RN - Registered Nurse - Clinical Documentation Improvement Educator

Job Summary

We’re working to create a national model for improving health. Today, we’re focused on bringing our region services that improve every facet of life to drive total health, inside and out. Through professional growth, quality improvement, and interdisciplinary collaboration, we’ve built an innovative culture that allows nurses to grow their skillsets, develop their practice, and leverage their years of experience to build a rewarding, lasting career with impact.

Job Duties

Work with CDI program leadership to plan, develop, and implement clinical documentation education programs for CDI specialists and providers. Develop a standard and comprehensive orientation and onboarding program for new members to the CDI team. Educate individuals and team members on the review functions within the CDI program in order to meet and maintain enterprise, goals and objectives, regulatory compliance, quality initiatives, policy and procedures, and personnel management. Create annual education based on coding and CDI industry updates, documentation gaps and trends, and evidenced based clinical care updates. Develops and promotes collaborative processes and strong working relationships with physicians and other health care professionals to accomplish program goals and ensure exceptional documentation.

This role is full-time, 40 hours weekly; 8:00 a.m.- 4:30 p.m., Monday through Friday.

A Bachelor's Degree in Nursing (BSN) is strongly preferred, plus 5 years RN work experience.

One of the following certifications is required and must be already completed at the time of application:

• Certified Clinical Documentation Improvement Practitioner (CDIP)

• Certified Clinical Documentation Specialist (CDS)

Job Duties:

• Mentor, educate and train CDI to effectively and accurately onboard new staff to the CDI role. Monitor and evaluate reviews of select records for opportunity and accurate capture of patient acuity, severity of illness, risk of mortality, quality measure and metric support, and DRG assignment in compliance with industry rules and regulations, for completeness and accuracy of the medical record.

• Monitors and provides feedback to the CDI team to ensure clinically credible, effective, and compliant practices.

• Tract and analyze trends to ascertain where stronger education is needed for both providers and staff.

• When documentation opportunity is identified, provide feedback to CDIS and monitor to determine if learning occurred and if it’s a departmental trend.

• If provider opportunity identified, collaborate with leadership and physician advisors.

• If coding opportunity is identified, coordinate with coder and/or Coding Manager to review and address opportunity, as applicable.

• Collaborate with Second Level Reviewers to identify opportunity trends and develop relevant training/education.

• Conduct individual and large group educational sessions for all CDIS and/or providers.

• Working closely with CDIS, identify areas of non-specific documentation and improve documentation and query templates in support of clinical treatment protocols.

• Collaborate with CDI managers, director, and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, documentation tip sheets, and other training programs/resources.

• Maintains a summary of opportunities identified for feedback and education with the CDS team and reviews with managers and director regularly.

Position Details

Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.

Education

Bachelor's Degree-Nursing (Required), Bachelor's Degree-Dietetics (Preferred)

Experience

Minimum of 6 years-Clinical (Required)

Certification(s) and License(s)

Certified Clinical Documentation Specialist - Default Issuing Body; Clinical Documentation Improvement Practitioner - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.