[Hiring] Clinical Documentation Integrity Manager @Guidehouse

Role Description

The Clinical Documentation Integrity Manager is responsible for assisting the CDI Director with new client implementations/engagement, working collaboratively with the facility CDI team to meet contractual obligations, and achieving best practice CDI metrics. The CDI Manager will assist in developing or updating CDI policies and procedures, ensure efficient utilization of CDI technology, assist with client month-end reporting, continuous monitoring of key performance indicators (KPI’s), and development of CDI education material for both CDI and physicians. The CDI Manager will be responsible for ensuring the CDI team has the tools necessary to be successful in their daily, concurrent record reviews, query initiation and follow-up, and query compliance reviews. The CDI Manager will escalate issues as necessary to the appropriate CDI management team members and work collaboratively with facility team members and departments as required.

Qualifications

• Bachelor's Degree
• At least one of the following: RN, MD or MD equivalent
• Must maintain credential while employed
• 7+ years acute care hospital CDI experience
• 3+ years prior management experience
• Familiarity with encoder and DRG assignment (MS and APR)
• Strong clinical understanding of disease process
• Maintains current working knowledge of Coding Clinic Guidelines and federal updates to DRG system (MS, APR, AP etc.)
• Knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes
• Excellent communication skills, employing tact and effectiveness
• Ability to converse with physicians in sometimes difficult scenarios
• Ability to conduct presentations to facility physicians and leadership

Requirements

• Expert knowledge/experience in directing all aspects of a Clinical Documentation Improvement Solution
• Ability to assess and identify potential health system opportunities in regard to contractual and best practice CDI metrics
• Assist in the development of processes and initiatives designed to improve clinical documentation performance
• Strong project management skills
• Demonstrate effective communication skills and collaborate with medical staff, clinical departments, and key facility leadership team members
• Effectively utilize reporting technology to analyze and drive continual improvement for the client and employee engagement
• Maintain and demonstrate expert knowledge of CDI and coding process best practices
• Drive optimal use of the CDI technology tool and reporting capabilities
• Manage and hold CDI team to key performance indicators

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program