University of Rochester
Healthcare
ClinicalDocumentEducator
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Clinical Document Educator at University of Rochester. Skills: Clinical documentation, CDI education, Provider training. Partner with leadership to plan education programs. Develop CDI education programs”
What You'll Achieve.
Improve documentation practices; Improve provider clinical documentation; Ensure accurate clinical picture; Enhance staff knowledge; Enhance regulatory compliance; Enhance adoption of best practices; Strengthen departmental performance; Strengthen educational initiatives; Improve quality metrics; Trend quality metrics
Industry & Context.
Identify areas for improvement; Identify improvement areas
What They're Looking For.
Must Have
Bachelor's degree in Nursing, 5 years acute clinical experience, 4 years CDI experience, Bachelor's or Master's degree, Prepared Physician Assistant or Nurse Practitioner, Bachelor of Medicine, Bachelor of Surgery, Doctor of Medicine/Osteopathic Medicine, Equivalent combination of education and experience, knowledge of medical coding systems, understanding of coding guidelines, understanding of DRG assignment, understanding of documentation impact, Current RN License in NYS, Current NP License in NYS, Current PA License in NYS, Current MD License in NYS, Current DO License in NYS, CDS upon hire, CDIP upon hire
Nice to Have
EPARC, eRecord, SharePoint, Iodine, 3M experience
What You'll Do.
Partner with leadership to plan education programs
Develop CDI education programs
Implement CDI education programs
Provide orientation oversight for new hires
Assist with second-level mortality reviews
Serve as subject matter expertise in CDI best
Understand quality metrics
Understand regulatory guidelines
Work in collaboration with CDI management
Work in collaboration with Quality
Work in collaboration with providers
and goals of CDI Program
Serve as clinical resource for staff
Serve as clinical resource for ancillary departments
Review patient charts for documentation accuracy
Ensure documentation reflects severity of illness
Ensure documentation reflects intensity of service
Consider CMS guidelines
Assist with new policy/guidelines updates
Develop tracking tools for training
Maintain tracking tools for training
Work collaboratively to identify improvement areas
Direct training to enhance documentation practices
Develop annual education plan for staff
Develop annual education plan for providers
Work with Service Lines to educate providers
Work with Service Line Champions to educate providers
Educate on best practice documentation
Educate on quality-related topics
Plan education programs to improve provider documentation
Develop education programs to improve provider documentation
Implement education programs to improve provider documentation
Ensure accurate clinical picture of patient
Determine best strategies for disseminating information
Serve as resource to CDI
Serve as resource to Coding
Serve as resource to providers
Provide ongoing education to clinical care teams
Provide ongoing training to clinical care teams
Educate on current trends in clinical documentation
Identify areas for improvement
Design educational programs for CDI Specialists
Design educational programs for providers
Coordinate educational programs for CDI Specialists
Coordinate educational programs for providers
Deliver educational programs for CDI Specialists
Deliver educational programs for providers
Deliver individual educational sessions
Deliver large-group educational sessions
Enhance staff knowledge
Enhance regulatory compliance
Enhance adoption of industry best practices
Maintain current expertise in clinical documentation
Maintain current expertise in compliance standards
Maintain current expertise in emerging trends
Participate in workshops
Participate in conferences
Participate in in-services
Maintain active membership in ACDIS
Apply knowledge to strengthen departmental performance
Apply knowledge to strengthen educational initiatives
Ensure compliance with mandatory education requirements
Ensure compliance with departmental education requirements
Ensure compliance with RN licensure
Ensure compliance with other clinical licensure
Ensure compliance with CDS certification
Maintain awareness of hospital improvement goals
Maintain awareness of departmental improvement goals
Participate in data collection
Collaborate with Quality Department to review opportunities
Collaborate with Quality Department to prioritize opportunities
Trend quality metrics impacted by documentation
Participate in departmental meetings
Improve documentation templates
Support clinical treatment protocols
Facilitate ongoing relevance of orientation content
Facilitate ongoing relevance of educational materials
Facilitate ongoing relevance of documentation tip sheets
Facilitate ongoing relevance of training programs
Facilitate ongoing relevance of training resources
Assist with preparation of data for evaluation
Assist with preparation of reports for evaluation
Evaluate effectiveness of CDI program
Evaluate impact of CDI program
Present findings in departmental meetings
Present findings in oversight committees
Perform other duties as assigned
How You'll Work.
Team & Collaboration
Collaboration with CDI management; Collaboration with Quality; Collaboration with providers; Collaboration with Service Lines; Collaboration with Service Line Champions; Collaboration with CDI; Collaboration with Coding; Collaboration with Quality Department; Collaboration with leadership; Collaboration with other clinicians
Communication Scope
Disseminating information; Educational sessions
Full Job Description
As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. _**Job Location (Full Address):**_ 601 Elmwood Ave, Rochester, New York, United States of America, 14642 _**Opening:**_ Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 500009 Utilization Management Work Shift: UR - Day (United States of America) Range: UR URCB 216 Compensation Range: $84,557.00 - $118,380.00 _The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job 's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._ _**Responsibilities:**_ Partners with departmental leadership to plan, develop, and implement comprehensive clinical documentation integrity (CDI) education programs for clinical documentation specialists and providers across URMC. Provides orientation oversight for new hires. Assists with second-level mortality reviews as needed. Provides subject matter expertise in CDI best practices and has a comprehensive understanding of quality metrics and regulatory guidelines. Works in collaboration with CDI management, Quality and providers to support the mission, vision, and goals of the CDI Program. **Essential Functions:** * Serves as a clinical resource for staff and ancillary departments. Reviews patient charts to ensure the documentation accurately reflects the severity of illness and intensity of service with consideration of CMS guidelines. Assists with new policy/guidelines and/or updates annua
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