Clinical Documentation & Integrity Auditor/Educator - Remote | WFH - Get It Recruit - Healthcare
Houston, TX 77024
About the Job
We are seeking a passionate Clinical Documentation Improvement (CDI) Auditor Educator to join our dynamic team. In this role, you will play a pivotal part in enhancing the quality, completeness, and accuracy of medical record documentation across our entire system. Through meticulous audit investigations, education initiatives, and data analysis, you will identify patterns, trends, and opportunities for improvement. Reporting to the CDI Quality/Education Manager, you will collaborate closely with our dedicated CDI team to ensure accuracy and positive outcomes. Additionally, you will support large retrospective audits for our hospital clients and provide essential education to physicians when needed.
Job Description:
Applicants must meet the following minimum qualifications to be considered for this position:
Minimum Qualifications:
Education: Bachelor's degree in Nursing required; Master's Degree in Nursing or Management preferred.
Licenses/Certifications:
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 preferred.
Experience / Knowledge / Skills:
Three (3) to five (5) years of CDS experience.
Previous experience in CDIS auditing, education, or supervisory/management preferred.
Proficiency in MS Office (Word, Excel, Outlook) and 3M Coding and Reimbursement software; experience with Cerner EMR preferred.
Strong communication, analytical, and problem-solving skills.
Exceptional organizational skills with attention to detail.
Highly self-motivated with the ability to work independently and collaboratively.
Flexibility to multitask and prioritize workload effectively.
Principal Accountabilities:
Conduct audits and reviews of Clinical Documentation Specialists (CDIS) to ensure quality and compliance.
Track, analyze, and report audit findings to management.
Provide clear explanations and interpretations on documentation gaps identified by CDIS.
Stay updated on clinical and coding guidelines relevant to documentation improvement.
Assist in maintaining the quality and completeness of health records.
Develop and deliver training to physicians and CDIS staff to enhance documentation practices.
Refine audit tools and policies in collaboration with management.
Collaborate with leadership to conduct post-discharge documentation and coding audits.
Adhere to all organizational policies and standards while promoting patient safety and quality of service.
Support professional growth and development through ongoing education and mentorship.
Demonstrate commitment to providing compassionate and personalized care experiences.
Other duties as assigned.
We look forward to welcoming a dedicated individual who shares our commitment to excellence and continuous improvement in healthcare documentation.
Employment Type: Full-Time
Salary: $ 206,065.00 Per Year
Job Description:
Applicants must meet the following minimum qualifications to be considered for this position:
Minimum Qualifications:
Education: Bachelor's degree in Nursing required; Master's Degree in Nursing or Management preferred.
Licenses/Certifications:
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 preferred.
Experience / Knowledge / Skills:
Three (3) to five (5) years of CDS experience.
Previous experience in CDIS auditing, education, or supervisory/management preferred.
Proficiency in MS Office (Word, Excel, Outlook) and 3M Coding and Reimbursement software; experience with Cerner EMR preferred.
Strong communication, analytical, and problem-solving skills.
Exceptional organizational skills with attention to detail.
Highly self-motivated with the ability to work independently and collaboratively.
Flexibility to multitask and prioritize workload effectively.
Principal Accountabilities:
Conduct audits and reviews of Clinical Documentation Specialists (CDIS) to ensure quality and compliance.
Track, analyze, and report audit findings to management.
Provide clear explanations and interpretations on documentation gaps identified by CDIS.
Stay updated on clinical and coding guidelines relevant to documentation improvement.
Assist in maintaining the quality and completeness of health records.
Develop and deliver training to physicians and CDIS staff to enhance documentation practices.
Refine audit tools and policies in collaboration with management.
Collaborate with leadership to conduct post-discharge documentation and coding audits.
Adhere to all organizational policies and standards while promoting patient safety and quality of service.
Support professional growth and development through ongoing education and mentorship.
Demonstrate commitment to providing compassionate and personalized care experiences.
Other duties as assigned.
We look forward to welcoming a dedicated individual who shares our commitment to excellence and continuous improvement in healthcare documentation.
Employment Type: Full-Time
Salary: $ 206,065.00 Per Year
Source : Get It Recruit - Healthcare