Remote Hcc Auditor Jobs (NOW HIRING)

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! 
JOB SUMMARYThe Clinical Documentation Integrity (CDI) Audit-Educator primary responsibilities are to audit inpatient University of Texas Southwestern Medical Center (UTSW) hospital medical records for clinical documentation accuracy. Audits will be in accordance with current CDI Guidelines for compliant documentation, and organizational, departmental, and regulatory requirements. The CDI Audit -Educator is identified as the CDI subject matter expert based on education, training, and experience and as such will receive assignments in accordance with that level of expertise. Additionally, the CDI Audit- Educator may be asked to mentor and proctor employees.

• ESSENTIAL FUNCTIONS
• Job Duties

  • Identify educational opportunities by auditing inpatient accounts in compliance with Clinical Practice guidelines, ACDIS, and the ACDIS/AHIMA Query Brief, as well as compliance with organizational, departmental, and regulatory requirements

  • CDI audits will be specific to query compliance, risk adjustments variables, clinical substance, worksheet basics, PDx, POA, etc.

  • CDI audits will include -

  • a. Identify when a physician query is appropriate for further clarification and missed query opportunities

  • b. Recognize when the documentation is unclear, missing, or incomplete and recommends appropriate action

  • c. Identify opportunities to risk adjust for clinical substance to accurately reflect the highest level of acuity as appropriate -

  • i. Secondary diagnoses; i.e. CC/MCC's, POA status, Severity of Illness & Risk of Mortality, Vizient, Elixhauser and HCC risk variables.

  • Prepare and provide educational feedback to individuals and if relevant to the entire CDI and/or Coding Teams

  • Research and prepare educational tutorials and submit to ACDIS for approval to provide Continuing Education Units (CEUas) for the attendees.

  • Support the Quality Standards set by UTSW.

  • Mentor/train as requested to ensure quality

  • Maintains an expert level of knowledge of CDI and/or Coding related guidelines and practices.

  • Other duties as assigned

• QUALIFICATIONS
• Education and Experience
• Required
  • Experience3 years of acute hospital-based CDI experience An equivalent combination of education and experience may be considered
  • Licenses and Certifications(RN) REGISTERED NURSE and(CCDS) Cert Clinical Documentation or(CDIP) CERT DOCUMNTATN IMPROVMNT PRAC
• Preferred
  • EducationBachelor's Degree
  • ExperiencePrevious experience in an Academic environment Experience working in a remote environment
• Knowledge, Skills and Abilities

  • Work requires strong analytical and critical thinking skills.

  • Work requires excellent customer service, interpersonal, and communication skills (verbal and written).

  • Work requires organizational skills along with a high level of accuracy and attention to detail.

  • Work requires ability to report and problem solve using discretion, judgment, and professionalism.

  • Work requires ability to handle multiple tasks, show initiative, and adjust to changes as appropriate under a stressful environment.

  • Work requires ability to perform in a conservative, fast-paced, and quality driven environment.

  • Work requires ability to comprehend, understand, and follow established policies, procedures, and other guidelines of some complexity.

  • Work requires self-motivation, maturity, and being a team player.

• PACT STATEMENT

  • The following is the acronym, "PACT", and is fundamental to all non-clinical positions at UT Southwestern Medical Center:

• P-Problem Solving: Employees take ownership in solving problems effectively, efficiently, and to the satisfaction of customers, or managers. They show initiative in addressing areas of concern before they become problems.
• A-Ability, Attitude and Accountability: Employees exhibit ability to perform their job and conduct themselves in a professional and positive manner reflecting a professional environment readily assuming obligations in a dependable and reliable manner.
• C-Communication, Contribution, and Collaboration: Who are our Customers? Anyone who requests our help, needs our work product, or receives our services. Employees focus on customer service with creative solutions while improving the customer experience through clear, courteous, and timely delivery and communication. Sharing ideas with others helps expand our contribution to department goals.
• T-Teamwork: Employees work to contribute to the department's success by supporting co-workers, promoting excellence in work product and customer service, and in maintaining a satisfying, caring environment for each other.
• SalarySalary Negotiable
• Security
• This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
• EEO Statement
• UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.