[Hiring] Regional Manager Clinical Documentation Integrity @Trinity Health

Role Description

Responsible for directing Clinical Documentation Integrity (CDI) activities for the Health Ministries (HM) in their defined region and day-to-day management of the CDI programs. Works with Director, CDI to ensure the program is in alignment with the Trinity Health CDI Program standards, policies, procedures, workflows. Uses available tools and reports to monitor CDS productivity, accuracy and compliance and will be responsible for addressing and refining processes to improve performance and achieve defined goals. Provides training and education to clinical documentation specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of 3M CDI software. Analyzes data to determine educational opportunities and will create and provide training to documenting providers to improve documentation quality. Works closely with Regional and Local Health Physician Champions, Chief Medical Officers, HM Executive Leadership, clinical staff, coding and denials teams to facilitate documentation within the medical record and supports the patient’s severity of illness, risk of mortality, clinical validity and proper DRG assignment.

Qualifications

• Bachelor’s degree in Health Information Management, Healthcare related field or Nursing or the equivalent in experience.
• Must possess one of the below:
  • Current Registered Nurse (RN) License
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialists (CCS)
  • Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school
  • Certified Clinical Documentation Specialists (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred
• Minimum of five (5) years of progressively responsible operational or management experience with prior work experience in a hospital clinical documentation integrity program.
• Previous experience at the corporate or enterprise level desirable.
• Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement.
• Project management and/or system implementation experience required.
• Must possess strong analytical skills in order to understand how the data impacts revenue cycle and quality metrics.
• Ability to influence and engage direct and indirect reports as well as peers to achieve results.
• Excellent interpersonal skills with ability to build collaborative working relationships with clinical staff, finance and compliance.
• Excellent written and oral communication skills; ability to write clearly and succinctly in a variety of communication settings and styles.
• Ability to address complex problems with multi-level impacts using sound judgment, in-depth analysis and expertise to resolve issues.
• Strong knowledge of IT applications and technology and their impacts on productivity and workflow.
• Intermediate computer skills required, including working knowledge of an experience using MS Word, Excel, Outlook, Teams and PowerPoint. Must be able to spend majority of work time utilizing a computer, monitor and keyboard.
• Ability to create and implement business strategies and processes to address changing healthcare environment and reimbursement.
• Maintains professional attitude and ability to relate well with executive management, physicians, other care providers, colleagues, and patients.
• Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market.
• Must be able to operate effectively in a collaborative, shared leadership environment.
• Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Requirements

• Ability to work in a fast-paced, multi-customer environment, with conflicting needs. May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advanced strategic priorities.
• Must possess the ability to comply with enterprise policies and procedures.
• Must be able to spend majority of work time utilizing a computer, monitor and keyboard.
• Must possess a valid driver’s license and be able to travel to the various Trinity Health locations as well as the System Office.

Benefits

• Salary Range: $51.8114-$85.4888

Company Description

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.