CLINICAL DOCUMENTATION MANAGER CMO

Montefiore Health System

1d • Onsite

About The Position

This position is responsible for managing software frameworks for improved severity, quality, and financial outcomes from Clinical Documentation associates, external programs,and departments ( HIM, Network Performance Group, Acute Care Services etc.) in order to meet organizational fiscal and clinical objectives. This position requires exemplary coding, clinical expertise and documentation, and communication skill sets. THIS POSITION MANAGES THE STAFF WHO ARE DIRECTLY PERFORMING CHART REVIEWS FOR THE PURPOSES OF IMPROVING OVERALL QUALITY AND COMPLETENESS OF CLINICAL DOCUMENTATION SO IT BEST REFLECTS A PATIENT'S SEVRITY OF ILLNESS AND RISK OF MORTALITY. THESE MANAGERS PERFORM REVIEWS OR HAVE OVERSIGHT OF THEIR DIRECT REPORTS WHO PERFORM REVIEWS WITH THE GOALS OF SUPPORTING APPROPRIATE REIMBURSEMENT AND THE IMPACT ON HOSPITAL QUAITY PERFORMANCE DATA. This position also plans, develops, implements, evaluates and updates clinical documentation education programs and ongoing development of the Montefiore Medical Center's Clinical Documentation Integrity program.

Requirements

• Bachelors degree in Medicine, Nursing or HIM Required
• 10 years of work experience with Coding and Reimbursement as well as Clinical Pathways Required
• 7-10 years of progressive management experience Required
• CCS, CCDS, or CDIP Required
• Advanced clinical knowledge of disease processes and clinical practice
• Expert level of inpatient ICD10 CM & PCS
• Experience with 3M 360 Computer Assisted Coding, 3M 360 Natural Language Processing, 3M 360 CDIS software, and 3M 360 Report generation proficiency Required
• Knowledge and expertise in computer and software operations, including, but not limited to Microsoft Word and Excel.
• Knowledge of coding guidelines for ICD 10
• The ideal candidate takes Initiative, is dependable and resourceful

Nice To Haves

• Masters Preferred
• Knowledge of EPIC enterprise system preferred.

Responsibilities

• Managing software frameworks for improved severity, quality, and financial outcomes from Clinical Documentation associates, external programs, and departments.
• Meeting organizational fiscal and clinical objectives.
• Managing staff who perform chart reviews for the purposes of improving overall quality and completeness of clinical documentation.
• Ensuring clinical documentation best reflects a patient's severity of illness and risk of mortality.
• Performing reviews or having oversight of direct reports who perform reviews with the goals of supporting appropriate reimbursement and the impact on hospital quality performance data.
• Planning, developing, implementing, evaluating and updating clinical documentation education programs.
• Ongoing development of the Montefiore Medical Center's Clinical Documentation Integrity program.

Benefits

• An assortment of insurance products and discount programs through Voluntary Benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees