Role Description
At the direction of the Regional Manager, Clinical Documentation Integrity (CDI), this position supervises daily operations of the CDI program for the Health Ministries (HMs) within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator.
-
Responsible for daily assessments of current Clinical Documentation Specialist staffing levels and processes.
-
Ensures defined goals are accomplished utilizing timely and compliant processes within the region.
-
Assists with policy and education development on guidelines and documentation requirements related to reimbursement.
-
Provides quality and productivity monitoring; coordinates and participates in performance improvement initiatives.
-
Provides training and education to clinical documentation specialists (CDS) to enhance skills and optimal utilization of the 3M CDI software.
-
Responsible for scheduling and work assignments for colleagues.
-
Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record.
Qualifications
-
Bachelorβs Degree in Health Information Management, Healthcare related field or Nursing or equivalent in experience.
-
Must possess one of the following:
-
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 current hospital clinical documentation integrity program experience is required.
-
Two (2) or more years of current experience supervising hospital clinical documentation integrity program is required.
-
Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement.
-
Demonstrated knowledge of state and federal Hospital Acquired Conditions (HAC) and other applicable quality indicator codes.
-
Demonstrated, current expertise with 3M CDI Software. Working knowledge of Epic EMR preferred.
-
Strong analytical and critical thinking skills to detect and resolve problems related to clinical documentation integrity.
-
Excellent interpersonal skills with ability to build collaborative working relationships with clinical staff, finance and compliance.
-
Strong written and verbal communication skills to effectively supervise clinical documentation integrity activities.
-
Intermediate computer skills required, including working knowledge of MS Word, Excel, Outlook and PowerPoint.
-
Maintains professional attitude and ability to relate well with leadership, physicians, other care providers, colleagues and patients.
-
Strong understanding of the Catholic health ministry in an evolving health care delivery system.
-
Personal presence characterized by honesty, integrity, and caring.
Requirements
-
Ability to work in a fast-paced, multi-customer environment, with conflicting needs.
-
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.
Benefits
-
Rooted in our Mission and Core Values, we honor the dignity of every person.
-
Recognize the unique perspectives, experiences, and talents each colleague brings.
-
Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to protected statuses.