844004 Clin Documentation Integrity

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 SUMMARY
Works under general supervision of the CDI Manager to act as a clinical subject matter expert, mentor, and liaison for the CDI, Coding, and Quality teams by performing second-level reviews on inpatient University of Texas Southwestern Medical Center (UTSW) hospital medical records for clinical documentation accuracy. Conducts second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The CDI Coordinator manages various post-discharge, pre-bill work queues, evaluates potential Patient Safety Indicators (PSI), and responds to questions from the CDI team on concurrent patients.
BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION
Required

• Experience
  3 years acute care Hospital-based nursing experience, preferred in critical care; and
  3 years of experience working in a Clinical Documentation Integrity program; and
  Comprehensive knowledge of ICD10 CM/PCS, ability to identify the gaps between clinical documentation and coding; and
  Experience developing and delivering education on clinical documentation and coding guidelines to CDI and Coding Teams.
• Licenses and Certifications
  (RN) REGISTERED NURSE Upon Hire and
  (CCDS) Cert Clinical Documentation within 180 Days or
  (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC within 180 Days
Preferred
• Education
  Bachelor's Degree in Nursing
• Experience
  Preferable in academic environment
• Licenses and Certifications
  (CCS) CERT CODING SPECIALIST AHIMA Certified Coding Specialist (CCS) credential Upon Hire
JOB DUTIES
• Acts as a clinical subject matter expert, mentor, and liaison for the CDI Team. Assists with on-going education and training of staff.
• Identifies educational opportunities in reviewing medical records and provides education feedback to individuals and if relevant, to the Trainer/Educator and/or Audit/Educator for broader education to the CDI and/or Coding Teams.
• Performs second-level clinical reviews for high impact targeted metrics including, but not limited to targeted DRGs, DRG Mismatch, Compliance, and CDI quality.
• Performs clinical reviews of any potential PSIs for exclusions and escalates cases to the Physician Advisor when unable to exclude a PSI.
• Works collaboratively with, and is a liaison to other Departments, Leadership, Service Line Physician Champions, Physician Advisors, and other members of the Healthcare Team.
• Responsible for the concurrent physician query escalation process to support query completion prior to discharge.
• Demonstrates skill in prioritizing and performing a variety of duties within an environment where assignments, priorities, and deadlines change frequently.
• Demonstrates excellent written and verbal communication skills, critical thinking, decision making, and interpersonal skills. Proactively escalates risks and issues to CDI Leadership to ensure timely and effective resolution.
• Performs other duties as assigned.
SECURITY AND EEO STATEMENT
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