Remote CDI
I'm wondering if anyone on this talk group is performing remote CDI? If so;
1. Average hourly pay scale.
2. Do they track by key stroke?
3. I heard Kaiser people some years ago say they had to have a separate workspace in the house and cameras showing it. Is that true generally?
4. Anything else to add that you think would be helpful.
Thanks, Donna Kent
donna.kent@yahoo.com
1. Average hourly pay scale.
2. Do they track by key stroke?
3. I heard Kaiser people some years ago say they had to have a separate workspace in the house and cameras showing it. Is that true generally?
4. Anything else to add that you think would be helpful.
Thanks, Donna Kent
donna.kent@yahoo.com
Comments
I am not monitored in any way and I am salaried (as are all our CDIs). I understand the desire to make sure that people are working but I think I would find keystroke monitoring annoying. It wouldn’t account for reading the records, conversing via phone with other staff, using the DRG/coding books, etc. I think one thing to think about is that if you initiate cameras or keystroke technology is someone going to monitor and who would that be? I think I would monitor remote staff by checking productivity and regular audits of their work to ensure quality. This seems more valuable to me.
Payscale in my opinion should be the same as onsite staff and all work related materials should be provided or a stipend should be provided to compensate. In my case, I am provided with a laptop with docking station, 2 monitors, my books, and a cell phone, as far as basic equipment.
Katy Good, RN, BSN, CCDS, CCS
Clinical Documentation Program Coordinator
AHIMA Approved ICD-10CM/PCS Trainer
Flagstaff Medical Center
Kathryn.Good@nahealth.com
Cell: 928.814.9404
Donna
I work remotely - my work can be audited in the same manner as when I was on-site. I actually am on-site some, and working at home some. This is as need basis. Facility provides me all of the basics.
Hourly Wage - no difference due to fact I work remotely.
Since we are in EPIC, all of my work, such as charts audited, query production, may be audited.
Remote work is becoming more popular in very high cost areas as the middle class leaves ultra expensive areas on the West Coast...just my opinion? I think this is the wave of the future. My employer is based in San Francisco and I can't afford to live and work there...it is not feasible.
Paul Evans, RHIA, CCS, CCS-P, CCDS
Manager, Regional Clinical Documentation & Coding Integrity
Sutter West Bay
633 Folsom St., 7th Floor, Office 7-044
San Francisco, CA 94107
Cell: 415.637.9002
Fax: 415.600.1325
Ofc: 415.600.3739
evanspx@sutterhealth.org
Salary no different from working on site. Exempt, not hourly (as always have been).
Monitor metrics, etc.... no consideration for key stroke monitoring, camera, etc. Expect professional commitment and behavior (and have continued to see that). Productivity and time monitoring is little different from when on site. Requirement to maintain or improve to be able to go home and continue at home.
Computers provided. Don't provide cell phones -- initially had a couple rotating on site to handle needed communication -- found not really needed. If CDS's want voice communication, expected at their expense to utililize a second land line (dedicated). Concerned about personal privacy, so did NOT want them using their personal cell phones. Desk, chair, office furniture to be supplied by CDS, expect reasonable ergonomic accommodation. Expect a dedicated work space conducive to working. Locked drawer if have anything printed with ANY HIPPA information, and to bring in periodically to shred. Don't absolutely need printer, so not provided but could use personal printer. We have an internal instant messenger system which is very helpful along with email for team communication.
Really do need to be able to deliver all of the electronic tools and resources -- EHR, encoder, email, references, etc.
Some draw backs for communication and collaboration. Some real issues to figure out as far as training/orientation new team members ... happened to have 2 newer when we started. Had 2 mentors for each of the two new staff. Mentors alternated whom was required to be on site to orientate/mentor.
Webex's were helpful at times, though there are occasions when face to face is better (and is required).
I think has been a real success.
Don
The program here is still without a full EMR so it would not be an option at this time. In discussing remote work with other CDS's at the ACDIS conference though, I kept coming back to the question...how do you impact the providers that don't 'buy in' to working with us yet?
Talking with the providers in the hallways daily is how our work continues to increase in impact and effectiveness. We go to physician meetings and do short presentations monthly. It is hard for me to visualize the work without the personal interaction.
Does the EMR really make it possible to skip the interaction?
Janice
Janice Schoonhoven RN, MSN, CCDS
Clinical Documentation Integrity
Manager- PeaceHealth Oregon West Network
Tiffany Estes, RHIA, CCDS
Supervisor, CDI and Coding
UNCH Hospitals