Ascension

Clinical Documentation Auditor and Educator

Ascension$96K — $134K *
US-AnywhereRemote in United States
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Clinical Documentation Prof. credential from the Association of Clinical Documentation Improvement Specialists required before hire or transfer.
  • High School diploma equivalency with 2 years of related experience, or an Associate's/Bachelor's degree, or 4 years of relevant experience required.

Responsibilities

  • Develop, implement, and oversee the Clinical Documentation Integrity (CDI) audit plan.
  • Perform concurrent and retrospective reviews of medical records using evidence-based protocols.
  • Create and implement training materials for providers and staff to enhance documentation quality.
  • Assist management in setting goals and metrics for CDI work performance and provider documentation.
  • Provide education and mentoring to CDI staff while tracking their progress.
  • Cultivate relationships with providers and team members to promote the importance of accurate documentation.

Benefits

  • Remote work option providing flexibility.
  • Full-time schedule with weekdays only (Monday-Friday).
  • Focus on professional development through training and mentoring.
  • Opportunity for impact on quality metrics and clinical documentation standards.
Full Job Description
Your future role at a glance

Location: Remote

Department: Clinical Documentation Integrity

Schedule: Full-Time | Days | Monday-Friday

Salary: $96,208.99-$134,109.89 per year

How you'll make an impact in this role

Develop, implement, and oversee the Clinical Documentation Integrity (CDI) audit plan. Utilize audit findings to develop, implement, and maintain training to providers and staff.

  • Perform concurrent and retrospective reviews of medical records utilizing evidence-based knowledge, protocols, and documentation criteria.
  • Develop training and education material. Implement and facilitate training with providers and staff to improve the overall quality and completeness of clinical documentation.
  • Assist Health Information Management leadership in developing goals, metrics and targets representing CDI's work performance and provider documentation performance. Assist leadership in the development of the CDI plan as it relates to quality metrics and provider education.
  • Responsible for education and mentoring of CDI staff and report on progress.
  • Establishe relationships with providers and team members in order to communicate the benefits of complete and accurate documentation.

What minimum requirements you'll need

Licensure / Certification / Registration:

Required Credential(s):

  • Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.


Education:

  • High School diploma equivalency with 2 years of cumulative experience OR Associate'
    degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.


Responsibilities

Develop, implement, and oversee the Clinical Documentation Integrity (CDI) audit plan. Utilize audit findings to develop, implement, and maintain training to providers and staff.

  • Perform concurrent and retrospective reviews of medical records utilizing evidence-based knowledge, protocols, and documentation criteria.
  • Develop training and education material. Implement and facilitate training with providers and staff to improve the overall quality and completeness of clinical documentation.
  • Assist Health Information Management leadership in developing goals, metrics and targets representing CDI's work performance and provider documentation performance. Assist leadership in the development of the CDI plan as it relates to quality metrics and provider education.
  • Responsible for education and mentoring of CDI staff and report on progress.
  • Establishe relationships with providers and team members in order to communicate the benefits of complete and accurate documentation.


Qualifications

Licensure / Certification / Registration:

Required Credential(s):

  • Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.


Education:

  • High School diploma equivalency with 2 years of cumulative experience OR Associate'
    degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.

About Ascension

Ascension is a healthcare company that provides a range of services, including hospital care, primary care, and specialty care. The company operates more than 150 hospitals and 50 senior living facilities across the United States. Ascension also offers health insurance and other healthcare-related services. The company was founded in 1999 and is headquartered in St. Louis, Missouri.
Learn more about Ascension
Size
165,000 employees
Industry
Founded
1999

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