RN Educator, Clinical Documentation Integrity - Must Reside in Colorado

About the role

We are recruiting for a mission-driven RN Educator, Clinical Documentation Integrity - Must Reside in Colorado to join our team! At Denver Health, purpose isn’t just something we believe in—it’s something we live every day, for life’s journey.

Responsibilities

• Facilitate improvement in the overall quality, completeness, and accuracy of the medical record documentation through the education and training of the Clinical Documentation Integrity team and through extensive audit investigation, clinical criteria research, and data analysis.
• Develop and deliver a formalized CDI orientation process, leveraging industry-endorsed content, adult learning methodologies, and subject matter expertise to train new team members.
• Develop and perform an internal auditing process in partnership with the CDI Manager to validate query compliance and surface educational opportunities to inform the CDI continuing education plan.
• Educate providers, coders, and the CDI team regarding clinical documentation concepts, health data, quality outcomes, and compliance regulations.
• Partner with the Revenue Integrity and Compliance teams to support the appeal and education processes related to coding and documentation related denials.
• Inform new technology projects impacting CDI workflows, provider queries, and overall CDI program outcomes.

Requirements

• Bachelor's Degree Nursing or related field (or Associates Degree with equivalent level of additional experience)
• 7-9 years of nursing experience with at least 2 years in an acute care setting
• 1-3 years of CDI, clinical coding, DRG coordination, Medicare/Medicaid reimbursement experience

Qualifications

• Strong communication skills in order to successfully communicate complex ideas across different groups and educate on areas of needed improvement.
• Ability to act as a translator between clinical and non-clinical teams.
• Ability to work collaboratively with diverse groups and to effectively persuade and lead individuals/groups toward consensus.
• 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.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Proficient with multi-platform computer software and applications in order to utilize tools appropriately to track, analyze, calculate, and summarize data and qualitative findings.
• Knowledge of ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Coding Clinics, and other guiding references for coding accuracy and compliance.
• Knowledge of quality measures, patient safety indicators, value based purchasing, risk adjustments, mortality scoring, hospital acquired conditions, CMS 5 star, and external publicly reported quality metrics.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of CMS Medicare, Medicaid, Managed Care and Commercial health plan billing, reimbursement and regulations.
• Knowledge of quality measures, patient safety indicators, value based purchasing, risk adjustments, mortality scoring, hospital acquired conditions, CMS 5 star, and external publicly reported quality metrics.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and other publications guiding ethical and legal practices of CDI.
• Knowledge of compliance, practice briefs, white papers, and