Manager Clinical Documentation Improvement (CDI)

American Addiction Centers • Chicago, IL

12d • $47 - $70 • Hybrid

About The Position

Provides daily leadership and oversight of the Clinical Documentation Improvement (CDI) program and CDI staff at multiple sites as assigned. Provides direct management and development of site CDI staff. Collaborates frequently with Coding Professionals, Physicians, Physician Advisors, Nurses, and others to ensure accurate and timely clinical documentation in the medical record which supports coding process in attaining appropriate DRG assignment. Supports ongoing communication and education on documentation opportunities, coding, and reimbursement issues, and performance improvement methodologies.

Requirements

• Registered Nurse license issued by the state in which the team member practices, or Medicine and Surgery, MD-DO license issued by the state in which the team member practices, and Certified Clinical Documentation Specialist (CCDS) designation issued by the Association of Clinical Documentation Improvement Specialists (ACDIS).
• Bachelor's Degree (or equivalent knowledge) in Nursing, or Doctorate Degree in Medicine.
• Typically requires 5 years of experience in a clinical environment.
• Includes 1 year of supervisory experience in a clinical environment.
• Ability to prioritize and organize work.
• Able to respond to multiple requests simultaneously.
• Ability to travel and work across multiple sites as assigned.
• Effective communication skills.
• Utilization of critical thinking in timely decision making.
• Knowledge of MS office products.
• Demonstrates leadership skills.
• Knowledge of Medicare Part A and B guidelines and how they impact DRG assignment.
• Knowledge of Regulatory environment.
• Ability to prioritize independently.

Responsibilities

• Provides management oversight of the daily operations of the clinical documentation program at assigned sites.
• Responsible for interviewing, hiring, orientation, and ongoing competency assessment of CDI staff in collaboration with the Director of CDI operations.
• Conducts performance evaluations, salary reviews, and corrective action for the CDI staff.
• Approves and monitors staff schedules, paid time off, and time cards to ensure continuity of services.
• Monitors proficiency of each sites’ CDI staff and includes action plans to improve deficiencies.
• Responsible for team building and conflict resolution.
• Facilitates performance improvement activities for the clinical documentation management program.
• Identifies and discusses overall and individual physician documentation trends with Director of CDI Operations and site Medical Staff Leadership as appropriate with a documented improvement plan with strategies and educational needs identified.
• Creates and runs reports from the Clinical documentation management program in order to effectively evaluate both individual associate and overall site program performance.
• Analyzes data and information to discern root causes of performance gaps using key data and reports.
• Regularly reviews individual site successes and improvement opportunities with the Director of CDI Operations and other key stakeholders.
• Serves as an internal consultant on clinical documentation opportunities.
• Acts as an expert resource for CDI program, including support for mismatch resolution and regulatory on of challenging cases, intervening with physicians when necessary, dissemination and interpretation of key regulatory requirements and changes, etc., Consults, communicates and organizes key ongoing education, serves as co-leader of site clinical documentation steering committees and other site meetings as appropriate.
• Responsible for personal professional growth.
• Participates in professional organizations, maintains licensures and certification as required, maintains effective working relations with both internal and external customers, maintains required competencies and assumes responsibility for personal development and maintenance of ongoing knowledge of current clinical documentation standards and regulatory requirements through participation at workshops, conferences and or in services and maintaining records of participation.
• Collaborates with Directors CDI Operations, team members related to team members and physician engagement strategies.
• Ensures enterprise CDI program operates under compliant CMS, AHIMA, and ACDIS practice standards and codes of ethics.
• Collaborates with compliance to ensure the enterprise CDI program meets all state and federal guidelines.
• Performs human resources responsibilities for staff which include interviewing and selection of new employees, promotions, staff development, performance evaluations, compensation changes, resolution of employee concerns, corrective actions, terminations, and overall employee morale.
• Develops and recommends operating and capital budgets and controls expenditures within approved budget objectives.
• Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.

Benefits

• Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
• Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance
• Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 11-50 employees