All the benefits and perks you need for you and your family:

· Benefits from Day One for FT/PT positions

· Paid Time Off from Day One for FT/PT positions

· Student Loan Repayment Program for FT/PT positions

· Career Development

· Whole Person Wellbeing Resources

· Mental Health Resources and Support

· Paid Parental Leave (FT positions only)

· Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)

Our promise to you:

Joining UChicago Medicine AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. UChicago Medicine AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full-time days

Location: Remote but must be available for in-person meetings every other month and in-person training/education as needed

The role you’ll contribute:

Under general supervision of the Director of Clinical Documentation Integrity and in some situations the supervision of the Clinical Documentation Integrity Manager or the Clinical Documentation Integrity Educator, and in collaboration with physicians, nursing and HIM coders, the CDI Quality Liaison, is responsible for reviewing medical records for quality and core measures. The CDI Quality Liaison facilitates and obtains appropriate and quality physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient, and to support ICD-10 codes. The CDI Quality Liaison collects data, analyzes data and reports data to CDI Director/CDI Educator/CDI Manager and other market leaders as needed. The CDI Quality Liaison educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and care management. The CDI Quality Liaison will act as a liaison to the CDI and coding staff. The CDI Quality Liaison will serve as a resource to the CDI team, CDI Educator, CDI Managers and CDI Director. The CDI Quality Liaison adheres to departmental and organizational goals, objectives, standards of performance and policies and procedures, continually ensuring quality documentation and regulatory compliance. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team:

· Demonstrates extending the healing ministry of Christ, through behavioral whole care standards of love me, make it easy, own it and keep me safe to every person they meet. Delivers exceptional care and strives for excellence. Committed to improving the health, prosperity and well-being of the communities we serve. Uphold the highest standards, with integrity driving every decision made and every action taken. Guided by relentless stewardship in the management of resources entrusted to them.

· Reviews medical record for completeness and accuracy for severity of illness (SOI) and quality.

· Conducts audits for quality including, but not limited to deceased second level reviews, focused disease process reviews as needed, patient safety indicators, CDI team audits. Collects data, analyzes data and reports data to CDI Director and/or CDI Leadership team.

· Completes accurate and timely record review. Recognizes opportunities for documentation improvement.

· Educates members of the patient-care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and care management.

· Effectively and appropriately communicates with physicians.

· Completes timely follow-up on all cases and resolution of those with clinical documentation clarifications. Formulates clinically credible documentation clarifications. Requests documentation clarifications as appropriate for SOI, Core Measures, and Patient Safety.

· Manages multiple priorities. Participates in coding and Quality Management Meetings.

· Collaborates with coding, infection prevention and quality team to communicate discrepancies in the capture of patient safety indicators, Hospital acquired infections, and Hospital acquired conditions. Communicates with HIM staff and resolves discrepancies.

· Performs other duties as assigned.

The expertise and experiences you’ll need to succeed:

KNOWLEDGE AND SKILLS STRONGLY PREFERRED

· Advanced Clinical Documentation Specialist skills

· Ability to review medical records for quality measures and missed diagnostic opportunities

· Excellent organizational, analytical, writing and interpersonal skills

· Dependable, self-directed and pleasant

· Excellent critical-thinking, problem-solving and deductive- reasoning skills

· Advanced knowledge of pathophysiology and disease processes

· Advanced knowledge of computer skills - with Windows-based software programs

· Expert knowledge of CDI strategies and CDS software

· Advanced knowledge and use of CDI resources

· Advanced knowledge of regulatory environment

· Strong interpersonal skills

· Advanced knowledge of clinical documentation requirements that identify clinical conditions or procedures to support and enhance ICD-10 coding

· Assists in new hire orientation through precepting and mentoring

· Completion of educational project to be presented to CDI team at least once yearly

· Functions as a subject matter expert (SME) for CDI

· Serves as a CDI department liaison to new physician on-boarding

· Assists CDI Manager with auditing CDS accounts

· Maintains CCDS credentialing

EDUCATION AND EXPERIENCE REQUIRED

· BSN

· Minimum of five years acute care nursing experience with specific medical/surgical, Intensive Care, post-acute care unit, or Emergency Department experience

· 3 years of Clinical Documentation Specialist experience

EDUCATION AND EXPERIENCE PREFERRED

· MSN or Master or higher degree in a healthcare related field

LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED

• Current active State of Illinois license as a Registered Nurse, Nurse Practitioner, Physician Assistant

• CCDS (Certified Clinical Documentation Specialist) certification or CDIP (Certified Documentation Improvement Practitioner) certification upon hire or transfer or acquired within 6 months of hire or transfer date into position

REQUIRED COMPETENCIES

• AdventHealth online learning (ALN)

• Achieve a 70% or greater on the AdventHealth Corporate Approved Pre-Hire Assessment

• Achieve a 85% or greater on the Annual AdventHealth Corporate Approved Post-Hire Assessment