Clinical Documentation Improvement (CDI) Specialist - Rev Cycle
🔍 Houston, Texas
- 💼
- McGovern Medical School at UTHealth Houston
- 📅
- 240003DE Requisition #
What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in.
Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization (benefits, insurance, etc.), plus:
- 100% paid medical premiums for our full-time employees
- Generous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)
- The longer you stay, the more vacation you’ll accrue!
- Longevity Pay (Monthly payments after two years of service)
- Build your future with our awesome retirement/pension plan!
We take care of our employees! As a world-renowned institution, our employees’ wellbeing is important to us. We offer work/life services such as...
- Free financial and legal counseling
- Free mental health counseling services
- Gym membership discounts and access to wellness programs
- Other employee discounts including entertainment, car rentals, cell phones, etc.
- Resources for child and elder care
- Plus many more!
Position Summary:
The Clinical Documentation Improvement (CDI) Education Specialist reports to the CDI Director and is accountable for ensuring providers are documenting and coding encounters and procedures in the Inpatient, Outpatient and Clinic setting to meet Professional Billing requirements. The goal is to create and provide provider education that results in improved documentation and coding accuracy across the organization. This position collaborates and works closely with Coding and Charge Capture and Billing Compliance leadership to identify specific areas and providers in need of CDI education.
We are seeking a highly skilled and motivated Specialist in Clinical Documentation Improvement (CDI) Education to join our dynamic healthcare team. The ideal candidate will possess extensive knowledge in medical coding, billing, and clinical documentation standards. This role involves educating healthcare providers on best practices for accurate and comprehensive documentation, ensuring compliance with healthcare regulations, and optimizing patient outcomes. Strong communication and analytical skills are essential, as the specialist will collaborate with various healthcare professionals to identify and address documentation gaps
- Department: Revenue Cycle
- Status: Full-time
- Location: Remote (2 -4 weeks onsite for training @ 1851 Crosspoint Ave, 77054) meetings, additional training, etc.).
- Must live in Texas (TX)This is a Remote position, and you must reside in Texas
- Must be able to attend any required onsite meetings
**We DO NOT provide lodging or mileage reimbursement for training**
Position Key Accountabilities:
1. Responsible for the ongoing development, creation and maintenance of individual education projects and resources to include: stakeholder meetings, scheduling education sessions, preparing materials and formal presentations.
2. Collaborates with Billing Compliance and Coding on team identified projects. Utilizes all CDI functionality defined in our scope of practice to find resolution to provider issues. The team is responsible for delivery of provider findings, resources and education material. Researches new services and creates CDI Resources to ensure provider success with new billing opportunities across the organization.
3. Identifies service areas or individual providers in need of CDI and audits encounter notes. Ensures documentation compliance and completeness of the medical record documentation in order to provide documentation and coding accuracy. Effectively communicates and personally educates providers.
4. Creates CDI education material for utilization in New Provider Orientation.
5. Ensures effective project tracking, dissemination and communication of all CDI project education efforts to all members of Revenue Cycle, Coding and Billing Compliance.
6. Serves as a SME on CDI scope of practice during internal and external meetings as required.
7. Other duties as assigned.
Certification/Skills:
Must possess one or more of the following: Certification as a Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), OR Certified Coding Specialist-Physician-based (CCS-P). Clinical Documentation Improvement Certification required, but the certification may be obtained within one year of employment. Certified Instructor/Educator credentials preferred. Proficiency in Microsoft Office suite, presentation software and internet communication programs. Analytical skills, ability to interpret data, and generate reports, overall turning valuable data into presentable information for providers. Demonstrates strong critical thinking skills and the ability to review the medical record to identify information not yet documented but supported by clinical indicators or clinical clues. Excellent time management skills required, self-motivated and able to work independently without close supervision, and ability to work effectively under pressure due to changing priorities, interruptions, and workload variability.
Minimum Education:
Associate’s degree or equivalent combination of education and experience; bachelor’s degree preferred.
Minimum Experience:
Three years of coding, billing compliance and/or CDI education experience, with at least 2 years of experience as a pro-fee coder/auditor and/or healthcare billing compliance or clinical documentation improvement experience. Experience with EPIC is preferred.
Physical Requirements:
Exerts up to 20 pounds of force occasionally and/or up to 10 pounds frequently and/or a negligible amount constantly to move objects.
Security Sensitive:
This job class may contain positions that are security sensitive and thereby subject to the provisions of Texas Education Code § 51.215
Residency Requirement:
Employees must permanently reside and work in the State of Texas.
If you are looking for a great healthcare career in Houston, visit http://go.uth.edu/careers!
University of Texas Health Science Center at Houston (UTHealth)
Established in 1972 by The University of Texas System Board of Regents, The University of Texas Health Science Center at Houston (UTHealth) is Houston’s Health University and Texas’ resource for health care education, innovation, scientific discovery and excellence in patient care. The most comprehensive academic health center in the UT System and the U.S. Gulf Coast region, UTHealth Houston is home to schools of biomedical informatics, biomedical sciences, dentistry, nursing and public health and the John P. and Kathrine G. McGovern Medical School. UTHealth Houston includes The University of Texas Harris County Psychiatric Center, as well as the growing clinical practices UT Physicians, UT Dentists and UT Health Services. The university’s primary teaching hospitals are Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Harris Health Lyndon B. Johnson Hospital.
UTHealth Benefits
UTHealth Houston offers a comprehensive and competitive benefits package. For more information on our benefits programs please refer to the UTHealth Houston Office of Benefits Website.
Equal Employment Opportunity Statement
UTHealth Houston is committed to providing equal opportunity in all employment-related activities without regard to race, color, religion, sex, sexual orientation, national origin, age, disability, genetic information, gender identity or expression, veteran status or any other basis prohibited by law or university policy. Reasonable accommodation, based on disability or religious observances, will be considered in accordance with applicable law and UTHealth Houston policy. The University maintains affirmative action programs with respect to women, minorities, individuals with disabilities, and eligible veterans in accordance with applicable law.
UTHealth Houston has adopted a policy consistent with CMS regulations to protect our patients and university community from exposure to COVID-19. This policy affects all employees, residents, fellows, students, contractors, new hires, visiting scholars program participants, adjunct faculty, and volunteers who work, train, or collaborate at the John S. Dunn Behavioral Science Center.
In addition, all UTHealth Houston employees who are assigned to work at a location that is subject to the affiliated partner’s hospital, clinical offices, or agency are required to abide by UTHealth’s Houston rules and regulations, as well as the affiliate’s rules and regulations, including COVID-19 vaccination and safety requirements.
Work location is based on the needs of the department and may be adjusted.
