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Manager Clinical Documentation Improvement - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Independence, OH Independence, Ohio |
About this job
Job Summary:
Under the direction of the Director, the Clinical Documentation Improvement Manager is responsible for managing, coordinating and performing day-to-day operations to include personnel management, education, training, productivity, work assignments, quality reviews, and report management for the Clinical Documentation Improvement (CDI) program. Facilitates and promotes standardization across the enterprise and ensures alignment of high quality documentation that supports a compliant and accurate representation of the clinical care provided to patients. Acts as a liaison for hospital/medical staff in all areas related to clinical documentation improvement.
Job Responsibilities:
* Manages CDI department personnel and operations to include personnel management, education, training, work flow analysis, productivity, quality, and report management to ensure achievement of departmental goals and objectives.
* Facilitates appropriate clinical documentation reviews to support accurate assignment of diagnoses and procedure codes, severity of illness, risk of mortality, MCC/CC capture, appropriate POA assignment, PSI, HAC, and provider queries.
* Performs and/or monitors quality reviews to ensure compliance with regulatory requirements, accreditation standards, and industry best practices.
* Collaboratively works with coding, quality, care management, physician champions, and other key stakeholders to improve clinical documentation.
* Conducts data and root cause analysis and communicates clinical documentation opportunities and/or concerns to key stakeholders in a timely and effective manner.
* Contributes to CDI strategic planning and process improvement activities.
* Integrates Cleveland Clinic's Improvement Model (CCIM) and tools into daily operations to drive best practices and outcomes (i.e. huddles, visual management tools, 4-blocker, return to green plan, A3, etc.).
* Working with their director, reviews, revises, and/or implements departmental policies, procedures and/or guidelines.
* Monitors achievement of CDI key performance indicators and initiates and executes action plans as appropriate.
* Other duties as assigned.
Education:
* Associate's degree in Health or Business Administration, Nursing or related field required.
* Bachelor's degree preferred.
Certifications:
* Current Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), or Certified Coding Assoicate (CCA) required and maintained.
Complexity of Work:
* Understands coding classification assignments (ICD-10-CM/PCS) and reimbursement methodologies (e.g., MS-DRGs, APR-DRGs, POA, HAC and PSI).
* Understands and communicates differences in Medicare Part A and Part B guidelines and how they impact DRG assignments.
* Excellent communication (verbal, written, and listening) skills.
* Strong interpersonal and collaboration skills.
* Strong analytical and project management skills.
* Strong computer skills including Microsoft Word, Excel, PowerPoint and Outlook.
* Ability to conduct and interpret quantitative/qualitative analysis and multi-task.
* Dependable, self-directed with excellent critical thinking, problem-solving and deductive reasoning skills.
* Managing remote workforce preferred.
Work Experience:
* Minimum three years of supervisory or management experience in a health care setting required.
* Health Information Management department experience preferred.
Physical Requirements:
* Manual dexterity to operate office equipment.
* May requires extended periods of sitting, standing, and the ability to travel to various locations throughout the enterprise.
* Normal or corrected vision to normal range.
* Able to clearly communicate by phone or in person.
* May occasionally lift up to 25 pounds.
Personal Protective Equipment:
* Follows standard precautions using personal protective equipment.
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic's Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.
Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities
Under the direction of the Director, the Clinical Documentation Improvement Manager is responsible for managing, coordinating and performing day-to-day operations to include personnel management, education, training, productivity, work assignments, quality reviews, and report management for the Clinical Documentation Improvement (CDI) program. Facilitates and promotes standardization across the enterprise and ensures alignment of high quality documentation that supports a compliant and accurate representation of the clinical care provided to patients. Acts as a liaison for hospital/medical staff in all areas related to clinical documentation improvement.
Job Responsibilities:
* Manages CDI department personnel and operations to include personnel management, education, training, work flow analysis, productivity, quality, and report management to ensure achievement of departmental goals and objectives.
* Facilitates appropriate clinical documentation reviews to support accurate assignment of diagnoses and procedure codes, severity of illness, risk of mortality, MCC/CC capture, appropriate POA assignment, PSI, HAC, and provider queries.
* Performs and/or monitors quality reviews to ensure compliance with regulatory requirements, accreditation standards, and industry best practices.
* Collaboratively works with coding, quality, care management, physician champions, and other key stakeholders to improve clinical documentation.
* Conducts data and root cause analysis and communicates clinical documentation opportunities and/or concerns to key stakeholders in a timely and effective manner.
* Contributes to CDI strategic planning and process improvement activities.
* Integrates Cleveland Clinic's Improvement Model (CCIM) and tools into daily operations to drive best practices and outcomes (i.e. huddles, visual management tools, 4-blocker, return to green plan, A3, etc.).
* Working with their director, reviews, revises, and/or implements departmental policies, procedures and/or guidelines.
* Monitors achievement of CDI key performance indicators and initiates and executes action plans as appropriate.
* Other duties as assigned.
Education:
* Associate's degree in Health or Business Administration, Nursing or related field required.
* Bachelor's degree preferred.
Certifications:
* Current Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Documentation Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), or Certified Coding Assoicate (CCA) required and maintained.
Complexity of Work:
* Understands coding classification assignments (ICD-10-CM/PCS) and reimbursement methodologies (e.g., MS-DRGs, APR-DRGs, POA, HAC and PSI).
* Understands and communicates differences in Medicare Part A and Part B guidelines and how they impact DRG assignments.
* Excellent communication (verbal, written, and listening) skills.
* Strong interpersonal and collaboration skills.
* Strong analytical and project management skills.
* Strong computer skills including Microsoft Word, Excel, PowerPoint and Outlook.
* Ability to conduct and interpret quantitative/qualitative analysis and multi-task.
* Dependable, self-directed with excellent critical thinking, problem-solving and deductive reasoning skills.
* Managing remote workforce preferred.
Work Experience:
* Minimum three years of supervisory or management experience in a health care setting required.
* Health Information Management department experience preferred.
Physical Requirements:
* Manual dexterity to operate office equipment.
* May requires extended periods of sitting, standing, and the ability to travel to various locations throughout the enterprise.
* Normal or corrected vision to normal range.
* Able to clearly communicate by phone or in person.
* May occasionally lift up to 25 pounds.
Personal Protective Equipment:
* Follows standard precautions using personal protective equipment.
The policy of Cleveland Clinic and its system hospitals (Cleveland Clinic) is to provide equal opportunity to all of our employees and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. Job offers will be rescinded for candidates for employment who test positive for nicotine. Candidates for employment who are impacted by Cleveland Clinic's Smoking Policy will be permitted to reapply for open positions after 90 days. Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic facility.
Cleveland Clinic is pleased to be an equal employment employer: Women/Minorities/Veterans/Individuals with Disabilities
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