Hospital Clinical Documentation Improvement Supervisor - FT - Day - Clinical Documentation Improvement Lawrenceville NJ

Capital Health (US) • Pike, NY

1d • Onsite

About The Position

Responsible for daily oversight of the CDI program, ensuring accurate, complete, and compliant clinical documentation that supports quality reporting, severity of illness (SOI), risk of mortality (ROM), patient safety indicators, and appropriate reimbursement. This role supervises CDI staff, monitors productivity and quality outcomes, supports physician engagement, and collaborates with coding, quality management and revenue cycle leadership. The Hospital CDI Supervisor is a highly experienced documentation expert responsible for assisting in developing, delivering, and leading education programs.

Requirements

• Graduate of an accredited school of nursing program.
• Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) credential required.
• Four years’ recent clinical experience in an acute care setting, preferably MED/ICU or ICU, or three years’ clinical documentation improvement specialist experience in a hospital setting, plus one year in a supervisory or managerial role.
• Registered Nurse - NJ
• Demonstrated expertise in clinical documentation improvement.
• Ability to leverage clinical skillset to perform clinical validation reviews
• Knowledge of 3M coding and reimbursement software, CDI.
• Extensive analytical, interpersonal and organizational skills.
• Extensive clinical knowledge.
• Ability to work with medical staff leadership as well as physicians and non-physician practitioners.
• Ability to work independently to solve complex issues.

Responsibilities

• Supervises day-to-day operations of Clinical Documentation Improvement staff including personnel issues and workflow processes.
• Interviews, hires, trains and disciplines staff in an effort to provide a productive work environment
• Assists management with Clinical Documentation Improvement performance metrics, monitoring staff performance and implementing strategies for continuous improvement in accordance with industry standards.
• Educates physicians and key healthcare providers regarding clinical documentation improvement and importance of accurate and complete documentation in the medical record.
• Performs formal physician education sessions
• Assists leadership in collaborating with medical staff leadership as well as all clinical areas to promote and facilitate documentation improvement.
• Participates in analysis and trending of DRG and Query statistical data for specified patient populations to identify opportunities for improvement.
• Assists with preparation and presentation of clinical documentation monitoring/trending reports for review with hospital leadership and physicians.
• Partners with coding professionals to ensure accuracy of diagnostic and procedural data as well as completeness of supporting documentation to determine a working and final DRG, severity of illness, and/or risk of mortality.
• Partners with coding and HIM operations team members to monitor the accuracy and compliance of queries, query response turnaround times, and evaluate trends for performance improvement initiatives.
• Assists in development of policies and procedures to increase department accuracy and efficiency through prompt identification and resolution of routine and complex documentation issues.
• Collaborate with CDI leadership to refine workflows, policies, and documentation standards and interpret data trends.
• Leverage CDI software for case prioritization, query management, and analytics.
• Prioritizes appropriately work responsibilities this position oversees and effectively manages fluctuating workflow demands.
• Maintains knowledge of all federal, state, and local documentation guidelines and communicates changes to all CDI staff.
• Performs other duties as assigned.

Benefits

• Medical Plan
• Prescription drug coverage & In-House Employee Pharmacy
• Dental Plan
• Vision Plan
• Flexible Spending Account (FSA) - Healthcare
• FSA - Dependent Care
• Retirement Savings and Investment Plan
• Basic Group Term Life and Accidental Death & Dismemberment (AD&D) Insurance
• Supplemental Group Term Life & Accidental Death & Dismemberment Insurance
• Disability Benefits – Long Term Disability (LTD)
• Disability Benefits – Short Term Disability (STD)
• Employee Assistance Program
• Commuter Transit
• Commuter Parking
• Supplemental Life Insurance - Voluntary Life Spouse - Voluntary Life
• Employee - Voluntary Life
• Child Voluntary Legal Services
• Voluntary Accident, Critical Illness and Hospital Indemnity Insurance
• Voluntary Identity Theft Insurance
• Voluntary Pet Insurance
• Paid Time-Off Program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: High school or GED