CDI Auditor/Educator

Join the Southwest Healthcare Team!

About Us:

Creating Health and Harmony, Southwest Healthcare is a comprehensive network of care with convenient hospital and ambulatory care/outpatient locations here to serve the Southern California community. With over 7,000 passionate providers and healthcare employees, our shared goal is to provide convenient access to a wide range of healthcare services in a way that benefits you, your family, and the entire community.

Southwest Healthcare is comprised of five acute care hospitals and several non-hospital access points, including: Corona Regional Medical Center, Palmdale Regional Medical Center, Southwest Healthcare Rancho Springs Hospital, Southwest Healthcare Inland Valley Hospital and Temecula Valley Hospital, Temecula Valley Day Surgery, A+ Urgent Care Centers, Apex Heart Specialists and Riverside Medical Clinics. We've won various awards throughout our region and focus on career development and promotion, where the people are at the core of everything we do. If you are looking for a career and not just a job, you're in the right place! For more information on how to join our dynamic team, please visit our website at www.swhealthcaresystem.com.

Job Summary:

Southwest Healthcare is seeking a Full-Time RN Clinical Documentation Auditor/Educator who will support staff development to ensure overall quality of work and completeness of clinical documentation reviews. This position is eligible for hybrid work schedule (onsite 3 days, remote 2 days). However, remote days are not guaranteed and subject to change based on department needs for in person training, education and site-based meetings. Duties include but not limited to:

• Providing audits for facilities based on data analytics, impact analysis, and provider performance to support educational direction for providers, leading to the most clinically accurate codeset to reflect patient's stay while in the care of the facilities.
• Promote a partnership between CDI staff, Coding staff, Quality and Clinical Program staff, and providers.
• Provide education for accurate reimbursement with integrity, interacting with providers and staff to accurately represent Severity of Illness, Intensity of Service, Risk of mortality, Quality of Care, and Accurate Reporting for Clinical Programs.
• Utilize Official Coding Guidelines, AHA Coding Clinics, embedded CDI Software resources, and professional industry guidance to provide education as needed to CDI (Clinical Documentation Integrity) Team, Coders, and providers.Provide reviews of inpatient medical records for evaluation of utilization and documentation of acute care services to ensure appropriate provider documentation of diagnoses and care delivered.
• Provide cross-coverage in absence of CDI Staff, CDI Manager and/or RN CDI Lead.
• Position requires travel between sites throughout the Southern California region to support team collaboration, education, and training efforts.

Experience/Training/Experience:

• Associate's degree from an accredited College or University in the field of nursing required.
• Bachelor's degree from an accredited College or University in the field of nursing preferred.
• Minimum of five (5) years clinical experience in acute care setting (Critical care, Medical/Surgical or Emergency Medicine) plus 3-5 years in inpatient acute care setting CDI experience required.
• Minimum of five (5) experience in CDI Leadership and/or CDI Education strongly preferred.

Certifications/Licenses:

• Current license as a Registered Nurse in the State of California required.
• Current certification(s) for Certified Clinical Documentation Specialist (CCDS) or Certified Clinical Improvement Practitioner (CDIP) required.
• Dual certification CCDS and CDIP strongly preferred.
• Dual certification with credentials of CCDS, CDIP, CCDS-O, CCS, RHIT preferred.

Other Skills and Abilities:

• Demonstrates knowledge and ensures compliance with The Joint Commission and Title 22 standards and guidelines.
• Demonstrates compliance with Healthcare policies and procedures at all times.
• Ability to set priorities and appropriately organize workload and complete assignments in a timely manner.
• Familiarity with basic medical laws and ethics, i.e. consents, confidentiality.Knowledge of emergency procedures, medical terminology and medical abbreviations.
• Demonstrates ability to relate to clinical personnel and medical staff, as well as ability to interact well with the public.
• Must have knowledge of PC and applications.
• Ability to work independently in a time oriented environment is essential.
• Working knowledge of current ICD-10-CM coding guidelines, with working knowledge of Medicare reimbursement system required.Working knowledge of inpatient admission criteria.
• Detailed oriented, ability to collect, trend and report data.Excellent organizational skills required.

Benefit Highlights:

• Challenging and rewarding work environment.
• Competitive Compensation & Generous Paid Time Off.
• Excellent Medical, Dental, Vision and Prescription Drug Plans.
• 401(K) with company match and discounted stock plan.
• SoFi Student Loan Refinancing Program.
• Tuition, CEU, Certification, Licenses Reimbursement program.
• Career development opportunities within UHS and its 300+ Subsidiaries!
• More information is available on our Benefits Guest Website: UHS Guest Benefits.

Southwest Healthcare is owned and operated by subsidiaries of Universal Health Services, Inc. (UHS), a King of Prussia, PA-based company, one of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 99,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 331 behavioral health facilities, 60 outpatient and other facilities in 39 U.S. States, Washington, D.C., Puerto Rico and the United Kingdom.

EEO Statement:

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

Avoid and Report Recruitment Scams:

We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.