Jun 11, 2021

Licensed Practical Nurse, Family Medicine, Peachtree City, 8a to 5p

  • Emory Healthcare
  • Atlanta, GA, USA

Job Description

Lead CDI Specialist (RN), Clinical Documentation

Division
Emory Healthcare Inc.
Campus Location
Atlanta, GA, 30303
Campus Location
US-GA-Atlanta
Department
EHI Clinical Documentation Imp
Job Type
Regular Full-Time
Job Number
65314
Job Category
Nursing
Schedule
8a-5:30p
Standard Hours
40 Hours

Overview

At Emory Healthcare, we integrate science and caring to change the face of health care. Our team members are courageous individuals who are willing to challenge the status quo and help find solutions to complex problems. We’re empowered to influence change for, and with, our patients, their families, the community and each other.

As one of the leading academic medical systems, we’re eager to share what we learn with hospitals around the country, and the world. We’ve got the backing, knowledge, experience and permission to lead the way in developing new and better approaches to preventing and treating disease, and our patients get treatments years before anyone else.

We’re defining a new standard of care for humankind. Are YOU ready to join us?

Description

The shift of this position is 8am - 5:30pm

JOB DESCRIPTION:

  • The Lead CDI (Clinical Documentation integrity) Specialist works under the direction of the Assistant Director of Education and Analytics. He/she performs all requirements of the CDI Specialist Job Description.
  • In addition, this position is responsible for facilitating and coordinating the overall quality and completeness of clinical documentation through the application of evidence-based knowledge, analysis, in-depth review, interpretation, identification of opportunities, communication and consistent follow-up and evaluation of concurrent and retrospective (as required) medical record documentation reviews.
  • The Lead CDS interacts primarily with, but not limited to CDI staff, physicians, and health information coding staff to capture appropriate reimbursement and clinical severity for the level of service rendered to patients with a focus on DRG-based payers.
  • This role is vital in supporting the validity and accuracy of ICD-10 coding, MS-DRG, APR-DRG (SOI, ROM), PSI, POA, HAC assignment, mortality O/E ratios in compliance with all Federal and State coding regulations and reporting requirements.
  • The Emory Hospitals include the inpatient, Emory Johns Creek Hospital, Emory Saint Joseph¿s Hospital, Emory University Hospital, Emory University Hospital Midtown, Emory University Orthopedic and Spine Hospital, Emory Hillandale Hospital and Emory Decatur Hospital.
  • This responsibility includes participation in strategy development, education, implementation planning, execution to ensure department and organizational goals are met. This individual will mentor CDI staff, and facilitate appropriate clinical documentation to ensure that the overall quality, level of services, severity of illness, and acuity of care are accurately reflected in a complete medical record.
  • Develops and maintains strong working relationships with other leaders in the CDI, HIM Department, and Hospital. Demonstrates excellence in CDI.
  • Demonstrated ability to provide leadership. Assists with training and orientation of new employees.
  • Provides support to staff and serves as resource. Assists with data gathering and analysis of reports.
  • Monitors CDI compliance through quality audits and data analysis.
  • Trouble shoots CDIS and other computer problems. Demonstrates Skill in identifying problems and recommending solutions.
  • Participates in development and maintenance of CDI policies/guidelines in accordance with AHIMA Practice Briefs, Official coding Guidelines, ACDIS Standards and Coding Clinic.
  • Assists with/provides educational topics for program.

    MINIMUM QUALIFICATIONS:
  • Graduate of an accredited school of nursing.
  • Current licensure as a Registered Nurse in the state of Georgia. Must have a minimum of 3 years¿ experience in a leadership capacity, 5 years CDI.
  • CCDS or CDIP preferred or required within six months of hire date.