What are the responsibilities and job description for the Clinical Documentation Quality Coord. position at BJC HealthCare?
Overview
Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.
Preferred Qualifications
Role Purpose
The Documentation Quality Coordinator (DQC) works at the enterprise level and uses their extensive Clinical Documentation Improvement (CDI) experience to perform second level reviews of complex clinical cases and focused reviews of target case populations prior to final coding and billing across BJC. This position responds to review requests from across the system and escalates unanswered queries to Physician Champions. This position also analyzes data & reports and educates facility-based CDI staff and medical providers on hospital/enterprise level trends and areas of opportunity.
Responsibilities
- Reviews clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the quality of the physician’s clinical documentation; performs retrospective reviews for DRG verification according to the OIG (Office of Inspector General) workplan and Centers for Medicare and Medicaid Services (CMS), noting organizational trends or patterns.
- Demonstrates a thorough understanding of the MS-DRG system, CCs/MCCs, impact on quality, and CMI as well as ICD-10 coding systems and the guidelines related to clinical documentation improvement; serves as a resource for the clinical documentation improvement specialist team.
- Leads provider engagement, establishes standards, relationships and maintenance for shared accountability related to enterprise CDI and documentation improvement efforts, with all providers across the enterprise.
- Identifies enterprise trends, variances, deficiencies, and problems utilizing aggregated data and information as part of the integrated clinical documentation improvement program; performs provider and group level CDI data trend analysis, issue identification and solution proposal to leadership.
- Leads and manages ongoing documentation improvement initiatives across service lines and across hospitals including formal and informal education plans related to clinical documentation improvement; leads enterprise functional teams for education, standard queries, standard process & technology, analytics, etc.; acts as a consultant to quality managers, management team, medical staff and health care staff regarding core measure performance and clinical documentation opportunities; leads and/or participates in hospital(s) and organization projects related to documentation improvement; coordinates and collaborates with enterprise CDI for standards in content, process, and technologies.
Minimum Requirements
Education
- Bachelor's Degree
- Nursing
Experience
- 5-10 years
Licenses & Certifications
- Cert Clinical Documentation
- RN
Preferred Requirements
Education
- Master's Degree
- Nursing
Supervisor Experience
- No Experience
Licenses & Certifications
- Certified Coding Spec
- Cert Doc Improve Practitioner
- Certified Rev Cycle Rep
Benefits and Legal Statement
BJC Total Rewards
At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
- Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
- Disability insurance* paid for by BJC
- Pension Plan*/403(b) Plan funded by BJC
- 401(k) plan with BJC match
- Tuition Assistance available on first day
- BJC Institute for Learning and Development
- Health Care and Dependent Care Flexible Spending Accounts
- Paid Time Off benefit combines vacation, sick days, holidays and personal time
- Adoption assistance
To learn more, go to www.bjctotalrewards.com/Benefits
- Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
