Regional Manager Clinical Documentation Integrity (Remote)

Clinical Documentation Integrity Manager

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Description

Responsible for regional operational management for hospital-based and home-based Clinical Documentation Integrity (CDI) Specialists. Responsible for overall planning, staffing, and operation of hospital CDI Departments, as well as annual performance review of all direct reports. Also responsible for contributing to development of corporate CDI policies, procedures and educational programs to comply with local, state, federal, Joint Commission and other regulatory requirements. This position will manage CDI Specialists in multiple hospitals within a certain geographic region.

Minimum Qualifications

Education : Bachelor's of Nursing, required; Master's Degree in Nursing or Management preferred. Licenses / Certifications : Current State of Texas license or temporary / compact license to practice professional nursing Certifications : Certified Clinical Documentation Specialist (CCDS), required.

Principal Accountabilities

Manages the successful daily operations of the CDI System Services Departments for assigned hospitals in a geographic region.

Monitors the individual performance of CDI Specialists, and the overall CDI program performance, for assigned hospitals in a geographic region. Works closely with regional staff members to communicate documentation quality goals, maintain productivity standards and recommends changes to achieve strong outcomes.

Prepares and delivers performance and quality reports to System Director of CDI on a monthly basis on program impact and progress and makes recommendations for improvement.

Provides leadership and development for staff by performing various personnel management activities related to performance evaluation and management, including coaching, mentoring, and counseling, in order to develop and maintain a high performance team that meets organizational and department goals and minimizes workplace drama.

Strategically uses measurements of identified outcomes for quality of physician documentation and for productivity of CDIS related to record reviews, queries and query responses to help develop targeted educational approaches for assigned hospitals or for ACO's / Service Lines.

Assists with budget development, regular monitoring of costs, and meeting operational targets for all areas within span of control.

Assists with development, implementation and compliance monitoring of CDI Program policies, procedures, and processes to create an effective and well-coordinated program in compliance with, CMS, AHA Coding Regulations / Clinics, the Joint Commission, HIPAA and State Health and other regulatory agencies.

Ensures program requirements are well-integrated with the electronic medical record, patient care, and business processes, as applicable.

Coordinates / performs regional educational and training activities, which includes physician education as appropriate, as well as interdepartmental education for Quality, UR / Case Management, and other departments.

Acts as a formal liaison with Coding Auditors & Managers to reconcile DRG's and final coding.

Acts as a formal liaison with CDI Medical Director or hospital CMO's if needed, including communicating the need for escalation in physician communication, education or issue resolution.

Professionally represents the CDI Department on committees and improvement teams, and ACO / SL meetings.

Monitors and ensure all direct reports are current with compliance modules, safety requirements and certification requirements.

Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.

Promotes individual professional growth and development by meeting requirements for mandatory / continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.

Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.

Other duties as assigned.

Demonstrated team building and leadership skills, as well as project management skills.

Excellent organizational skills, with the ability to accept change and reprioritize goals and workload, on a daily, if not hourly basis, if necessary.

Strong analytical, problem solving and decision-making skills and ability to delegate, as well as multi-task, to reach operational goals or project deadlines.

Demonstrated ability and experience in computer applications, such as 3M 360 / Coding & Reimbursement, MS Office : Word, PowerPoint and Excel; and use of electronic medical records - Cerner platform experience preferred.

Five (5) years minimum of Clinical Documentation Integrity (CDI) experience required; with three (3) years of CDI leadership experience preferred as a CDI Team Lead, a CDI Supervisor or CDI Manager. CDI audit experience a plus.

Excellent communication skills, written and oral; ability to interact and effectively reach consensus with a diverse staff of differing needs and perspectives.

Ability to effectively interact and communicate with all levels within MHHS and with external customers / clients / potential employees and professionally represent MHHS from a managerial standpoint.