Clinical Documentation & Integrity Auditor/Educator -- Remote | WFH - Get It Recruit - Educational Services
Houston, TX 77024
About the Job
W are dedicated to providing exceptional care and creating meaningful experiences for every individual in our community, including our valued team members. We understand that when our employees feel supported, respected, and empowered, they are inspired to go above and beyond in delivering outstanding service, while upholding principles of safety, compassion, personalization, and efficiency. If you're passionate about advancing your career and contributing to our mission of building healthier communities for present and future generations, we invite you to join our team.
Position Overview:
You will play a vital role in enhancing the quality, completeness, and accuracy of medical record documentation across our healthcare system. Through thorough audit investigations, educational initiatives, and data analysis, you will identify opportunities for improvement and provide guidance to ourteam. Reporting to the Quality/Education Manager, you will collaborate closely with colleagues and hospital clients to ensure our documentation practices meet the highest standards of excellence.
Key Responsibilities:
Conduct comprehensive audits of clinical documentation to ensure compliance and quality standards are met.
Track and analyze audit findings, providing insights and recommendations to management for continuous improvement.
Offer guidance and clarification to Clinical Documentation Specialists on areas needing enhancement in documentation.
Stay abreast of clinical and coding guidelines, particularly in an ICD-10 coding environment, and disseminate relevant updates to the team.
Develop and deliver training sessions to physicians and staff to strengthen documentation practices and improve accuracy in coding.
Collaborate with leadership to refine audit tools and update policies and procedures related to the audit function.
Participate in post-discharge documentation and coding audits as requested by hospital clients.
Adhere to organizational policies and standards, ensuring safe and efficient care delivery.
Foster a culture of continuous learning and professional development within the team.
Minimum Qualifications:
Bachelor's degree in Nursing (required); Master's degree in Nursing or Management (preferred).
Current State of Texas license or temporary/compact license to practice professional nursing.
Certified Clinical Documentation Specialist (CCDS) required; AHIMA ICD-10-CM/PCS Trainer certification preferred.
3-5 years of experience in Clinical Documentation Improvement.
Proficiency in MS Office Suite, particularly Word, Excel, and Outlook, and familiarity with 3M Coding and Reimbursement software.
Excellent communication, analytical, and problem-solving skills.
Strong organizational abilities with attention to detail.
Self-motivated, collaborative team player with the ability to prioritize tasks effectively.
Join Our Team:
If you are committed to making a positive impact on healthcare delivery and are driven by a passion for excellence, we encourage you to apply for this rewarding opportunity. Together, we can continue to elevate the standard of care and create meaningful experiences for every member of our community.
Employment Type: Full-Time
Salary: $ 45,000.00 55,000.00 Per Year
Position Overview:
You will play a vital role in enhancing the quality, completeness, and accuracy of medical record documentation across our healthcare system. Through thorough audit investigations, educational initiatives, and data analysis, you will identify opportunities for improvement and provide guidance to ourteam. Reporting to the Quality/Education Manager, you will collaborate closely with colleagues and hospital clients to ensure our documentation practices meet the highest standards of excellence.
Key Responsibilities:
Conduct comprehensive audits of clinical documentation to ensure compliance and quality standards are met.
Track and analyze audit findings, providing insights and recommendations to management for continuous improvement.
Offer guidance and clarification to Clinical Documentation Specialists on areas needing enhancement in documentation.
Stay abreast of clinical and coding guidelines, particularly in an ICD-10 coding environment, and disseminate relevant updates to the team.
Develop and deliver training sessions to physicians and staff to strengthen documentation practices and improve accuracy in coding.
Collaborate with leadership to refine audit tools and update policies and procedures related to the audit function.
Participate in post-discharge documentation and coding audits as requested by hospital clients.
Adhere to organizational policies and standards, ensuring safe and efficient care delivery.
Foster a culture of continuous learning and professional development within the team.
Minimum Qualifications:
Bachelor's degree in Nursing (required); Master's degree in Nursing or Management (preferred).
Current State of Texas license or temporary/compact license to practice professional nursing.
Certified Clinical Documentation Specialist (CCDS) required; AHIMA ICD-10-CM/PCS Trainer certification preferred.
3-5 years of experience in Clinical Documentation Improvement.
Proficiency in MS Office Suite, particularly Word, Excel, and Outlook, and familiarity with 3M Coding and Reimbursement software.
Excellent communication, analytical, and problem-solving skills.
Strong organizational abilities with attention to detail.
Self-motivated, collaborative team player with the ability to prioritize tasks effectively.
Join Our Team:
If you are committed to making a positive impact on healthcare delivery and are driven by a passion for excellence, we encourage you to apply for this rewarding opportunity. Together, we can continue to elevate the standard of care and create meaningful experiences for every member of our community.
Employment Type: Full-Time
Salary: $ 45,000.00 55,000.00 Per Year
Source : Get It Recruit - Educational Services