A recruitment/relocation incentive is not authorized. Work Schedule: 80 hours per two week pay period occurring Monday through Friday from 730am - 4pm. This Informatics Clinical Documentation Improvement Clinical Champion and Veterans Equitable Resource Allocation (VERA) Coordinator position is located at the Clement J. Zablocki VA Medical Center, Milwaukee, Wisconsin, in the Medical Information Systems (MIS) Division. The incumbent reports directly to the Medical Information Systems Division Manager. Duties/Responsibilities: Support the CDI Program through ongoing review and demonstration of expert clinical knowledge in evaluation of programs and services Initiate and maintain databases, prepare reports, and work collaboratively to assess and actively participate in quality improvement processes and initiatives. Educate staff at all levels and work collaboratively with the HIM MRT-CDI coding staff on facility clinical documentation improvement objectives Act as a liaison between the MRT-CDI coding staff and the clinical staff to facilitate and support the objectives of accurate and timely documentation in support of coding, MS-DRG assignment, and representation of severity, acuity, and risk of mortality Collaborate and communicate to optimize accuracy of information in support of accurate data capture for the purpose of revenue Collaborate with facility staff to identify patterns in documentation, deficiencies in documentation, lack of specificity, or medical necessity for services rendered. Collaboration should include corrective actions and education of providers and support staff Serve as the only subject matter expert for the VERA model within the medical center Independently analyze data streams that feed the VERA model and assure correct data is being used Work with stakeholders throughout the organization to correct VERA data inaccuracies and ensure processes are in place to avoid future discrepancies. Advise the highest of leadership at the medical center, as well as other clinical staff and HIM Management on VERA matters Ensure the medical center is receiving the full VERA funding and resource allocation possible Utilizes knowledge of MIS programs sufficient to evaluate accomplishment of overall programs, identify existing or potential problem areas, and recommend corrective action of preventive measures Applies skill in analyzing cost data and VERA patient care groups (i.e. non-reliant, basic and complex care) and classifications to identify opportunities for enhanced documentation, coded data, and vesting practices to maximize VERA funding allocations, as well as provide continual training and support to the clinical services Assists with specific topics in the Medical Center newsletter or other communication vehicles to further educate the clinical staff Reviews documentation issues identified during chart reviews including common issues SAIL metric topics which may represent opportunities for improvement Assists with follow up and provider clinical queries to further clarify documentation and related issues. Facilitate complete and timely health record documentation by aiding in the health record review process, quality assurance, CMS core measures, and other initiatives Assists with data analysis of coded or other data primarily used to determine, measure, and report severity and risk adjusted outcomes and cost data for various metrics. These include cost, VERA patient class assignment, length of stay, complications, mortality and readmissions. Travel for training purposes may be required. Perform all other duties as assigned Financial Disclosure Report: Not required
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.