Manager, Clinical Documentation

Cottage HealthSanta Barbara, CA
3d

About The Position

The Manager of Clinical Documentation reports to Director of Clinical Quality Improvement. This individual manages the daily activities of the Clinical Documentation Specialists group. Activities include oversight of functions, processes and procedures, staffing schedules, department education and reporting of the processes and outcomes to Quality Improvement leadership and other and committees. Responsibilities This is not an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any job, with related instruction given by their supervisor, subject to reasonable accommodation.

Requirements

  • Associate's Degree Nursing
  • Current RN License
  • Basic MS office skills; including Excel, Word, Outlook.
  • Basic proficiency in computer applications.
  • Assertive personality traits to facilitate ongoing physician communication.
  • Ability to work independently in a time-oriented environment.
  • Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers.
  • Strong critical thinking and analytical skills.
  • Ability to identify the trends and offer solutions.
  • Ability to develop material and give presentaions to groups and committees as required

Nice To Haves

  • Bachelor?s Degree or highter in Nursing
  • Current RN License and CCDS certification
  • Intermediate MS Office skills, experience with 3M CDI software, Braod knowledge of Medicare guidelines

Responsibilities

  • Manages the CDI staff: Management of daily activities of the Clinical Documentation Specialist (CDS) team: schedules staff; provides work direction and training/mentoring; ensures timely completion of assignments and performance evaluations. (20%)
  • Validates and improves quality of query activities; provides feedback to the director on operational concerns; provides feedback to Physician Advisors on provider response issues; assists with physician in-services as needed. (20%)
  • Reviews and analyzes data and reports to evaluate progress and helps initiate process improvements. Reports updates and team progress to appropriate committees. (20%)
  • Works closely with the Coding and CDI staff to resolve discrepancies between working and final DRGs, and coordinates efforts with coding/HIM/UR and other departments to ensure the coded record reflects the the acuity of patients and level of provider care. (20%)
  • Develops and implements on-going CDI nurse and physician education and training programs to solve coding and documentation issues. (10%)
  • Acts as leadership resource for the team; supporting, fostering and assuring the continued professional development of group/individual skill sets and comptencies. (5%)
  • Assists with departmental budget annually as requested by QI Director (5%)
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