This Informatics Clinical Documentation Improvement Clinical Champion and Veterans Equitable Resource Allocation (VERA) Coordinator position is located at the 84th Street location of 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. A recruitment/relocation incentive is not authorized.

Duties

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 VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year) Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement) Licensure: 1 full and unrestricted license from any US State or territory Work Schedule: 80 hours per two week pay period. Monday - Friday Day shift Telework: Approximately 6 days per 2 weeks - After successful orientation and with supervisory approval Virtual: This is not a virtual position. Relocation/Recruitment Incentives: Not Authorized Permanent Change of Station (PCS): Not Authorized Financial Disclosure Report: Not required

Requirements

Qualifications

Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements: United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency. In accordance with 38 U.S.C. 7402(d), no person shall serve in direct patient care positions unless they are proficient in basic written and spoken English. Graduate of a school of professional nursing approved by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). The approving official may authorize a waiver of the requirement for ACEN or CCNE accreditation of any degree in nursing provided the college or university has regional accreditation from an accrediting body recognized by the Department of Education at the time of the candidate's graduation and the composite qualifications of the applicant warrant such consideration. In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing. Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia. Preferred Experience: Certified Clinical Documentation Specialist (CCDS) preferred Exceptional interpersonal & communication skills Exceptional organizational skills & ability to prioritize work Exceptional flexibility & adaptability to thrive in fast-paced, rapidly changing work environment Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required. Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience. Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required. Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience. Note regarding MSN degrees: If your MSN was obtained via a Bridge Program that qualifies for professional nursing registration, a BSN is not required. Physical Requirements: This position is mostly sedentary and requires extended periods of sitting. Walking, bending, stooping, and some lifting in the direct care of patients (if applicable).

Education

IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

Contacts

• Address Clement J Zablocki Veterans Administration Medical Center 5000 West National Avenue Milwaukee, WI 53295 US
• Name: Ranelle Cieske
• Phone: 414-758-6011
• Email: [email protected]