At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America’s Best Large Employers and America’s Best Employers for Women, Computerworld magazine’s list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time’s Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet® designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer center by Newsweek and have been nationally ranked by U.S. News & World Report since 1999.
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer. Join our committed team and help shape the future we envision.
Summary
Position Highlights:
The CLINICAL DOCUMENTATION AUDITOR AND EDUCATOR will drive improvements across the organization in the quality, completeness, and accuracy of medical record documentation through comprehensive audits, educational initiatives, and data analysis. This role will focus on identifying patterns, trends, and opportunities for the CDI team and the Clinical Documentation Second Level Reviewer across all acute care facilities, aiming to enhance documentation accuracy and outcomes.
The CLINICAL DOCUMENTATION AUDITOR AND EDUCATOR will also perform large-scale retrospective audits at the request of hospital clients and provide education to clinical providers.
This position reports to the CDI Manager and works independently meeting deadlines with minimal supervision
Responsibilities:
- Quality review and Audits
- Education and training
- Data Analysis
- Reconciliation
- Perform other duties as assigned.
Credentials and Experience:
- Bachelor's Degree in Nursing, HIM, or another Healthcare related field
- A minimum eight (8) years acute clinical care experience
- AND A minimum one (1) year as a clinical documentation integrity auditor experience
- OR
- A minimum eight (8) years Clinical Documentation Integrity experience
- AND A minimum one (1) year as a clinical documentation integrity auditor experience
- Any (one) of the following certifications is required
- *in lieu of a certification listed above, an (active) RN will satisfy the certification requirement
Certification:
Any "one" of the following certifications is required upon hire:
- (CCDS) Certified Clinical Documentation Specialists from ACDIS
- (CDIP) Certified Documentation Integrity Practitioner from AHIMA
- (CDEI) Certified Documentation Expert Inpatient from AAPC
Minimum Skills/Specialized Training Required:
- ICD-10-CM and ICD-10-PCS coding and query process knowledge
- Ability to recognize opportunities for documentation improvement, and hold collaborative discussions with providers to address the opportunities in documentation.
- Proficient in computer skills including: MS Office, Optum 360 eCAC, Cerner EHR
- Organized, analytical, superior interpersonal and writing skills
- Dependable, self-directed with critical thinking, problem solving, and deductive reasoning
- Knowledge of healthcare regulatory environment
- Understand and support clinical documentation management strategies
- Must be flexible to accommodate clinician schedules
- Knowledge of Medicare, Medicaid and Commercial payers regulations, charging and coding guidelines
- Knowledge of Case Mix Index and how it is influenced
Preferred Experience
- 4 years' experience in oncology
Preferred Skills/Specialized Training
- Extensive ICD-10-CM, ICD-10-PCS coding knowledge and extensive knowledge of query process.