Clinical Documentation Integrity Manager (CDI)
About The Position
A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time" and to support our Mission to serve everyone. Whether you are providing direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our community, where you can grow your career and serve with your heart. In our time of growth, we are seeking a Clinical Documentation Integrity Manager (CDI) Work Location(s): Bradenton, FL As part of this role, you will
Requirements
- Registered or Licensed Practical Nurse
- Foreign graduate Medical Degree
- Minimum five years of outpatient/inpatient CDI Experience
- AHIMA CDIP/CCDS Certification
- Disease Process, Pathophysiology, three to five years
- Minimum five years of supervisory or management experience in health care required
- Must live in the state of Florida
Nice To Haves
- Experience in nursing preferred
Responsibilities
- Oversight and management of department operations and personnel
- Assessment and division of total daily workload among Clinical Documentation Integrity Specialists (CDIs) to provide an equal share of patient census, complexity of work, and ability to complete assignments
- Monitoring of the daily work process for all team members
- Facilitation of communication between Coders and the CDI team
- Reconciliation of all CDI Charts reviews
- Knowledge of Risk Adjustment, ICD-10, CPT, HCC's, coding
- Assist in facilitating the Physician/Providers' engagement and education
- Assist the CDI Department in the facilitation of compliant physician queries
- Accurate recording of the CDS impact on record
- Advance Knowledge of current Medicare /Medicaid Rules and regulations
- Communication with the Coding Manager and CDI Director on Case resolution
- Collaboration in planning, analysis, procedure changes, scheduling, and related administrative duties
- Assists the CDI Director in the development of future policies and procedures
- Facilitation of issue identification and resolution. Always deploy HIPAA Standard
- Effective communication to teams and administration regarding any barriers to success identified within the CDI department
- Management of staffing to ensure appropriate allocation and compliance with goals and objectives
- Assessment, when necessary, of the equality of workload based on complexity and patient census
- Monitoring and reporting of quality and financial performance in collaboration with Strategic Service Associates
- Assurance of compliance with government health regulation, AHIMA, JCAHO guidelines, CMS, quality requirements, and customer service standards
- Development, monitoring, and implementation of programs to enhance customer service
- Develop skills and improve the scope of service for all CDI team members
- Resolution of interdepartmental issues to ensure consistency in quality, procedure, and policy application
- Participate in manager meetings and relevant committees as assigned by the Director
- Identification of opportunities for intradepartmental and interdepartmental operational improvements
- Reporting of CDI metrics to the director and organization leadership to demonstrate the impact of program
- Maintenance of accurate records of chart review activities to comply with departmental and regulatory agency guidelines
- Participate in daily workload and function in the role of Clinical Documentation Integrity Specialist as necessary
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What This Job Offers
Job Type
Full-time
Career Level
Manager
Industry
Hospitals
Education Level
No Education Listed
Number of Employees
501-1,000 employees
