Clinical Documentation Manager (Orange County)

Job Title : Manager, Clinical Documentation Integrity (CDI) & DRG Denials

Are you passionate about driving excellence in clinical documentation and leading high-performing teams? We are seeking a Manager of Clinical Documentation Integrity (CDI) & DRG Denials to lead our CDI department and oversee the DRG denials appeals process within a growing, award-winning health system serving a diverse community in the beautiful Hudson Valley.

This is an opportunity to join a patient-centered, forward-thinking organization where collaboration, innovation, and quality care are at the core of everything we do.

Key Responsibilities

• Lead the day-to-day operations of the CDI department and DRG denials process.
• Develop, implement, and evaluate policies and procedures related to clinical documentation improvement across multiple hospital sites.
• Ensure medical record reviews are conducted to assess appropriateness and medical necessity for admission and continued stay.
• Facilitate improvement in the quality, completeness, and accuracy of medical record documentation.
• Collaborate closely with outcomes managers and coding denial coordinators to review and write compelling appeals for third-party denials.

Qualifications

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Experience :

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