RN Educator, Clinical Documentation Integrity

This is a fully remote position, open to applicants in Colorado.

📋 Description

• Drive enhancements in the quality, completeness, and accuracy of medical record documentation.

• Provide education and training to the Clinical Documentation Integrity team through thorough audit investigations, clinical criteria research, and data analysis.

• Create and implement a structured CDI orientation program.

• Compose and submit written queries to healthcare providers for documentation clarification.

• Collaborate with Coding, Health Information Management, Patient Safety and Quality, Enterprise Compliance Services, and Revenue Integrity.

• Conduct detailed clinical documentation of specific patient records to evaluate accuracy.

• Establish and execute an internal auditing process alongside the CDI Manager to ensure query compliance.

• Educate providers, coders, and the CDI team on clinical documentation principles, health data, quality outcomes, and compliance regulations.

⛳️ Requirements

• Bachelor's Degree in Nursing or a related field (or an Associate's Degree with equivalent additional experience) is required.

• 7-9 years of nursing experience, including at least 2 years in an acute care environment, is required.

• 1-3 years of experience in CDI, clinical coding, DRG coordination, or Medicare/Medicaid reimbursement, which can be included in the 7-9 years mentioned above, is required.

• 1-3 years of educational or supervisory experience is preferred.

• RN-Registered Nurse certification from the Department of Regulatory Agencies is required.

• Familiarity with clinical criteria, pathophysiology, evidence-based practices, and the latest trends in medical treatment is essential.

• Ability to effectively communicate concepts to physicians and other healthcare professionals to educate them about clinical documentation requirements.

• Must demonstrate clinical expertise in urgent/emergent care, medical/surgical, obstetrical, pediatric, and ambulatory care settings.

• Understanding of CMS Medicare, Medicaid, Managed Care, and Commercial health plan billing, reimbursement, and regulations is necessary.

• Knowledge of value-based purchasing, bundled payments, accountable care organizations, readmission reduction programs, and public reporting of quality outcomes is essential.

🏝️ Benefits

• Paid time off beginning at 28 days per year, which includes vacation, personal/sick days, and 7 holidays.

• 100% paid parental leave for up to 6 weeks.

• Immediate eligibility for retirement plans with employer contributions up to 9.5%.

• Comprehensive medical, dental, and vision plans, along with employer-paid disability and life insurance.

• Extensive well-being programs, including an on-site employee fitness center located at Denver Health's main campus and the nationally recognized RESTORE Center.

• Complimentary RTD EcoPass for public transportation.

• Discounts for childcare programs and exclusive perks on major brands, travel, and more.

• Tuition reimbursement and assistance.

• Opportunities for education, coaching, and professional development through the Workforce Development Center (WFDC) that promote internal career growth and advancement pathways.

• A professional clinical advancement program and shared governance.

• Eligibility for Public Service Loan Forgiveness (PSLF) along with free student loan coaching and assistance in navigating the PSLF program.

• An employer eligible for the National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC).