Clinical Documentation Integrity Manager

Guidehouse • Chicago, IL

1d • $102,000 - $170,000 • Remote

About The Position

The Clinical Documentation Integrity Manager is responsible for assisting the CDI Director with new client implementations/engagement, work collaboratively with the facility CDI team to meet contractual obligations, and achieve best practice CDI metrics. The CDI Manager will assist in developing or updating CDI policies and procedures, ensure efficient utilization of CDI technology, assist with client month end reporting, continuous monitoring of key performance indicators (KPI’s) and development of CDI education material for both CDI and physicians. The CDI Manager will be responsible to ensure the CDI team has the tools necessary to be successful in their daily, concurrent record reviews, query initiation and follow-up and query compliance reviews. The CDI Manager will escalate issues as necessary to the appropriate CDI management team members. The CDI Manager will work collaboratively with facility team members and departments as required.

Requirements

• Bachelor's Degree
• At least one of the following: RN, MD or MD equivalent
• Must maintain credential while employed
• 7+ years acute care hospital CDI experience
• 3+ years prior management experience
• Familiarity with encoder and DRG assignment (MS and APR)
• Strong clinical understanding of disease process
• Maintains current working knowledge of Coding Clinic Guidelines and federal updates to DRG system (MS, APR, AP etc.)
• Knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes
• Excellent communication skills, employing tact and effectiveness
• Ability to converse with physicians in sometimes difficult scenarios
• Ability to conduct presentations to facility physicians and leadership

Nice To Haves

• CCDS or CDIP credential preferred
• RHIA, RHIT, or CCS Certification

Responsibilities

• Directing all aspects of a Clinical Documentation Improvement Solution
• Assessing and identifying potential health system opportunities in regard to contractual and best practice CDI metrics
• Developing processes and initiatives designed to improve clinical documentation performance
• Managing and holding CDI team to key performance indicators
• Leading by example, promoting teamwork by fostering positive, transparent and focused working environment to achieve maximum results
• Cultivating exceptional relationships among facility leadership team (HIM Director, Coding team, Case Management, Quality and Medical staff) resulting in support and participation in initiatives which advance business objectives
• Assisting in daily CDI program oversight to include productivity, quality, education and training, auditing, report management, performance improvement initiatives and developing standardized practices, processes as well as policies and procedures.
• Becoming an advocate for facilitating the best practice model for CDI, linking the most accurate capture of documented bedside care to the most accurate numeric reporting codes thereby, conversion into correct reporting, facility and physician profiling and acuity capture.
• Monitoring the performance of each CDI program to ensure alignment and support department and organizational goals as well as compliance in coding and query practices with regulatory requirements.
• Assisting in month end client reporting and analyses to track performance and trends and escalate issues as necessary.
• Assisting with CDI technology implementation as required.
• Establishing a working understanding of each client, their facility, their internal structure, potential needs and clinical staff/physician/HIM relationship regarding current documentation/coding and severity of illness.
• Seeking to build knowledge and understanding in the ever-changing arenas of coding guidelines, DRG payer groups, case management/utilization review functions, clinical documentation trends, JCAHO/core measure guidelines and clinical quality of care issues.
• Assisting with in-service training of staff, query compliance quality reviews and physicians as needed.
• Approving CDI timesheets, completing performance evaluations, developing team member performance improvement plans if necessary and monitoring compliance learning module completion.
• Clearly communicating and/or escalating program updates, risks or needs in a timely manner to the CDI Director and actively working to resolve and mitigate risk.
• Building trustworthy and strong relationships with client staff, physician base and Guidehouse staff.
• Demonstrating a comprehensive understanding of CDI and Revenue Cycle service offerings as well as Guidehouse service offerings.
• Perceiving the client as a lead person for the CDI Solution.
• Assisting with the development of proposals.
• Actively participating in the recruiting process.
• Providing regular status updates to VP Operations, CDI Director and department Directors.
• Demonstrating solid facilitation skills.
• Actively leading meetings with CDI team and other internal and client personnel at various levels as needed.
• Demonstrating the ability to determine the most appropriate format and scope for client deliverables including the ability to create deliverables suitable for senior-level client and internal audiences.
• Demonstrating effective listening skills.
• Ability to identify and articulate project obstacles/ issues and determine potential solutions while working collaboratively.
• Expressing self in a confident manner in individual and group settings

Benefits

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager