RN - Registered Nurse - Clinical Documentation Improvement Educator

Job Duties

• Mentor, educate and train CDI to effectively and accurately onboard new staff to the CDI role.
• Monitor and evaluate reviews of select records for opportunity and accurate capture of patient acuity, severity of illness, risk of mortality, quality measure and metric support, and DRG assignment in compliance with industry rules and regulations, for completeness and accuracy of the medical record.
• Monitor and provide feedback to the CDI team to ensure clinically credible, effective, and compliant practices.
• Tract and analyze trends to ascertain where stronger education is needed for both providers and staff.
• When documentation opportunity is identified, provide feedback to CDIS and monitor to determine if learning occurred and if it’s a departmental trend.
• If provider opportunity identified, collaborate with leadership and physician advisors.
• If coding opportunity is identified, coordinate with coder and/or Coding Manager to review and address opportunity, as applicable.
• Collaborate with Second Level Reviewers to identify opportunity trends and develop relevant training/education.
• Conduct individual and large group educational sessions for all CDIS and/or providers.
• Working closely with CDIS, identify areas of non-specific documentation and improve documentation and query templates in support of clinical treatment protocols.
• Collaborate with CDI managers, director, and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, documentation tip sheets, and other training programs/resources.
• Maintain a summary of opportunities identified for feedback and education with the CDS team and reviews with managers and director regularly.

Requirements

• A Bachelor's Degree in Nursing (BSN) is strongly preferred, plus 5 years RN work experience.
• One of the following certifications is required and must be already completed at the time of application:
• Certified Clinical Documentation Improvement Practitioner (CDIP)
• Certified Clinical Documentation Specialist (CDS)

Qualifications

• Minimum of 6 years-Clinical (Required)
• Certified Clinical Documentation Specialist - Default Issuing Body
• Certified Clinical Documentation Practitioner - Default Issuing Body
• Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania

Skills

• Collaborative
• Communicator
• Compassionate
• Problem-solver
• Team Player
• Trustworthy

About the Role

We’re working to create a national model for improving health. Today, we’re focused on bringing our region services that improve every facet of life to drive total health, inside and out. Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact.

Position Details

Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Culture

Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. Our nurses treat each other with respect and compassion, embrace diversity and take time to connect and listen. We are led by five main values:

• Kindness
• Excellence
• Safety
• Learning
• Innovation

Success Profile

What makes a successful nurse at Geisinger? Check out the top traits we're looking for and see if you have the right mix.

About Geisinger

Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at geisinger.org or connect with us on Facebook, Instagram, LinkedIn and Twitter.

Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, pregnancy, genetic information, disability, status as a protected veteran, or any other protected category under applicable federal, state, and local laws.