Clinic Documentation Integrity Specialist 3

Inova Health is looking for a dedicated Clinical Doc Integrity Spec 3 to join the team. This role will be Full-time Monday through Friday working fully remote.

This position is eligible for remote work for candidates residing in the following states – VA, MD, DC, DE, FL, GA, NC, OH, PA, SC, TN, TX, WV.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

Featured Benefits:

• Committed to Team Member Health: offering medical, dental and vision coverage, and a robust team member wellness program.

• Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.

• Tuition and Student Loan Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.

• Mental Health Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.

• Work/Life Balance: offering paid time off, paid parental leave, flexible work schedules, and remote and hybrid career opportunities.

Clinical Doc Integrity Spec 3 Job Responsibilities:

• Performs initial case reviews and an appropriate number of follow-up reviews based on program standards. Uses clinical insight and judgment of clinical findings to assess clinical documentation for improvement opportunities. Follow-up with the physician responsible for care of the patient, via the query process, for clarification of clinical significance and appropriate documentation.
• Participates in special projects, audits, and other duties as directed by CDI Leadership including but not limited to 2nd level reviews for mortality, PSI, HAC, readmission and/or audits for focus DRGs, reconciliation/validation of CDI statistics/outcomes, precepting new team members, reviewing and updating policy & procedure; reviewing & updating query templates; leading service line or department provider education initiatives.
• Supports CDI team members as a key resource and subject matter expert on clinical topics and CDI opportunities.
• Assists CDI Manager and CDI Educator/Auditor in identifying CDI team's continuing educational needs.
• Participates in the education and onboarding process of CDS 1 and CDS 2 team members as assigned.
• Participates in organizational initiatives and performance improvement projects as assigned. Works with the CDI Manager and CDI Educator/Auditor to support the implementation of policies and procedures, audit recommendations, and new CDI strategies by team members.
• Assists Lead CDS, CDI Manager, and CDI Director with short and long-term, strategic planning for the CDI team, identifying potential and/or actual barriers and/or opportunities to enhance the success and growth of the CDI team consistent with Inova’s mission, vision and values.
• Maintains current knowledge of trends, regulations, and technology related to documentation, coding, reimbursement, and regulatory guidelines through professional journals, informal networks, internet sites, and local, state, and national professional associations. Reviews professional CDI and coding literature regularly.
• Works collaboratively with medical, nursing, and ancillary staff to improve the quality of chart documentation that assures appropriate DRG classification to accurately reflect patient severity of illness and risk of mortality.
• Provides electronic support to providers regarding best practice documentation standards and the query process. Provides 1:1 provider education within the daily workflow and participates in group education sessions as requested by CDI Leadership.
• Participates in special projects, audits, and other duties as directed by CDI Leadership. May assist with precepting and education of new staff.
• Works collaboratively with medical, nursing, and ancillary staff to improve the quality of chart documentation that assures appropriate DRG classification to accurately reflect patient severity of illness and risk of mortality.
• As needed, may travel across the Washington DC metro area to engage with providers.

Minimum Requirements:

• Education: Associate Degree (RN, MD, RHIA/RHIT)
• Experience:
  • Five (5) years of professional inpatient acute care, inpatient clinical, and/or coding experience required. Includes ICU, ER, Peds/NICU, case management/UR, quality or similar level of advanced care/coding.
  • Three (3) years of CDI experience in an acute inpatient healthcare setting.
• Certification: CDI certification (CCDS or CDIP)