compliance regulations.

Requirements

• Bachelor's Degree Nursing or related field (or Associates Degree with equivalent level of additional experience) Required
• 7-9 years of nursing experience with at least 2 years in an acute care setting Required
• 1-3 years of CDI, clinical coding, DRG coordination, Medicare/Medicaid reimbursement experience. This experience can be included in the 7-9 years above. Required
• 1-3 years of experience in education or supervisory experience preferred
• RN-Registered Nurse
• DORA
• Department of Regulatory Agencies Required
• Knowledge of clinical criteria, pathophysiology, evidence-based practice and the ability to stay current on new trends in medical treatment.
• Ability to articulate concepts to physicians and other health care professionals in an effort to educate on clinical documentation requirements.
• Must be able to demonstrate clinical expertise in areas of urgent/emergent, medical/surgical, obstetrical, pediatric, and ambulatory care.
• Knowledge of CMS Medicare, Medicaid, Managed Care and Commercial health plan billing, reimbursement and regulations.
• Knowledge including but not limited to, value-based purchasing, bundled payments, accountable care organizations and readmission reduction program, and public reporting of quality outcomes.

Benefits

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Generous medical, dental, vision plans in addition to employer paid disability and life insurance.
• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer