UT Southwestern Medical Center
Overview
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CDI Audit Educator RN
role at
UT Southwestern Medical Center . Job Summary
The CDI Audit/Educator's primary responsibilities are to audit inpatient and/or outpatient hospital medical records for coding accuracy, provide individual educational feedback, and identify educational trends/opportunities for the Coding and CDI Team. Research and prepare educational tutorials and submit to AHIMA for CEU approval. Reviews are in accordance with current coding guidelines and regulatory requirements. The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert and may mentor employees at the Coding Specialist I, II, and III levels. Responsibilities
Identify educational opportunities by auditing inpatient and/or outpatient accounts in compliance with the Official Coding/CDI, and UHDDS Guidelines and conventions, and in compliance with organizational, departmental, and regulatory requirements. CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance, worksheet basics, etc. Prepare and provide educational feedback to individuals and, if relevant, to the entire Coding and/or CDI Teams. Research and prepare educational tutorials and submit to AHIMA/ACDIS for approval to provide Continuing Education Units (CEUs) for the attendees. Accurately audits records for the most appropriate Principal Diagnosis, DRG, Reason for Visit, Procedures, and all reportable secondary diagnoses to accurately reflect the highest level of acuity as appropriate; i.e. CC/MCCs, POA status, Severity of Illness & Risk of Mortality, Vizient, Elixhauser and HCC risk variables. Accurately audits abstracting for required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), and other designated data. Identifies when a physician query is appropriate for further clarification. Recognizes when the documentation is missing or incomplete and recommends appropriate action. Support the Quality Standards set by UTSW. Mentor/train on designated service lines as requested to ensure quality. Maintains an expert level of knowledge of Coding and/or CDI related guidelines and practices. Other duties as assigned. Qualifications
Experience 3 years acute hospital-based Coding or CDI experience, relative to the primary work area. An equivalent combination of education and experience may be considered. Licenses and Certifications: RN (Registered Nurse) required if primary work area is CDI. Additional credentials such as RHIA, RHIT, CCS, CPC, CCDS, COC may be considered. Preferred
Education: Associate's Degree in Health Information Management and/or closely related field, or Bachelor's Degree in Health Information Management and/or closely related field. Experience: Experience working in a remote environment. Licenses and Certifications: AHIMA-Approved I10 Trainer Certification. Job Duties
Prepare and maintain an educational program by auditing inpatient and/or outpatient accounts in compliance with Official Coding/CDI and UHDDS guidelines, and organizational requirements. Identify educational opportunities and provide feedback to individuals and teams. Research and prepare educational tutorials and submit to AHIMA/ACDIS for CEU approval. Mentor and proctor as needed to ensure coding/CDI quality and accuracy. Maintain current knowledge of Coding/CDI guidelines and practices. Other duties as assigned. Security and EEO
Security: This position is security-sensitive and subject to Texas Education Code 51.215. To the extent this position requires access to critical infrastructure, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification. EEO Statement: UT Southwestern Medical Center is an equal opportunity employer. UT Southwestern prohibits unlawful discrimination based on race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Location and Job Details
Primary Location: Texas-Dallas-5323 Harry Hines Blvd Work Locations: 5323 Harry Hines Blvd Job: Administrative/Clerical Organization: 844002 - HIM Coding and CDI Schedule: Full-time Shift: Day Job Employee Status: Regular Job Type: Standard
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Join to apply for the
CDI Audit Educator RN
role at
UT Southwestern Medical Center . Job Summary
The CDI Audit/Educator's primary responsibilities are to audit inpatient and/or outpatient hospital medical records for coding accuracy, provide individual educational feedback, and identify educational trends/opportunities for the Coding and CDI Team. Research and prepare educational tutorials and submit to AHIMA for CEU approval. Reviews are in accordance with current coding guidelines and regulatory requirements. The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert and may mentor employees at the Coding Specialist I, II, and III levels. Responsibilities
Identify educational opportunities by auditing inpatient and/or outpatient accounts in compliance with the Official Coding/CDI, and UHDDS Guidelines and conventions, and in compliance with organizational, departmental, and regulatory requirements. CDI audits specific to PDx, POA, query compliance, risk adjustments variables, clinical substance, worksheet basics, etc. Prepare and provide educational feedback to individuals and, if relevant, to the entire Coding and/or CDI Teams. Research and prepare educational tutorials and submit to AHIMA/ACDIS for approval to provide Continuing Education Units (CEUs) for the attendees. Accurately audits records for the most appropriate Principal Diagnosis, DRG, Reason for Visit, Procedures, and all reportable secondary diagnoses to accurately reflect the highest level of acuity as appropriate; i.e. CC/MCCs, POA status, Severity of Illness & Risk of Mortality, Vizient, Elixhauser and HCC risk variables. Accurately audits abstracting for required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), and other designated data. Identifies when a physician query is appropriate for further clarification. Recognizes when the documentation is missing or incomplete and recommends appropriate action. Support the Quality Standards set by UTSW. Mentor/train on designated service lines as requested to ensure quality. Maintains an expert level of knowledge of Coding and/or CDI related guidelines and practices. Other duties as assigned. Qualifications
Experience 3 years acute hospital-based Coding or CDI experience, relative to the primary work area. An equivalent combination of education and experience may be considered. Licenses and Certifications: RN (Registered Nurse) required if primary work area is CDI. Additional credentials such as RHIA, RHIT, CCS, CPC, CCDS, COC may be considered. Preferred
Education: Associate's Degree in Health Information Management and/or closely related field, or Bachelor's Degree in Health Information Management and/or closely related field. Experience: Experience working in a remote environment. Licenses and Certifications: AHIMA-Approved I10 Trainer Certification. Job Duties
Prepare and maintain an educational program by auditing inpatient and/or outpatient accounts in compliance with Official Coding/CDI and UHDDS guidelines, and organizational requirements. Identify educational opportunities and provide feedback to individuals and teams. Research and prepare educational tutorials and submit to AHIMA/ACDIS for CEU approval. Mentor and proctor as needed to ensure coding/CDI quality and accuracy. Maintain current knowledge of Coding/CDI guidelines and practices. Other duties as assigned. Security and EEO
Security: This position is security-sensitive and subject to Texas Education Code 51.215. To the extent this position requires access to critical infrastructure, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification. EEO Statement: UT Southwestern Medical Center is an equal opportunity employer. UT Southwestern prohibits unlawful discrimination based on race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status. Location and Job Details
Primary Location: Texas-Dallas-5323 Harry Hines Blvd Work Locations: 5323 Harry Hines Blvd Job: Administrative/Clerical Organization: 844002 - HIM Coding and CDI Schedule: Full-time Shift: Day Job Employee Status: Regular Job Type: Standard
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