VCU Health System's Clinical Documentation Improvement department is seeking a full time Clin Doc Review Educator. This position will develop education and coding quality improvement initiatives for the Coding and CDI Departments at Virginia Commonwealth University Health System (VCUHS), as well as the Physician Advisor team. Analyze, review, and resolve coding and documentation issues through education initiatives that are related to reimbursement, compliance, and revenue enhancement
Develop and facilitate presentations, seminars, and workshops
Applies all standards for electronic information data gathering
Utilizes coded data generated by coding and CDI operations to develop education tailored around mandated reporting, quality measurement(s), compliance, reimbursement and other purposes.
Collaborates with CDI Auditor to ensure consistent communication of coding quality issues & develop collaborative Coding and CDI education based on audit trends
Develops and educates based on current changes in coding guidelines, compliance, reimbursement, and other relevant regulatory updates.
Develops and coordinates education and training that focuses on Risk Adjustment coding and documentation opportunities.
Educates coding and CDI team members in becoming progressively more proficient, independent, and accurate in their work.
Utilizes variety of methods to deliver educational content, such as direct provider collaboration, power point presentations, teleconferences and webinars.
Stays abreast of the latest developments, advancements and trends in the field of clinical documentation improvement, coding compliance, billing, and reimbursement by attending seminars/workshops, reading professional journals and actively participating in professional organizations.
Bachelor's Degree in Nursing from an accredited School of Nursing
Current RN licensure in Virginia or eligible and Clinical Documentation Improvement Professional (CDIP) or Certified Clinical Documentation Specialist (CCDS)
Along with one or more of the following:
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS), or Certified Coding Associate (CCA) by the American Health Information Management Association (AHIMA), with ability to acquire CCS Certification within 2 years of date of hire or Certified Inpatient Coder (CIC) or Certified Healthcare Auditor (CHA)
Minimum of three (3) years of clinical experience
Knowledge of HSCRC and CMI impact on hospital reimbursement and fluent in clinical documentation improvement
Advanced knowledge of: Inpatient and Outpatient Coding ICD-10 CM/PCS, APR-DRGs, MS-DRGs, and CPT Codes
Previous experience in adult education and training and in curriculum development
Strong knowledge and understanding of Hospital bylaws and Joint Commission standards related to departmental activities Advanced level experience with windows based software applications (Microsoft Word, Excel, PowerPoint, and Outlook), encoder software and e-mail applications
Knowledge of Health Information Security and Privacy standards
Master's Degree in Nursing
Five (5) years previous Health Information Management (HIM) including Inpatient and Outpatient coding and auditing
Five (5) years previous Clinical Documentation Improvement (CDIP) experience.
Previous experience in Cerner Power Chart, 3M 360, 3M HDM and Share Point
Previous experience with development of online or web based applications such as: Adobe Captivate, Health Stream or Learning Modules
Cross organizational experience presenting industry relevant education pertaining to documentation and coding compliance initiatives
Five plus (5 +) years' training experience within an academic integrated health care system in coding, auditing, clinical documentation improvement , and education development and delivery
Qualified applicants will receive consideration for employment without regard to their protected veteran or disability status.