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 U. S. News & World Report , we invest in you with opportunities for career growth and development to align with your future goals.
Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB SUMMARY Works under general supervision of the CDI Manager to act as a clinical subject matter expert, mentor, and liaison for the CDI, Coding, and Quality teams by performing second-level reviews on inpatient University of Texas Southwestern Medical Center (UTSW) hospital medical records for clinical documentation accuracy.
Conducts second-level reviews of targeted cases to identify and capture opportunities to improve the integrity of the medical record. The CDI Coordinator manages various post-discharge, pre-bill work queues, evaluates potential Patient Safety Indicators (PSI), and responds to questions from the CDI team on concurrent patients. BENEFITS UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees.
Our benefits are designed to support your overall wellbeing, and include: PPO medical plan, available day one at no cost for full-time employee-only coverage 100% coverage for preventive healthcare-no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits!
EXPERIENCE AND EDUCATION Required Experience 3 years acute care Hospital-based nursing experience, preferred in critical care; and 3 years of experience working in a Clinical Documentation Integrity program; and Comprehensive knowledge of ICD10 CM/PCS, ability to identify the gaps between clinical documentation and coding; and Experience developing and delivering education on clinical documentation and coding guidelines to CDI and Coding Teams.
Licenses and Certifications (RN) REGISTERED NURSE Upon Hire and (CCDS) Cert Clinical Documentation within 180 Days or (CDIP) CERT DOCUMNTATN IMPROVMNT PRAC within 180 Days Preferred Education Bachelor's Degree in Nursing Experience Preferable in academic environment Licenses and Certifications (CCS) CERT CODING SPECIALIST AHIMA Certified Coding Specialist (CCS) credential Upon Hire JOB DUTIES Acts as a clinical subject matter expert, mentor, and liaison for the CDI Team.
Assists with on-going education and training of staff. Identifies educational opportunities in reviewing medical records and provides education feedback to individuals and if relevant, to the Trainer/Educator and/or Audit/Educator for broader education to the CDI and/or Coding Teams. Performs second-level clinical reviews for high impact targeted metrics including, but not limited to targeted DRGs, DRG Mismatch, Compliance, and CDI quality.
Performs clinical reviews of any potential PSIs for exclusions and escalates cases to the Physician Advisor when unable to exclude a PSI. Works collaboratively with, and is a liaison to other Departments, Leadership, Service Line Physician Champions, Physician Advisors, and other members of the Healthcare Team. Responsible for the concurrent physician query escalation process to support query completion prior to discharge.
Demonstrates skill in prioritizing and performing a variety of duties within an environment where assignments, priorities, and deadlines change frequently. Demonstrates excellent written and verbal communication skills, critical thinking, decision making, and interpersonal skills. Proactively escalates risks and issues to CDI Leadership to ensure timely and effective resolution.
Performs 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.