Specialized CDI Positions

dbutlerdbutler
edited May 2016 in CDI Talk Archive
I know most CDI staff spend portions of their time with physician education (both formal & informal), bring forth topical information for education purposes to their CDI team (both CDS & coding), talk and network with other various roles (ancillary staff like dietary or PT, quality shop, etc.). But often, this is an expectation of for ALL staff members on the team.

Does anyone have either as a part time or full time, specialized function positions within your CDI team?

I know not too long ago there was an education position posted on the ACDIS jobs board -- but that is only one I've heard about. A similar position would be what we here would call a Staff Development Assistant on the clinical units.

How about a reverse liaison -- instead of a physician acting as liaison to the medical staff, a CDS that has dedicated time to support a medical director / champion or that is focused on working with the medical staff?

How about a CDS that is focused on specialized projects for a significant portion of the day -- such as: mortality reviews; data gathering & analysis; EMR development; systems (IS, process, clinical...); quality improvement efforts.....?

Is anyone seeing much specialization / expansion / growth of CDI activity?

Finally, if anyone has job descriptions (or similar descriptive documents of role or activities), PLEASE SHARE!!

Don

Comments

  • tiffany_susantiffany_susan
    edited May 2016
    SEE BELOW:
    Thank You,
    Susan Tiffany RN, CCDS
    Supervisor Clinical Documentation Program
    Guthrie Healthcare System
    phone: 570-887-6094
    fax: 570-887-6768
    email: tiffany_susan@guthrie.org
    "Twenty years from now you will be more disappointed by the things you
    didn't do than by the ones you did do. So throw off the bowlines. Sail
    away from safe harbor.Catch the trade winds in your sails. Explore. Dream.
    Discover." Mark Twain


    EPIC CLINICAL DOCUMENTATION SPECIALIST - LEAD JOB




    Description :
    EPIC CLINICAL DOCUMENTATION SPECIALIST - LEAD
    Location: BON SECOURS HEALTH SYSTE OFFICE-RICHMOND, RICHMOND, VA
    Department: CIS IMPLEMENTATION
    Schedule: Full Time
    Shift: Day
    Hours:
    Job Details:
    -
    POSITION SUMMARY:
    The Care Management/Clinical Documentation Specialist (CM/CDI) Lead is
    responsible for transfer of knowledge and expertise in care management and
    clinical documentation improvement that meets regulatory and medical
    necessity guidelines in collaboration with the ConnectCare team. This
    requires advanced knowledge of care management and clinical documentation
    improvement programs that accurately meet the patient’s severity of
    illness and comorbid conditions. Inherent in this position is knowledge of
    regulatory focus and utilization review requirements, quality indicators
    related to the CMS HQID and other quality programs as well as focus on POA
    conditions.
    REPORTING RELATIONSHIPS
    The incumbent works under the supervision of the Director for Outcomes
    Management and in relationship with the HSO Managers for Care Management
    and Clinical Documentation Improvement as a member of the Clinical
    Excellence team under the Chief Medical Officer. Reporting relationships
    within ConnectCare team TBD.
    MAJOR DUTIES AND RESPONSIBILITIES
    A representative summary of tasks to be performed by the incumbent is
    provided below. The incumbent may be asked to perform job-related tasks
    other than those specifically stated in this description. The duties and
    responsibilities of the position are to be carried out in a manner that is
    consistent with the mission, values and operating principles of Bon
    Secours, and in-line with the organization’s Code of Conduct.
    • Provides direction to the ConnectCare team as an internal subject matter
    expert and leader on areas related to Care Management and Clinical
    Documentation improvement.
    • Provides guidance to medical staff leadership in areas related to
    Problem Lists, order set and overall documentation to accurately reflect
    the patient’s condition and translation to accurate coding.
    • Advanced knowledge of regulatory requirements and focus areas seen by
    RAC, MIC, OIG studies and interpretation of PEPPER reports to provide
    education to ConnectCare teams on ongoing regulatory changes that may
    impact builds or require modifications of the EMR.
    • Demonstrated competence in use of the ConnectCare system as well as
    reporting functions to use as actionable data to improve patient care and
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    • Involvement in Clinical Transformation initiatives to facilitate
    transitions of care and focus on readmissions to assist clinical teams.
    • Able to develop educational programs for ongoing success of the program
    relative to area of expertise to teach ConnectCare team members as well as
    hospital team members.
    • Advanced knowledge of utilization review criteria sets s



    Role :
    EPIC CLINICAL DOCUMENTATION SPECIALIST - LEAD JOB
    Email Job to Friend
    View Jobs for this Advertiser
    Find Similar Jobs
    Type :
    Permanent Jobs
    Location :
    RICHMOND (Virginia, United States)
  • katysuegood@gmail.comkatysuegood@gmail.com
    Here is my situation;

    I am the CDI "program coordinator". currently, our program consists of me and one other nurse and we only review medicare. We hope to expand and in order to do so, we will need two more CDI's. Our census is usually around 260 patients with 30% being medicare.

    For my role, 50% of my job is chart review and regular CDI work. The other 50% is what you are talking about. as far as reviews, i am responsible for the ICU's while the other nurse handles the rest of the medical/surgical beds (we do not review OBGYN or peds). I also review all death charts alongside our coding manager to ensure all dx are being documented and proper coing is taking place (We had a death chart audit and it did not look good).
    I work VERY closely with our coding manager in ensuring proper coding AND documentation. I also work very closely with out "clinical value" staff. We are using a program called "Crimson" that allows MD's to compare their quality data (and other data) with other physicians in our hospital and elsewhere. This program has led to MANY documentations issues as the Dr's have patients that fall out for Length of Stay and question why (often the DRG could have been moved and had a longer GMLOS if their was proper documentation). Because of this, I now attend all department meetings as well as meeting with the Crimson staff and individual MD's and service lines to discuss improvement.
    I also am mainly responsible for the education. I do "documentation tips" a few times a month and am involved in any meetings that could potentially impact documentation or vice versa. I host our weekly meeting with my manager, the coding manager, and our physician liason as well.

    I am sure there is more, but thats what i can think of at the moment....
  • Unknown
    My title has recently changed to CDIS/CDS Liaison. The job description is still a work in progress, but so far I do the following:
    Reconciliation of the spreadsheet used for data from the CDIS program
    Help the coders with post discharge queries--either in wording or contacting the physician when there has been no response
    Liaison between coders and CDIS--discussing coding concerns (where they need more documentation) to CDIS
    Forming CDIS subcommittee's to work on physician education posters, etc.
    Backup chart review when others are away
    Expired chart review making sure the SOI and ROM equal a total score of 6 or more
    Providing backup support for CDIS on coding questions
    Other duties: still being defined!
    Linda Haynes, RHIT
    CDIS/CDS Liaison
    Legacy Health
    Portland, Oregon
    503-692-7498
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