Perform audits of their work, education opportunities, and Physician education opportunities. They will work closely with the Coding and Quality teams on initiatives as assigned.
Job Duties & Responsibilities
- Perform concurrent and retrospective second level reviews on specific types of opportunities.
- Cases could include low acuity discharges to hospice and mortalities, low acuity DRGs with long LOS, specific DRG opportunities based on analytics, PSIs, HACs, etc.
- Track technology issues with process tools and coordinate with IT on updates.
- Track query escalation process, CDS/Coder collaboration, etc. Lead weekly huddles or monthly meetings for CDI and Coding teams.
- Provide feedback and educational growth opportunities for CDI team staff members.
- Conduct regular reviews of CDI queries and provide coaching and feedback.
- Identify DRG mismatches and collaborate with Coding team on reconciling.
- Assist with the scheduling of staff for appropriate coverage.
- Provide feedback to physician advisor(s) on provider engagement/response.
- Serve as main point of contact for external and internal CDI data requests. Work closely with external CDI consultants to determine any educational opportunities identified via external reporting or chart reviews.
- Supervises, ensures competencies, and evaluates the activities of assigned staff.
- Reporting and analysis of data for CDI program
- Actively participates in departmental and hospital committees and assigned Task Force groups.
- Required associate degree with a preferred bachelor's degree
- Required 3 years Clinical Documentation experience and 5 years clinical experience in an acute care setting
- RN - Lic-Registered Nurses by the Texas Board of Nursing or Nursing Licensure Compact
- RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
- RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association
- CCS - Cert-Cert Coding Specialist by the American Health Information Management Association
- CPC - Cert-Cert Professional Coder by the America Association of Professional Coders
- Preferred CCDS DOC - Cert-Cert Clinical Doc. SPCLST by the Association of Clinical Documentation Improvement Specialists
- Preferred CDIP - Cert-Clinical Doc. Impr. PROF by the American Health Information Management Association
Texas Children's comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Center for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; and Texas Children's Hospital The Woodlands, the first hospital devoted to children's care for communities north of Houston. We have also created the nation's first HMO for children, established the largest pediatric primary care network in the country and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is also academically affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.
To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org .
Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.