1+ months

Team Leader Clinical Documentation Integrity

AtlantiCare Regional Medical Center
Port Republic, NJ 08241
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  • Job Code
    112965400
AtlantiCare Regional Medical Center

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.


Pomona, NJ

POSITION SHIFT: Days

POSITION STATUS: Full-Time

REQ_NUM: 07-23947

Department: Health Information Mgmt Mainld

Hours Per Week 40

Holidays Required? No

Job Category: Nursing

Location: Mainland Hospital

Weekends Required? No


Minimum Qualifications:
  • Graduate of an accredited school of nursing required
  • Bachelors of Science in Nursing required.
  • Current licensure as a Registered Nurse in the State of New Jersey required.
  • 3-5 years clinical experience required
  • 5 years recent prior CDI Specialist experience required
  • Candidates for this position should be a strong self- starter, have the ability to work independently and use good judgment in decision making.
  • Excellent leadership, interpersonal, written communication skills and computer literacy required as well as analytical and delegation skills.

POSITION SUMMARY

The Clinical Documentation Improvement (CDI) Team Leader works in collaboration with the CDI, Coding, Service Line and Auditing Staff. The Team leader is responsible to oversee any necessary coordination of the daily operations and provides for its consistency with the departments goals. The Team Leader also assists with assignments based on priority, staffing and experience.

The CDI Team Leader interacts extensively with the physician, service lines, nursing, Coding and Quality and Auditing Staff, as well as other staff members of the health care team to facilitate the improvement in the overall quality, completeness and accuracy of medical record (EHR) documentation. This will accurately reflect the provider intensity, support the clinical picture and level of severity of the patient and overall risk of mortality. This position will also be responsible for coordinating and providing education to all physicians and other clinicians related to compliant documentation responsibilities and issues. This position will identify opportunities for documentation improvement to ensure accuracy and completeness of documentation used for measuring and reporting physician and hospital outcomes (e.g. patient safety indicators (PSI) and hospital acquired conditions (HAC). The Team Leader will collaborate as necessary with other disciplines as necessary to communicate these opportunities for referral to the appropriate performance improvement committee for resolution. This position will primarily review inpatient medical records using nationally recognized guidelines assure accurate and complete documentation of diagnoses and procedures and DRG assignment, Severity of Illness, Risk of mortality, and HCC identification. The Team Leaderwill demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, MS-DRG, APR-DRG, secondary diagnosis, and risk-adjustment methodologies, and impact of procedures on the final DRG and severity scores.

The Team Leader actively supports performance improvement initiatives and provides leadership to other members of the Coding and CDI Team by participating in educational activities. The Team Leader assumes responsibility for continued professional and personal growth.

QUALIFICATIONS

EDUCATION: Graduate of an accredited school of nursing required. Bachelors of Science in Nursing required.

LICENSE/CERTIFICATION:

Knowledge of Core Measures, HAC, and AHRQ PSI/Harm Measures preferred.

EXPERIENCE: 3-5 years clinical experience required. Critical Care experience preferred. Minimum 5 years inpatient acute care CDI Specialist/review (recent hands on production) experience required. Candidates for this position should be a strong self- starter, have the ability to work independently and use good judgment in decision making. Excellent leadership, interpersonal, written communication skills and computer literacy required as well as analytical and delegation skills. Proficiency in Clinical and Business Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.

PERFORMANCE EXPECTATIONS

Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.

WORK ENVIRONMENT

This active position requires the ability to work in a busy patient care area. Near visual acuity, long periods of visually examining documents and electronic files, and skilled use of multiple computer applications required. The Health Data Integrity Specialist works independently and autonomously with minimal supervision. Critical thinking and strong customer services skills required and manage daily work duties accurately and efficiently

The essential functions for this position are listed on the Assessment and Evaluation Tool.

REPORTING RELATIONSHIP

This position reports to department leadership.

The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

PI112965400

<b>AtlantiCare Regional Medical Center</b><br/><br/>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.<br/><br/><br/>Pomona, NJ<br/><br/><b>POSITION SHIFT: </b>Days<br/><br/><b>POSITION STATUS: </b>Full-Time<br/><br/><b>REQ_NUM: </b>07-23947<br/><br/><b>Department: </b>Health Information Mgmt Mainld<br/><br/><b>Hours Per Week </b>40<br/><br/><b>Holidays Required? </b>No<br/><br/><b>Job Category: </b>Nursing<br/><br/><b>Location: </b>Mainland Hospital<br/><br/><b>Weekends Required? </b>No<br/><br/><br/><STRONG>Minimum Qualifications</STRONG>:<br><UL><LI>Graduate of an accredited school of nursing required</LI><LI>Bachelors of Science in Nursing required.</LI><LI>Current licensure as a Registered Nurse in the State of New Jersey required.</LI><LI>3-5 years clinical experience required</LI><LI>5 years recent prior CDI Specialist experience required</LI><LI>Candidates for this position should be a strong self- starter, have the ability to work independently and use good judgment in decision making.</LI><LI>Excellent leadership, interpersonal, written communication skills and computer literacy required as well as analytical and delegation skills.</LI></UL><br><STRONG>POSITION SUMMARY</STRONG><br><br>The Clinical Documentation Improvement (CDI) Team Leader works in collaboration with the CDI, Coding, Service Line and Auditing Staff. The Team leader is responsible to oversee any necessary coordination of the daily operations and provides for its consistency with the departments goals. The Team Leader also assists with assignments based on priority, staffing and experience.<br><br>The CDI Team Leader interacts extensively with the physician, service lines, nursing, Coding and Quality and Auditing Staff, as well as other staff members of the health care team to facilitate the improvement in the overall quality, completeness and accuracy of medical record (EHR) documentation. This will accurately reflect the provider intensity, support the clinical picture and level of severity of the patient and overall risk of mortality. This position will also be responsible for coordinating and providing education to all physicians and other clinicians related to compliant documentation responsibilities and issues. This position will identify opportunities for documentation improvement to ensure accuracy and completeness of documentation used for measuring and reporting physician and hospital outcomes (e.g. patient safety indicators (PSI) and hospital acquired conditions (HAC). The Team Leader will collaborate as necessary with other disciplines as necessary to communicate these opportunities for referral to the appropriate performance improvement committee for resolution. This position will primarily review inpatient medical records using nationally recognized guidelines assure accurate and complete documentation of diagnoses and procedures and DRG assignment, Severity of Illness, Risk of mortality, and HCC identification. The Team Leaderwill demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, MS-DRG, APR-DRG, secondary diagnosis, and risk-adjustment methodologies, and impact of procedures on the final DRG and severity scores.<br><br>The Team Leader actively supports performance improvement initiatives and provides leadership to other members of the Coding and CDI Team by participating in educational activities. The Team Leader assumes responsibility for continued professional and personal growth.<br><br><STRONG>QUALIFICATIONS</STRONG><br><br><STRONG>EDUCATION:</STRONG> Graduate of an accredited school of nursing required. Bachelors of Science in Nursing required.<br><br><STRONG>LICENSE/CERTIFICATION:</STRONG><br><br>Knowledge of Core Measures, HAC, and AHRQ PSI/Harm Measures preferred.<br><br><STRONG>EXPERIENCE:</STRONG> 3-5 years clinical experience required. Critical Care experience preferred. Minimum 5 years inpatient acute care CDI Specialist/review (recent hands on production) experience required. Candidates for this position should be a strong self- starter, have the ability to work independently and use good judgment in decision making. Excellent leadership, interpersonal, written communication skills and computer literacy required as well as analytical and delegation skills. Proficiency in Clinical and Business Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.<br><br><STRONG>PERFORMANCE EXPECTATIONS</STRONG><br><br>Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.<br><br><STRONG>WORK ENVIRONMENT</STRONG><br><br>This active position requires the ability to work in a busy patient care area. Near visual acuity, long periods of visually examining documents and electronic files, and skilled use of multiple computer applications required. The Health Data Integrity Specialist works independently and autonomously with minimal supervision. Critical thinking and strong customer services skills required and manage daily work duties accurately and efficiently<br><br>The essential functions for this position are listed on the Assessment and Evaluation Tool.<br><br><STRONG>REPORTING RELATIONSHIP</STRONG><br><br>This position reports to department leadership.<br><br><STRONG>The above statement reflect the general details considered necessary to describe the principle functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.</STRONG><br/><br/> <img src="https://analytics.click2apply.net/v/8OwyBJH4BmdOCEVNhwW7B"> <p>PI112965400</p>
Posted: 2019-08-20 Expires: 2019-09-21

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Team Leader Clinical Documentation Integrity

AtlantiCare Regional Medical Center
Port Republic, NJ 08241

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