PRMO: , established in 2001, Patient Revenue Management Organization (PRMO) is a fully integrated, centralized revenue cycle organization supporting all of Duke Health, including Duke University Hospital, Duke Regional Hospital, Duke Raleigh Hospital, the Private Diagnostic Clinic, and Duke PrimaryCare. The PRMO focuses on streamlining the revenue cycle through enhanced management of scheduling, registration, coding, HIM operations, billing, collections, cash management, and customer service. The Mission of the PRMO is delivering quality service by enhancing the patient experience, providing financial security, and preserving Duke's reputation and mission of advancing health together. Our Vision is to be recognized as a world class innovative revenue cycle organization that values our people, patients and performance.
The Clinical Documentation Improvement CDI Liaison - CDI Educator utilizes coding and clinical expertise to identify opportunities and ensure accuracy and completeness of clinical documentation used for measuring and reporting physician outcomes as well as for billing purposes. Serves as University Health System (DUHS) CDI ICD-10-CM, PCS coding/Diagnosis Related Group (DRG) trainer, supporting clinical documentation coaching mentoring and training initiatives across the System. May serve as CDI representative on committees where documentation education input is required. Is relied upon for training and educating new CDI candidates, as well as provider education as needed.
Duties and Responsibilities of this Level
Works with the director and management of CDI to create, implement, and monitor departmental policies and procedures related to CDI education and on going development of CDI staff. Supports organizational goals, business objectives and clinical documentation accuracy and data quality across the Duke University Health System.
Serves as liaison between the HIM Compliance Specialists and the Department of Clinical Documentation across the System.
Matrices education and communication management between CDI program and HIM across the System.
Serves as ICD-10 expert resource to the CDI staff across the System with daily interaction with CDI staff, HIM Coding Unit and on the units to ensure appropriate understanding of the documentation needed to support the coding function.
Routinely trains new CDI learners, answers questions and provides education to the CDI staff across the System on compliant documentation to support ICD-10-CM/PCS codes assigned by HIM.
Evaluates variances in opportunities for DRGs assignment by CDI staff and collaborates with HIM leadership across the System to support the educational needs of the CDI staff and Coders to ensure compliance with coding guidelines and identify opportunities for education.
Collaborates with CDI and HIM leadership to develop reports which monitor program success and opportunities for continued focus on high risk diagnoses and best practice documentation for PSI, HACs and other quality review metrics.
Establishes effective working relationships with the CDI and coding staff to facilitate ease of communication and team building.
Develops recommendations as required for documentation templates and physician queries based on coding changes, regulatory modifications and quality review findings.
Monitors DUHS CDI program from an HIM/coding perspective, identifying and teaching CDI staff in areas of opportunities arising from changes in industry trends and developments.
Perform other related duties incidental to the work described herein.
Presentation, training and communication skills essential
Works independently with minimal supervision
Minimum Qualifications Education: Bachelor degree required, preferably in a healthcare related field. Master's degree preferred. **Nurse strongly preferred.
Experience: Seven years of experience in an acute care coding environment or consulting practice assigning and/or assessing ICD-10 codes and MS DRGs. Coding auditing experience required. Previous experience in an existing Clinical Documentation Improvement Program preferred. Degrees, Licensures, Certifications: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS), Certified Clinical Documentation Specialist (CCDS) Certified Documentation Improvement Specialist (CDIP) or AHIMA ICD-10-CM Trainer strongly preferred.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas--an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.