Manager Clinical Documentation Integrity (RN) - Day Shift

Christiana Care Health System • Newark, DE

100d • Remote

About The Position

Are you an experienced CDI-Leader with a passion for clinical documentation integrity, teamwork, and performance improvement? We are looking for a dynamic Clinical Documentation Manager with an active RN license to lead our Clinical Documentation Integrity Team. In this role, you will create, manage, and monitor all processes related to Clinical Documentation Integrity, provide direction and leadership to the Clinical Documentation Integrity Team, and ensure accuracy and compliance in clinical documentation to support patient care and organizational goals.

Requirements

• Active Delaware RN license or Compact Licensure.
• Formal Clinical Training (RN) with professional licensure required.
• Bachelor's degree required; Three years' experience in Clinical Documentation Integrity.
• One year supervisory/management experience.
• Certified Clinical Documentation Specialist (CCDS) through the Association of Clinical Documentation Improvement Specialists preferred.
• Maintains required documented hours of relevant continuing education related to licensure requirements.
• An equivalent combination of education and experience may be substituted.

Responsibilities

• Create, manage, and monitor all processes related to Clinical Documentation Integrity.
• Provide direction and leadership to the Clinical Documentation Integrity Team.
• Ensure accuracy and compliance in clinical documentation to support patient care and organizational goals.
• Proactively evaluate processes; recommend and implement action plan(s) for change; follow through to ensure effective, sustainable change.
• Participate in the development and implementation of new procedures and the review and revision of existing procedures.
• Identify opportunities and take action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals.
• Perform management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department.
• Provide development and mentoring of staff.
• Conduct regular department meetings to review policies, procedures, and operational matters.
• Complete performance appraisals, conduct new hire feedback sessions, and develop performance improvement plans where necessary.
• Provide timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.
• Provide clinical documentation integrity education to staff to keep team abreast of latest practices and to improve efficiency.
• Conduct periodic audits of queries and other clinical documentation integrity work products to ensure accuracy and efficiency.
• Review clinical issues when appropriate with coding staff to assign a working DRG and/or clarification of documentation.
• Plan and organize day-to-day department operations, schedule and activities.
• Set priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service.
• Educate all internal customers, including physicians, on clinical documentation opportunities, supporting coding guidelines, as well as performance improvement methodologies.
• Use and optimize information systems to enhance operations; support entity-specific performance improvement and data management/analysis functions.
• Monitor self and employee compliance with policies, procedures, compliance requirements, and mandatory system and departmental education.
• Improve the overall quality and completeness of clinical documentation by performing record reviews using clinical documentation guidelines.
• Assist with performing patient chart reviews during absences and when coverage is necessary.
• Assist in the development of department budget and ensure that the department operates in a cost-effective manner.
• Implement department strategies to achieve financial target and staffing needs, through optimizing productivity, supply/resource efficiency, and other areas according to department specifications.
• Develop and report performance metrics for assigned work sections.
• Ensure section goals are met by employees.
• Seek opportunities to identify developmental needs of self and staff and take appropriate action.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees