CDI Audit Educator RN at UT Southwestern Medical Center

United States

WHY UT SOUTHWESTERN? With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB SUMMARY The CDI Audit/Educator primary responsibilities are to audit inpatient and/or outpatient University of Texas Southwestern Medical Center (UTSW) hospital medical records, for coding accuracy, provide individual educational feedback, and identify educational trends/opportunities that would be relevant for the entire Coding and CDI Team. Research and prepare educational tutorials and submit to AHIMA for approval to provide Continuing Education Units for the attendees. The UTSW medical records are maintained in electronic format and reviews will be in accordance with current coding guidelines, and in compliance with organizational, departmental, and regulatory requirements. The Coding and CDI Audit/Educator is identified as the highest-level coding subject matter expert due to education, training, and experience and as such will receive assignments in accordance with that level of expertise. Additionally, the Coding Audit/Educator may be asked to mentor and proctor employees at the Coding Specialist I, II, and III levels. BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full-time employee-only coverage 100%25 coverage for preventive healthcare-no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits! EXPERIENCE AND EDUCATION Required 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 and Licenses and Certifications (RN) REGISTERED NURSE required if primary work area is CDI (RHIA) REGD HEALTH INFO ADMINIST or (RHIT) REGD HEALTH INFO TECHNOLO or (CCS) CERT CODING SPECIALIST or (CPC) CERT PROFESSIONAL CODER AAPC credential - Certified Professional Coder (CPC) (Prior to 2014) or (CCDS) Cert Clinical Documentation or Certified Outpatient Coder (COC) (excludes AAPC Apprentice) 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 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 (CEU‿s) 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/MCC's, 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 SECURITY AND EEO STATEMENT Security This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. To the extent this position requires the holder to research, work on, or have access to critical infrastructure as defined in Section 113.001(2) of the Texas Business and Commerce Code, the ability to maintain the security or integrity of the critical infrastructure is a minimum qualification to be hired and to continue to be employed in the position. EEO Statement UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.