Registered Nurse - Clinical Documentation Integrity Specialist

CDIS Registered Nurse Advisor

Steeped in history and humming with creative energy, Memphis reigns as Tennessee's crown jewel. The Mississippi River laps at its shores, while vibrant music spills from legendary clubs. Explore verdant parks, delve into museums rich with Civil Rights history, and feel the deep sense of community that binds Memphis together. Memphis music is authentic, diverse, and influential. Music-lovers visit to pay tribute to legends with ties to the city, including Elvis Presley, B.B. King, Johnny Cash, Jerry Lee Lewis, Aretha Franklin, and Isaac Hayes. And they visit to experience the city that continues to inspire modern-day musicians, from Three 6 Mafia, Justin Timberlake and Julien Baker to Al Green. For this reason, Memphis attractions and activities present one-of-a-kind musical experience.

The Memphis VA Medical Center (VAMC) is a major facility offering comprehensive healthcare to veterans across 53 counties. It includes a main hospital with specialized units and outpatient clinics providing primary, secondary, and tertiary care. This teaching hospital offers state-of-the-art technology and extensive research programs.

Responsibilities:

• Shall serve as the Registered Nurse Advisor (CDI RNA).
• The CDI RNA supports CDI activities by applying the nursing process to data gathered by the CDI team, reviewing it for clinical validation, trends, opportunities for improvement, and communicating this information back to the CDI team, providers, and other departments as appropriate.
• Will collaborate with health care providers and licensed independent providers through written, verbal, or electronic clarification requests or queries.
• As subject matter experts of documentation, they are to reference or cite the facility's SOP, CDI Program Guides, serving as primary tools used by CDI to improve clinical documentation in the health record.
• Will use clinical knowledge and critical thinking skills when reviewing episodes of care. Will also provide education to licensed independent providers, allied health professionals, and coding staff on clinical documentation integrity issues. Provider education is a key component of all CDI programs.
• Shall develop the facility's CDI management program that encompasses inpatient and outpatient billable and non-billable services.
• CDIS specialists are to be focused on inpatient cases called patient treatment files (PTFs) and outpatient abstracts on the development, such as, but not limited to, CDI charter, Standard Operating Procedures, workflow, and turnaround time to comply with Clinical Documentation Integrity strategies.
• Shall develop and implement active training/education programs (i.e., seminars, workshops, short courses, informational briefings, and conferences). Will provide training in small or large groups, educating clinical staff about current documentation standards and improving techniques, including accurate and ethical documentation practices. CDIS, both inpatient and outpatients, shall develop and implement Standard Operating Procedure workflow, templates consistent with the most current standards of The Joint Commission, unless otherwise stated.
• CDI specialists shall develop an improvement plan to focus on updating problem lists of Scientific Nomenclature of Medicine Clinical Terminologist (SNOMED-CT) consistent with ICD-10-CM code sets, predominantly outpatient abstracts.
• CDI Specialists shall be familiar with VHA Reconciliation which is also a critical CDI activity. This process must be professional and collaborative in nature with a goal of exchanging knowledge to ensure the complete and accurate coding of the inpatient encounter.

Requirements:

• Must have experience of at least two years in a hospital setting, as well as at least two years of CDI experience.
• Certifications obtained from American Health Information Management Association (AHIMA) and/or American Academy of Professional Coders (AAPC), and/or Association of Clinical Documentation Integrity Specialists (ACDIS).
• Must have a bachelor's degree in Nursing.

KurzSolutions is committed to improving health outcomes by providing well-managed companies with the top healthcare talent in the market. KurzSolutions is an Equal Opportunity Employer. We do not discriminate based on race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided based on qualifications, merit, and business need.