Jobs · Healthcare · New York

Clinical Document Educator

University of Rochester · Rochester, New York Metropolitan Area · 1 mo ago
Healthcare$85k–$118k/yrFull-time

Responsibilities

  • Partners with departmental leadership to plan, develop, and implement comprehensive clinical documentation integrity (CDI) education programs for clinical documentation specialists and providers across URMC.
  • Provides orientation oversight for new hires.
  • Affords subject matter expertise in CDI best practices and has a comprehensive understanding of quality metrics and regulatory guidelines.
  • Works in collaboration with CDI management, Quality and providers to support the mission, vision, and goals of the CDI Program.

Requirements

  • Minimum Education & Experience: Bachelor's degree in Nursing (BSN), 5 years of acute clinical experience and 4 years of CDI experience required OR Bachelor's degree or Master's degree in a relevant clinical discipline: Prepared Physician Assistant (PA) or Nurse Practitioner (NP) or Bachelor of Medicine, Bachelor of Surgery (MBBS) or Doctor of Medicine/Osteopathic Medicine (MD/DO) required.
  • Knowledge, Skills & Abilities: Strong knowledge of medical coding systems, particularly ICD-10-CM/PCS and CPT, including an understanding of coding guidelines, DRG (Diagnosis-Related Group) assignment, and the impact of documentation on reimbursement and quality metrics required. Hospital databases: EPARC, eRecord, SharePoint, Iodine, 3M preferred.
  • Licenses And Certifications: RN - Registered Nurse - State Licensure and/or Compact State Licensure Current RN License in NYS upon hire required, or NP - Nurse Practitioner – Licensed Current NP License in NYS upon hire required, or PA - Physician Assistant Current PA License in NYS upon hire required, or MD - Physician - State Licensure Current MD License in NYS upon hire required, or DO - Doctor of Osteopathy Current DO License in NYS upon hire required. CDS - Clinical Documentation Specialist upon hire required. CDIP - Clinical Documentation Improvement Professional upon hire required.

Qualifications

Consistently models ICARE values in interactions with internal and external customers. Maintains awareness of hospital and departmental improvement goals and participates in data collection. Collaborates with the Quality Department to review and prioritize CDI opportunities to improve quality metrics and to trend the quality metrics most impacted by documentation (PSI, CMS, CMI, and Vizient data).

Skills

Maintains current expertise in clinical documentation, compliance standards, and emerging trends through participation in workshops, conferences, in-services, and active membership in Association of Clinical Documentation Integrity Specialists (ACDIS), applying this knowledge to strengthen departmental performance and educational initiatives.

Benefits

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

Pay

$84,557.00 - $118,380.00

Schedule

UR - Day (United States of America)

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