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Manager Clinical Documentation Improvement (CDI)

Company: Christus Health
Location: Irving
Posted on: June 5, 2021

Job Description:

Description

Summary:

The Manager of CDI will lead and direct the physician and CDI program for a multi-facility health system. Facilitates modifications to clinical documentation through concurrent interaction with physicians and other members of the healthcare team. Gathers and analyzes information regarding pertinent trends in CDS staff performance. As a working manager, augments CDS staff as needed. This position is also responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation of acute care services. The goal of concurrent review includes the facilitation of appropriate physician documentation of care delivered, to accurately reflect patient severity of illness and risk of mortality.

  • The Manager will direct responsibility for regional CDI staff including recruitment, scheduling, performance reviews, and employee performance management
  • Monitors and manages daily workflow of the department, making adjustments as needed
  • Mentors staff with regard to their work practices and relationships with providers, coders and other members of the healthcare team
  • Serves as working manager in support of the CDI department objectives and responsibilities
  • Communicates with CDI leadership at the system level to ensure performance and training is up to date and being disseminated appropriately; supports the growth and education of the CDI team
  • Oversees and acts as a resource for the CDI department across the system
  • Responsible for the supervision and coordination of CDI processes
  • Communicates Clinical Documentation Improvement (CDI) activities and coding issues with staff (i.e. lacking documentation, physician query, etc.) for appropriate follow-up and timely resolution
  • Interacts independently with physicians to ensure goals are met
  • Performs analysis, identifies trends, validates compliance as related to the clarity of documentation impacting revenue
  • Performs financial opportunity assessments for hospitals to identify opportunities to improve revenue cycle performance. Acts as a clinical consultant to coders to assign the correct DRG
  • Leads meetings and other opportunities and develops strategies to educate facility leaders including President, CMO, VP Finance, physicians, and other leaders as needed
  • Develops and implements plans for both formal and informal education of physician, nursing, and other clinical staff on clinical documentation opportunities, coding and reimbursement, as well as performance improvement methodologies
  • Implements corrective action plans for identified areas of improvement for provider documentation as well as individual CDS performance
  • Extracts and analyzes data utilizing multiple systems and/or platforms to identify opportunities and areas of improvement
  • Communicates with physicians, case managers, coders, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions and diagnoses for patients
  • Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM and ICD-10. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatients
  • Performs other duties as assigned/required

Requirements:

  • Bachelor’s Degree in Nursing or HIM required; Master’s degree in appropriate field highly preferred, OR
  • Physician Assistant or Nurse Practitioner degree required, OR
  • MD or DO degree (may be foreign-trained) required
  • Minimum 3 years' prior experience as a Clinical Documentation Specialist, OR
  • Minimum 10 years' prior experience as RN in an acute care setting, OR
  • Minimum 5 years' prior experience as RNP, PA or physician/FMG in acute care setting
  • At least 2 years of prior supervisory/management experience required
  • Working knowledge and understanding of ICD-9 and ICD-10 coding and DRG principles and understanding of APR DRG reimbursement principles required
  • Previous experience using 3M, Meditech, Epic highly preferred
  • Must have excellent interpersonal skills and ability to work on a team in order to influence physician documentation processes
  • Must possess strong collaboration skills with the ability and willingness to seek out and accept change
  • Must have ability to be flexible and adjust to workload/assignment changes and interruptions
  • Current licensure as RN, RNP, PA, MD, or DO required, as applicable 
  • Certified Clinical Documentation Specialist (CCDS) issued by the Association of Clinical Documentation Improvement Specialists (ACDIS) or Certified Documentation Improvement Practitioner (CDIP) issued by The American Health Information Management Association (AHIMA)
  • ICD training certification
  • CCS preferred

Work Type: 

Full Time


Keywords: Christus Health, Irving , Manager Clinical Documentation Improvement (CDI), Other , Irving, Texas

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