WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to ” target=”_blank”>Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION
Required
Bachelor’s Degree in Nursing
- Experience
5 years patient care nursing experience in an acute care setting and
3 years Clinical Document Integrity experience
- Licenses and Certifications
(RN) REGISTERED NURSE Upon Hire and
(CCDS) Cert Clinical Documentation Upon Hire or
(CDIP) CERT DOCUMNTATN IMPROVMNT PRAC Upon Hire
Preferred
- Education
Master’s Degree in Nursing
- Experience
7 years patient care nursing experience in an acute care setting
5 years Clinical Document Integrity experience
Experience working in a remote environment
JOB DUTIES
- Conduct post-discharge, pre-coding/billing reviews on targeted records identified for second-level review for opportunity to accurately capture methodology-specific risk variables (Vizient, HCC‿s, Elixhauser); present on admission (POA) status, patient admission source, avoidable patient safety indicators (PSI‿s), and DRG assignment in compliance with industry rules and regulations
- If a documentation opportunity is identified, place physician query and follow up for response
- If coding opportunity is identified, coordinate with Coding Team to review and address opportunity, as applicable
- Utilize methodology-specific risk calculators and guidance documents to understand if additional diagnoses and/or risk variables will impact the reported quality impact of a specific patient encounter
- Maintain a summary of opportunities identified through second-level review for feedback and education with the CDS Team, Providers, and Coding Team
- Identify and communicate any process improvement opportunities for front-end correction and education
- Periodically review the criteria established for cases triggering a second-level review and recommend updates or modifications to the criteria to maximize impact on quality scores
- Maintains an expert level of knowledge of CDI and Coding related guidelines and practices
- Other duties as assigned
SECURITY AND EEO STATEMENT
Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.
EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.