Clinical Documentation Education Lead

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Work Shift

Job Summary:

The Clinical Documentation Integrity (CDI) Education Lead collaborates with key stakeholders such as the CDI Leadership team, coding team members, providers, facility and service-line operational leadership, CDI & Coding auditors, and others to train providers on documentation best practices aimed at improving clinical documentation and coding accuracy. The CDI Education Lead is also responsible for training clinical documentation specialists to enhance their skills for CDI operations, with the goal of improving the accuracy of patient record documentation. This role involves working with the CDI Leadership team to develop and deliver education for providers on documentation best practices and for all CDI team members, covering areas like new employee orientations, skills training, team building, customer service, and change management. The aim is to ensure that clinical information in medical records is accurately recorded to reflect the appropriate clinical severity level for services provided to patients. Additionally, this role utilizes data trends, including CDI KPIs and audit results, to identify educational opportunities for providers and areas where the CDI team needs skill enhancement, develops/suggests training to support clinical documentation and coding accuracy.

Core Responsibilities and Essential Functions:

1. Ensures the growth of CDI teams skills & competencies, and adaptation to the changes in guidelines for accurate documentation and coding.
a) Assesses the areas where the providers and CDI team need to improve their knowledge and skills to stay current with the organizational and industry updates, as well as the changes in documentation and coding guidelines and informs the CDI Leadership team about the findings.
b) Initiates gathering topics, preparing, and providing regular CDI education to providers and team members based on data trends, audit results, industry events and leadership needs
c) Leverages the resources and technologies that are accessible to provide education and training to the providers and CDI team based on the identified needs, and ensure the improvement of the knowledge and skills from the provided education
d) Creates tailored CDI learning materials to address the learning needs of the providers and CDI team based on the data trends, audit results, industry events and leadership
e) Provides live and recorded education and training to the providers and CDI team, and ensures that the education improves the knowledge and skills of the team
f) Collaborates with the CDI Leadership team to create and deliver education and training for providers, new staff orientations, skills development, teamwork, customer service, and change management
g) Provides education and training to the providers and clinical documentation specialists in a timely manner, based on the results of the audits done by the CDI and Coding teams
h) Works with the CDI team to identify the provider education and training needs to make the documentation in the patient records more accurate
i) Helps with developing education material for the providers based on the data trends, audit findings, industry events and leadership objectives
j) Assists CDI Technology Lead with testing of future technology enhancements to improve CDI and provider workflows for accurate documentation and coding
k) Supports CDI Leadership team with creating training materials for the senior executive leadership, CDI team and providers, gathering articles or other information for presentations and meetings
l) Works with CDI Leadership team to find ways to enhance CDI teams skills & competencies to boost CDI outcomes, using methods such as shadowing CDI staff, analyzing data and trends, etc. to identify more areas of improvement.
m) Functions as a Super User with CDI Software and all other applications

utilized by the CDI team.
n) Participates in new user training on technology tools as needed
o) Performs any other duties as assigned
3. Maintains knowledge of coding and billing rules and regulations to ensure that the documentation in the medical record supports appropriate reimbursement. Maintains knowledge base of current medical terminology, procedures, medications, and diseases to provide accurate patient record analysis.
a) Reviews quarterly Coding Clinic ch