CDI Manager- Remote

Tenet HealthcareEl Paso, TX, US

15 hours ago

Job type

Full-time

Remote

Job description

Clinical Documentation Improvement Manager

Manages activities of the Clinical Documentation Improvement department locally and / or across other Conifer's CDI departments. Lead the monitoring of performance, collection, and analysis of data to report on the effectiveness of process improvement. Collects and analyzes data to provide reports for company and hospital wide use and to make recommendations as appropriate. Will participate in the planning, development and implementation, and ongoing success of the Clinical Documentation Management Program. Educates members of the patient care team regarding documentation guidelines, including attending physicians, nursing, and other interdisciplinary team members.

Include the following. Others may be assigned.

Monitoring and Building CDI team

Oversee and act as resource for Clinical Documentation Improvement departments across Conifer Health including monitoring daily activity and completion of performance and metric reports.

Test, interview, hire and retain CDI staff.

Lead meetings with team leads and CDI staff Account for timekeeping in all systems for all initiatives

Development of team goals and plans ensuring alignment with national goals and yearly evaluations

Improve Medical CMI throughout Conifer.

Responsible for the supervision and coordination of CDI process including implementation and adherence to best practices and principles.

Education / Development / Communication

Educates department and facility staff as needed.

Develops of facility specific Policy &Procedure, process flow maps, communication and education plans in line with national directives

Lead meetings and educate within Systems and Individual facility leaders including Presidents, CMO, CFO, Facility Physician Service Line Heads, Physicians and other leaders.

Communicates / Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution.

Develops a collaborative CDI and Coding team.

Analysis / Implementation :

Performs analysis, identifies trends, validation of compliance as related to the clarity of documentation which impact revenue.

Market analysis and interpretation of regional and facility-specific data and CDI audits.

Implement and develop new CDI programs across the markets.

Professional Development :

Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient.

Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education.

CDI leader for ICD 10 impact ICD10 Core team and education leader of CDI staff

Other duties as assigned

Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

No. Direct Reports (incl. titles) CDI Supervisor and CDI Lead

No. Indirect Reports (incl. titles) CDI Lead and CDI Specialist

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

CDI Subject Matter Expert

Knowledge of Medicare Part A and familiar with Medicare Part B

Knowledge of disease pathophysiology and drug utilization

Knowledge of MS-DRG classification and reimbursement structures

PC / Systems literate including the Internet and MS office skills

Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation

Management of multiple priorities effective time management skills

Leadership and organizational skills along with critical, deductive reasoning and problem solving skills

Effective written and verbal communication skills including report writing and presentation skills

Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.

Understand and communicate documentation strategies

Recognize opportunities for documentation improvement

Formulate clinically, compliant credible queries

Ability to maintain an auditing and monitoring program as a means to measure query process

Report writing with management review

Skilled in performing quality assessment / analysis

Overall knowledge and ability to drive operational metrics.

Overall knowledge of the flow of the revenue cycle

Detail oriented and analytical skills

Assess, coach, train and develop talent

Possesses the ability to motivate and maintain effective working relationships with staff and all stakeholders.

Demonstrates strength in both performance management and leadership development

Manage change while minimizing interruption at an operational and service level

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and / or any future required vaccines and screenings.

Include minimum education, technical training, and / or experience required to perform the job.

Three (3) or more years' experience in CDI

Preferred : Graduate from a Nursing program, BSN or graduate of Health Information Management RHIT, RHIA

Preferred : Minimum : Two (2) years supervisory experience

Preferred : Active state Registered Nurse license or Certified Coding Specialist credential

Preferred : CCDS or CDIP

Preferred : RN, RHIT, RHIA, and CCS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to sit for extended periods of time

Must be able to efficiently use computer keyboard and mouse

Good Visual acuity

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The ideal candidate will have clinical documentation experience in an acute care facility

Must be able to travel

Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions?

Compensation and Benefit Information

Pay : $104,624.00 - $156,957.00 annually. Compensation depends on location, qualifications, and experience.

Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.

Management level positions may be eligible for sign-on and relocation bonuses.

Conifer offers the following benefits, subject to employment status :

Medical, dental, vision, disability, life, and business travel insurance

Management time off (vacation & sick leave) min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.

401k with up to 6% employer match

10 paid holidays per year

Health savings accounts, healthcare & dependent flexible spending accounts

Employee Assistance program, Employee discount program

Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.

For Colorado employees, Conifer offers paid

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Manager Remote Remote • El Paso, TX, US