[Hiring] Clinical Documentation Specialist Audit Coordinator @Trinity Health

Role Description

Work Remote Position (Pay Range: $41.4306-$62.1459)

Provides onsite and remote clinical documentation integrity (CDI) support to the Health Ministry (HM) CDI programs as part of the System Office CDI Float Pool. Utilizes advanced coding and/or clinical expertise to direct efforts toward the improvement and integrity of clinical documentation.

• Responsible for reviewing and/or auditing medical record clinical documentation to support the medical necessity, severity of illness, risk of mortality, accurate coding, clinical evidence, resources consumed, and level of services rendered to all patients.
• Audits HM CDSs for query compliance, workflow and missed documentation opportunities.
• Trains end users in the use of CDI system software, standards, and workflow.

Qualifications

• Must possess a minimum of one of the below:
  • Current Registered Nurse License
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist (CCS)
• Certification as a Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred.
• Experience in Clinical Documentation Integrity.
• Excellent communication (verbal and written), interpersonal, collaboration and relationship-building skills.
• Strong critical thinking skills and ability to integrate knowledge.
• Prioritization and organizational skills required.
• Ability to educate all members of the healthcare team related to clinical documentation.
• Experience with databases, spreadsheet software and presentation software preferred.
• Must be comfortable operating independently in a collaborative, shared leadership environment.
• Must possess a personal presence characterized by honesty, integrity, and caring.

Requirements

• Must be able to set and organize own work priorities and adapt to them as they change frequently.
• Must be able to work concurrently on a variety of tasks/projects in a potentially stressful environment.
• Must possess the ability to comply with Trinity Health policies and procedures.
• Must be able to spend the majority of work time utilizing a computer, monitor, and keyboard.
• Must be able to perform some lifting and/or pushing/pulling up to 20 pounds.
• Must be able to work with interruptions and perform detailed tasks.
• Must be able to work on different projects simultaneously and coordinate work to meet deadlines.
• Requires the ability to concentrate and read for long periods of time.
• Involves a wide array of physical activities, primarily walking, standing, balancing, sitting, squatting, and reading.
• Must be able to sit for long periods of time.

Benefits

• Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.
• By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.
• We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.