United States onlyThe CDI Auditor is responsible for performing audits on CDIS reviews of inpatient encounters to ensure the Clinical Documentation Integrity Specialists capture all available opportunities to clarify provider documentation and therefore ensuring accurate and complete documentation specificity. The CDI auditor will maintain compliance with Tenet’s TRIC method of querying to ensure all queries are compliant with coding requirements in alliance with AHIMA guidelines. The position requires the CDI Auditor to be highly proficient in the proper assignment of ICD-10-CM/PCS codes, to demonstrate a broad and complex clinical knowledge base, and the ability to critically analyze the CDI process, clinical documentation and opportunities for appropriate and complete documentation in the medical record.
Required:
- Ability to consistently and accurately audit clinical documentation of inpatient encounters
- Ability to create clear and concise audit reports and maintain productivity standards
- Comprehensive understanding of coding guidelines, AHA Coding Clinics, anatomy, physiology, and appropriate coding/diagnostic references along with the ability to employ these resources to audit findings.
- Knowledge of MS-DRG classification and APR-DRG classification and various reimbursement structures
- Highly proficient computer and technical skills, along with experience using MS Word, Excel, Tableau, the EMR and Iodine.
- Ability to conduct online meetings and report findings
- Must be detail oriented and proven ability to work independently in a fast-paced environment
- Must demonstrate excellent interpersonal skills
- Ability to demonstrate initiative and discipline in time management and assignment completion
- Ability to work in a virtual setting under minimal supervision
- Proven ability to collaborate with coding leadership to drive overall organization goals for best in class documentation and coding
- A bachelor’s degree in clinical or healthcare field required: RN, MBBS, RHIA is required
Required:
- Five (5) years of Clinical Documentation Integrity experience in an acute care setting
- Proven ability to manage a large scope of work in a time intensive and impact-driven setting
Preferred:
- A Master’s degree in relevant field strongly preferred.
Compensation and Benefit Information
Compensation
- Pay: $81,120-$129,792 annually. Compensation depends on location, qualifications, and experience.
- Management level positions may be eligible for sign-on and relocation bonuses.
Benefits
The following benefits are available, subject to employment status:
- Medical, dental, vision, disability, life, AD&D and business travel insurance
- Paid time off (vacation & sick leave)
- Discretionary 401k with up to 6% employer match
- 10 paid holidays per year
- Health savings accounts, healthcare & dependent flexible spending accounts
- Employee Assistance program, Employee discount program
- Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance.
- For Colorado employees, paid leave in accordance with Colorado’s Healthy Families and Workplaces Act is available.
Tenet Healthcare complies with federal, state, and/or local laws regarding mandatory vaccination of its workforce. If you are offered this position and must be vaccinated under any applicable law, you will be required to show proof of full vaccination or obtain an approval of a religious or medical exemption prior to your start date. If you receive an exemption from the vaccination requirement, you will be required to submit to regular testing in accordance with the law.
Collaborate with CDI educator and other leadership to develop and implement programs for ongoing CDI education as it relates to proper clinical coding, capture of patient care, severity and the need for accurate and complete documentation in the health record for new staff, coders, physicians, residents, nursing and allied health professionals.
Creates clear and accurate audit findings and recommendations in written audit reports that will be used for advising and educating CDI Specialists, Auditors, Managers, and Directors throughout the organization.
Identifies documentation issues (lacking documentation, missed physician queries, etc.) that impact coding accuracy. Clearly communicates (verbally and in written reports or summaries) opportunities for documentation improvement related to coding and CDI issues.
Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM/PCS. Completes online education courses and attends mandatory workshops and/or seminars for CDI. Reviews AHA coding clinics quarterly and coding update publications. Attends all internal conference calls for CDI related topics and performance. Is current with ACDIS/AHIMA standards for CDI processes.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The list below are representative of the knowledge, skill and/or ability. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Required:
Ability to consistently and accurately audit clinical documentation of inpatient encounters
Ability to create clear and concise audit reports and maintain productivity standards
Comprehensive understanding of coding guidelines, AHA Coding Clinics, anatomy, physiology, and appropriate coding/diagnostic references along with the ability to employ these resources to audit findings.
Knowledge of MS-DRG classification and APR-DRG classification and various reimbursement structures
Highly proficient computer and technical skills, along with experience using MS Word, Excel, Tableau, the EMR and Iodine.
Ability to conduct online meetings and report findings
Must be detail oriented and proven ability to work independently in a fast-paced environment
Must demonstrate excellent interpersonal skills
Ability to demonstrate initiative and discipline in time management and assignment completion
Ability to work in a virtual setting under minimal supervision
Proven ability to collaborate with coding leadership to drive overall organization goals for best in class documentation and coding
Preferred:
Prior audit experience at a large scope
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience for the job.
Required:
Five (5) years of Clinical Documentation Integrity experience in an acute care setting
Proven ability to manage a large scope of work in a time intensive and impact-driven setting
A bachelor’s degree in clinical or healthcare field required: RN, MBBS, RHIA is required
Preferred:
A Master’s degree in relevant field strongly preferred.
REQUIRED CERTIFICATIONS/LICENSURE
Include minimum certification required to perform the job.
Required:
A bachelor’s degree in clinical or healthcare field required: RN, MBBS, or RHIA is required
CCDS, CDIP and/or coding certification required
Preferred:
A certification in a clinical field (CCRN, RN-BC, CPN, CEN, etc.) is strongly preferred
SUBORDINATES
Number of employees directly reporting to this position: 0
Number of employees indirectly reporting to this position: 0
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Be in a stationary position approximately 50% of the time, use computer and answer telephone
Occasionallymoves through hospital-based departments across broad campus settings, including Emergency Department environments
Travel up to 25% % of the time
Tip: Avoid words such as hear, talk, stand, walk, see… add the frequency of the physical demand and weight if possible.
