Lead CDI Specialist / RN at Emory Healthcare

Atlanta, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Aug, 26

Salary

63.61

Posted On

27 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Clinical Documentation Integrity, Medical Record Review, ICD-10 Coding, DRG Analysis, Leadership, Staff Mentoring, Quality Auditing, Data Analysis, Clinical Severity Capture, Policy Development, Healthcare Compliance, Interdisciplinary Communication

Industry

Hospitals and Health Care

Description

Overview Be inspired. Be rewarded. Belong. At Emory Healthcare. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship and leadership programs And more! Description JOB DESCRIPTION: The Lead CDI (Clinical Documentation integrity) Specialist works under the direction of the Assistant Director of Education and Analytics or Manager of CDI. He/she performs all requirements of the CDI Specialist Job Description. In addition, this position is responsible for facilitating and coordinating the overall quality and completeness of clinical documentation through the application of evidence-based knowledge, analysis, in-depth review, interpretation, identification of opportunities, communication and consistent follow-up and evaluation of concurrent and retrospective (as required) medical record documentation reviews. The Lead CDS interacts primarily with, but not limited to CDI staff, physicians, and health information coding staff to capture appropriate reimbursement and clinical severity for the level of service rendered to patients with a focus on DRG-based payers. This role is vital in supporting the validity and accuracy of ICD-10 coding, MS-DRG, APR-DRG (SOI, ROM), PSI, POA, HAC assignment, mortality O/E ratios in compliance with all Federal and State coding regulations and reporting requirements. The Emory Hospitals include the inpatient, Emory Johns Creek Hospital, Emory Saint Josephs Hospital, Emory University Hospital, Emory University Hospital Midtown, Emory University Orthopedic and Spine Hospital, Emory Hillandale Hospital and Emory Decatur Hospital. This responsibility includes participation in strategy development, education, implementation planning, execution to ensure department and organizational goals are met. This individual will mentor CDI staff, and facilitate appropriate clinical documentation to ensure that the overall quality, level of services, severity of illness, and acuity of care are accurately reflected in a complete medical record. Develops and maintains strong working relationships with other leaders in the CDI, HIM Department, and Hospital. Demonstrates excellence in CDI. Demonstrated ability to provide leadership. Assists with training and orientation of new employees. Provides support to staff and serves as resource. Assists with data gathering and analysis of reports. Monitors CDI compliance through quality audits and data analysis. Trouble shoots CDIS and other computer problems. Demonstrates Skill in identifying problems and recommending solutions. Participates in development and maintenance of CDI policies/guidelines in accordance with AHIMA Practice Briefs, Official coding Guidelines, ACDIS Standards and Coding Clinic. Assists with/provides educational topics for program. MINIMUM QUALIFICATIONS: Graduate of an accredited school of nursing or US or international School of Medicine. For RNs, must have a valid, active unencumbered Nursing license or temporary permit approved by the Georgia Licensing Board. Must have a minimum of 3 years experience in a leadership capacity, 5 years CDI, Cardiovascular or Intensive Care nursing experience. CCDS or CDIP required within six months of hire date, or when eligible to sit for exam. Education and experience may be considered in lieu of a RN license for highly qualified candidates (physicians). Additional Details Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law. Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Responsibilities

The Lead CDI Specialist coordinates the quality and completeness of clinical documentation to ensure accurate reimbursement and clinical severity reporting. This role involves mentoring CDI staff, collaborating with physicians, and ensuring compliance with federal and state coding regulations.