Clinical Documentation Quality Coordinator

Additional Information About The Role

BJC HealthCare is seeking a Clinical Documentation Quality Coordinator to join their team!

Overview

Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-J Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.

Role Purpose

The Clinical Documentation Quality Coordinator (CDQC) is an advanced Clinical Documentation Specialist (CDS) at the enterprise level who uses extensive Clinical Documentation Improvement (CDI) experience to perform second level reviews of complex clinical cases and focused reviews of target case populations prior to final coding and billing across BJC. The CDQC responds to concurrent review requests from CDSs across the system, provides guidance to CDSs and coders to reconcile DRG mismatches, approves the withdrawal of queries, and escalates unanswered queries to Physician Champions. Drawing on his/her advanced CDI knowledge, the CDQC regularly analyzes data and reports to identify hospital/enterprise trends, areas of opportunity and provides education to facility-based CDSs and physicians based on this analysis. This position also performs focused second level reviews in mortality reviews, PSI reviews, and other identified projects indicated through data analysis.

Responsibilities

• Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician’s clinical documentation; identifies high impact cases and risk areas and performs second level reviews for additional opportunities on complex cases;
• Performs post-discharge, pre-bill reviews of target case populations;
• Queries physicians for additional documentation;
• Validates the appropriateness of coder (CDC I, I & III) requests;
• Responds to Coding Quality Coordinators (CQCs) requests for review from a clinical perspective;
• Assists with query escalation to the Physician Champions.

Minimum Requirements

• Education: Bachelor's Degree
• Nursing Experience: 5-10 years

Benefits And Legal Statement

BJC Total Rewards At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being. Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date. Disability insurance* paid for by BJC. Annual 4% BJC Automatic Retirement Contribution. 401(k) plan with BJC match. Tuition Assistance available on first day. BJC Institute for Learning and Development. Health Care and Dependent Care Flexible Spending Accounts. Paid Time Off benefit combines vacation, sick days, holidays and personal time. Adoption assistance.

To Learn More, Go To Our Benefits Summary. Not all benefits apply to all jobs.

Equal Opportunity Employer