Description

Facility Profile

Tampa General Hospital, a 1,040-bed, not-for-profit, academic medical center, is one of the largest hospitals in America and delivers world-class care as the region’s only center for Level l trauma and comprehensive burn care. Tampa General Hospital is the highest-ranked hospital in the market in U.S. News & World Report's 2022-23 Best Hospitals, and is tied as the third highest-ranked hospital in Florida, with seven specialties ranking among the best programs in the United States. Tampa General Hospital has been designated as a model of excellence by the 2022 Fortune/Merative 100 Top Hospitals list. The academic medical center’s commitment to growing and developing its team members is recognized by two prestigious Forbes magazine rankings – first nationally in the 2022 America’s Best Employers for Women and third out of 100 Florida companies in the 2021 America’s Best Employers by State. Tampa General is the safety net hospital for the region, caring for everyone regardless of their ability to pay, and in fiscal year 2020, provided a net community benefit worth more than $182.5 million in the form of health care for underinsured patients, community education, and financial support to community health organizations in Tampa Bay. It is one of the nation’s busiest adult solid organ transplant centers and is the primary teaching hospital for the USF Health Morsani College of Medicine. With six medical helicopters, Tampa General Hospital transports critically injured or ill patients from 23 surrounding counties to receive the advanced care they need. Tampa General houses a nationally accredited comprehensive stroke center, and its 32-bed Neuroscience, Intensive Care Unit is the largest on the West Coast of Florida. It also is home to the Jennifer Leigh Muma 82-bed Level IV neonatal intensive care unit, and a nationally accredited rehabilitation center. Tampa General Hospital’s footprint includes 17 Tampa General Medical Group Primary Care offices, TGH Family Care Center Kennedy, TGH Brandon Healthplex, TGH Virtual Health, and 21 TGH Imaging powered by Tower outpatient radiology centers throughout Hillsborough, Pasco, Pinellas and Palm Beach counties. Tampa Bay area residents also receive world-class care from the TGH Urgent Care powered by Fast Track network of clinics, and they can even receive home visits in select areas through TGH Urgent Care at Home, powered by Fast Track. As one of the largest hospitals in the country, Tampa General Hospital is the first in Florida to partner with GE Healthcare and open a clinical command center that uses artificial intelligence and predictive analytics to improve and better coordinate patient care at a lower cost. For more information, go to www.tgh.org.

Job Summary

Under general supervision of the CDI Manager following established policies, procedures and professional guidelines to plan, develop, and implement clinical documentation education programs for CDI specialists and providers.  The CDI Educator is an expert clinician who works in partnership with multidisciplinary teams, including but not limited to Coding, Quality, Infection Control and medical staff to improve the quality and accuracy of the medical record documentation through continued education.  The CDI Educator monitors the accurate reporting of SOI/ ROM scores and MCC/CC capture rates for DRGs assigned.  The CDI Educator maintains clinical and professional competencies for subject matter expertise in clinical documentation improvement concepts. Coordinates the educational and onboarding process of new team members. 

Essential Functions:

• Utilizes critical thinking skills based upon extensive knowledge of disease processes and clinical outcomes to identify the need for further clarification of physician documentation within the medical record. 
• Collaborate with CDI Manager and other clinicians to facilitate the ongoing relevance of department specific orientation content, educational materials and documentation tip sheets and training programs/resources. 
• Work on efforts to improve provider clinical documentation and providing an accurate clinical picture of the patient including severity of illness, risk, and resource utilization. 
• Demonstrates the ability to prioritize daily work activities is self-directed and can complete daily work assignments with limited supervision. 
• Assists with and analyzes outcome data relevant to the target case type to promote complete and accurate documentation   
• Analyzes and evaluates the effect of CDI on quality outcomes, fiscal parameters, and system operations and implements strategies to resolve system, performance and patient variances.
• Maintain and update the CDI Dashboard to track CDI measures of success and bench mark department effectiveness. 
• Conduct individual and large group educational sessions for all CDI Specialists and/or providers. 
• Collaborates with physicians and appropriate healthcare providers regarding documentation requirements and trends, as needed. 
• Provides classroom and one-on-one training for CDI staff including initial CDI process and concept training and on-going education related to new topics in CDI, coding and reimbursement in conjunction with CDI Manager. 
• Assist with the development and editing of policies and procedures and leading and attending team meetings 
• Collaborates training and onboarding of new CDI staff. 
• Attends educational programs to enhance knowledge of clinical area served. 
• Leads and/or participates on committees within the department, and TGH relevant to clinical documentation improvement 
• Assists in audits of CDI team as needed, makes appropriate recommendations for workflow improvement and accuracy as needed  
• Adhering to the Association of Clinical Documentation Improvement Code of Ethics and American Health Information Management Association’s code of ethics related to query process 
• Works with providers related to query responses, education and training.  

Requirements

• RN, Bachelor’s Degree 
• Certified Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS) or obtain and maintain certification within one year of employment 
• 5+ years clinical experience and 3+ years’ experience as a Clinical Documentation Improvement Specialist 
• Preferred clinical experience with acute care  experience at a large facility 
• Preferred experience with 3M360 Clinical Documentation and EPIC electronic medical record. 
• Excellent communication and interpersonal skills; ability to communicate verbally and in writing with individuals of varying educational levels 
• Significant financial and analytical skills 
• Word, Outlook, Excel  PowerPoint experience preferred 
• Analytical skills necessary to clinically assess medical records required.