CDI Educator

Albany Medical Center; City of Albany (NY); Hybrid; USD 78,000 - 123,000; Full time

Job summary

A leading medical center in Albany seeks a Clinical Documentation Improvement Specialist to enhance documentation quality and provide education to healthcare providers. This hybrid role requires strong analytical and communication skills, along with extensive clinical experience. The ideal candidate will have a background in nursing or a related field and possess relevant certifications. Join a dedicated team focused on continuous improvement in patient care and documentation practices.

Qualifications

• 5+ years of adult acute care practice experience required.
• 1-3 years of CDI experience required.
• 1-3 years of experience in teaching or mentoring position required.

Responsibilities

• Plan, develop, and implement clinical documentation education programs.
• Collaborate with providers and medical coding staff to improve documentation quality.
• Conduct individual and group educational sessions for CDI specialists and providers.

Skills

Interpersonal skills

Analytical skills

Communication skills

Critical thinking

Teamwork

Education

Bachelor's Degree in Nursing or health related degree

Medical of Osteopathic Degree MD, DO or foreign educated medical graduate

CDIP - Clinical Documentation Improvement Professional

CCDS - Certified Cardiac Device Specialist

CCS-Certified Coding Specialist

Tools

Microsoft Office

Job description

Department/Unit:

Clinical Documentation Improvement

Work Shift:

Day (United States of America)

Salary Range:

$78,773.63 - $122,099.12 **This is a hybrid position and must reside in NY state.**

Work with program leadership to plan, develop, and implement clinical documentation education programs for CDI specialists and providers. Analyze data to ascertain where effective education is needed for both providers and staff. Forster an environment of continuous learning for CDI specialists and providers.

Collaborates extensively with providers, and medical coding staff to improve quality and completeness of documentation of care provided and coded. Educates members of the patient care team regarding documentation guidelines, including attending physicians, allied health practitioners, nursing, and case management. Conduct individual and large group educational sessions for all CDI Specialists and/or providers.
Performs query and chart audits to assure query compliance.

Working closely with the CDI Specialists to identify areas of non-specific documentation. Develop tools assist CDI specialists bridge existing and potential documentation gaps. Collaborate with CDI Director to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources.

Essential Duties and Responsibilities

• Contributes to the creation of a compassionate and caring environment for patients, families and colleagues through displays of kindness and active listening. Recognizes and appreciates that each employee’s work is valuable and contributes to the success of the Mission.
• Demonstrates excellence in daily work. Actively participates in performance and quality improvement activities and works toward enhancing customer/patient satisfaction.
• Exhibits positive service excellence skills to patients, visitors and coworkers by greeting others in a friendly manner, keeping customers/patients/colleagues informed about progress, delays and changes.
• Demonstrates effective teamwork by interacting in a positive manner with colleagues and creating a collaborative work environment. Initiates open communication, conveys positive intent, offers assistance.
• Contributes to a safe and secure environment for patients, visitors, colleagues by following established procedures and protocols, which address the needs of a diverse patient population and workforce.
• Demonstrates stewardship by thoughtful and responsible use of resources including maintaining a clean and hospitable environment, starting work on time, displaying a consciousness regarding costs, supplies and department finances.
• Demonstrates respect for individual differences of each person by acknowledging the essence of each person, appreciating and responding to unique, spiritual, personal and cultural backgrounds of patients, families and colleagues.

Qualifications

• Bachelor's Degree in Nursing or health related degree - required
• Medical of Osteopathic Degree MD, DO or foreign educated medical graduate - ECFMG certificate preferred
• 5+ years of adult acute care practice experience with teaching/mentoring - required
• 1-3 years of CDI experience - required
• 1-3 years of experience in teaching or mentoring position - required
• Advanced clinical experience with extensive knowledge of complex disease processes and broad clinical practice experience in the inpatient and outpatient settings - required
• Excellent interpersonal and analytical skills.
• Must be able to function independently, interpret information, communicate with medical and clinical staff and both internal and external to the institution
• Able to provide oral presentations both in person and virtually
• Must be motivated, organized with excellent verbal, written communication skills, and conversant with adult professional learners.
• Ability to work independently and as a member of a team utilizing critical thinking skills.
• Demonstrated competence in data analysis and data interpretation.
• Knowledge of ICD-10 codes and coding guidelines.
• Ability to prioritize workflow and manage various initiatives.
• Demonstrated quality improvement knowledge/skills regarding workflow and productivity processes.
• Strong speaking and writing skills required.
• Excellent presentation skills required.
• Able to produce reports in Microsoft Office components, Word, Power Point, Excel, and Access data bases
• Demonstrated effective facilitation skills.
• Good listening skills.
• Strong interpersonal communication skills with the ability to relate to all levels of education and organization positions
• CDIP - Clinical Documentation Improvement Professional Upon Hire - required
• CCDS - Certified Cardiac Device Specialist Upon Hire - required
• CCS-Certified Coding Specialist within 1-1/2 Yrs - required
• ECFMG Certificate Upon Hire - preferred

Physical Demands

• Standing - Constantly
• Walking - Constantly
• Sitting - Rarely
• Lifting - Frequently
• Carrying - Frequently
• Pushing - Occasionally
• Pulling - Occasionally
• Climbing - Occasionally
• Balancing - Occasionally
• Stooping - Frequently
• Kneeling - Frequently
• Crouching - Frequently
• Crawling - Occasionally
• Reaching - Frequently
• Handling - Frequently
• Grasping - Frequently
• Feeling - Constantly
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Constantly
• Eye/Hand/Foot Coordination - Constantly

Working Conditions

• Extreme cold - Rarely
• Extreme heat - Rarely
• Humidity - Rarely
• Wet - Rarely
• Noise - Constantly
• Hazards - Frequently
• Temperature Change - Rarely
• Atmospheric Conditions - Rarely
• Vibration - Rarely

Thank you for your interest in Albany Medical Center!

Albany Medical Center is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Thank you for your interest in Albany Medical Center!

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:

Access to information is based on a “need to know” and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.