DRG Senior Educator, Coding

Ensemble RCM

United States

Remote

USD 69,000 - 120,000

Full time

5 days ago
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Benefits offered by this job

Bonus incentives
Paid certifications
Tuition reimbursement
Comprehensive benefits
Career advancement

Job summary

Ensemble is seeking a remote Clinical Documentation Specialist Education Lead to design and evolve onboarding and education for CDS staff across health systems nationwide.

You will partner with CDI leadership to develop clinically accurate training content, mentor new hires, and ensure coding compliance while driving enterprise goals and regulatory standards. Travel to client sites may be required.

This role emphasizes AI-enabled process improvements and ongoing professional development.

Qualifications

  • 3+ years related experience with clinical documentation and/or coding.
  • Experience with multiple EMRs (Epic, Meditech and Cerner).
  • Detail oriented and self-motivated.
  • Strong organizational skills.
  • Excellent speaking and presentation skills.
  • Travel willingness to travel.
  • Openness to AI-enabled process improvements.

Responsibilities

  • Implements and develops onboarding for new CDSs, leading mentoring and education for CDS staff across CDI departments.
  • Develops customized education for healthcare professionals (1:1 or group).
  • Makes recommendations for documentation improvement and queries to capture care as per medical records.
  • Educates CDI team and providers on CDI review functions to meet enterprise goals and regulatory standards.
  • Ensures coding compliance and maintains up-to-date CDI policies and procedures.
  • Audits CDSs and develops education plans based on QA outcomes.
  • Oversees SMART-related education and department meetings.

Skills

Communication
Presentation
Detail oriented
Organizational skills

Education

Bachelor's degree

Tools

Epic
Meditech
Cerner

Job description

Thank you for considering a career at Ensemble!

Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:
  • Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
  • Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
  • Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement

This position pays between $6 9 , 4 00 to $1 19 , 7 00 annually based on experience

Job Responsibilities:
  • Implements and continuously develops onboarding for all new Clinical Documentation Specialists (CDSs) for mentoring and education needs. Leads and coordinates training of new CDI staff. Collaborate with CDI leadership and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials, and training programs/resources.
  • Formulates customized education to other healthcare professionals based on audience and areas of opportunity. Audiences include, but are not limited to CDS/Coders, providers, mid-levels, nursing, dietary, Quality, etc. Education provided includes 1:1 education and/or group education. Interacts with medical staff members, directors, and senior hospital leadership staff as needed.
  • Makes recommendations for documentation improvement and queries to capture care and intensity of services as supported within the medical record documentation.
  • Demonstrates understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, secondary diagnoses, and the impact of procedures on the final Diagnosis Related Group (DRG).
  • Educate members of the CDI team and providers on the review functions within the CDI program to meet and maintain enterprise goals and objectives , regulatory compliance, policies and procedures and standard operating procedures. Assist with the development and maintenance of system CDI policies and procedures. Remain current on CDI guidelines and practices.
  • Ensures program compliance by following coding guidelines and coding clinics. Remains current with coding information to ensure accuracy of codes assigned based on documentation.
  • Serve as a key resource for accurate and ethical documentation standards and regulatory requirements.
  • Demonstrates the ability to draft compliant queries as endorsed by AHIMA and ACDIS.
  • Performs medical record reviews for completeness and accuracy in capturing severity of illness, risk of mortality and clinical validation.
  • Determines if professionally recognized standards of quality care are met.
  • Audits CDSs as needed to ensure that system objectives are met. Develops educational plan for individual CDS based on Quality Audit (QA) outcomes. Provides 1:1 mentoring as needed .
  • Oversees and coordinates SMART related education, meetings, and requirements for the department and as instructed by the SMART department.
Experience We Love:
  • 3 + y ears related experience with clinical documentation and /or coding
  • Experience with multiple EMRs (Epic, Meditech and Cerner)
  • Detail oriented and self-motivated
  • Strong organizational skills
  • Excellent speaking and presentation skills
  • Working knowledge of Microsoft applications, including creation of Power Point presentations.
  • Could require minimal travel
  • Must be inquisitive and demonstrate openness to innovation including AI to explore better processes and ways to alleviate friction and improve patient and client experiences
  • This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require.
Minimum Education:
  • Bachelors Degree or Equivalent Experience

Licensure Requir

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