Mgr Clin Documentation Improve

OhioHealth

1d

About The Position

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: This position has accountability for the daily operations, continual development and supervision of the Clinical Documentation Improvement Program for OhioHealth. This position is responsible for the supervision of all Clinical Documentation Specialists for OhioHealth, including hiring, performance evaluation and accountability, scheduling, and disciplinary actions. Similarly, he/she is responsible for assisting the Director of Clinical Documentation Improvement with the development of an appropriate budgets and the daily management of those budgets. He/She provides expertise to appropriate hospital personnel regarding clinical management of specific patient populations and oversees the review processes of complex patients in acute and chronic states. He/She will collaborate with interdisciplinary teams including, but not limited to, physicians, nurse practitioners, and the department managers of revenue, coding, case management, and Health Information Management. The manager will be responsible for coordinating physician/provider education regarding CDI across the system. Clinical Documentation provides a formalized approach to promote accurate and complete medical record documentation reflecting a patient's true severity of illness and risk of mortality. The CDS reviews inpatient medical records and identifies opportunities in provider documentation that will clarify patient severity of illness, risk of mortality, quality indicator measures and intensity of care rendered. The CDS collaborates with providers and HIM coding staff to ensure accurate clinical documentation by concurrently assigning DRGs and capturing documentation specificity to support diagnosis and clinical indicators in the medical record.

Requirements

• Bachelor's Degree (Required)
• RN - Registered Nurse - Ohio Board of Nursing
• Field of Study: Nursing with a current RN license in the State of Ohio or MBBS designation.
• Demonstrable Experience in clinical documentation improvement and coding.
• Proven skill in problem-solving, prioritization, and negotiation skills; project management, with ability to analyze, interpret and communicate clinical/financial data.
• Familiarity with computer technology, and ability to use database and spreadsheets
• Excellent written/verbal communication and teaching/training skills
• Management skills including team building, delegation, performance evaluation, and corrective action planning.
• 10 yrs Experience in clinical documentation improvements in a hospital or hospital acute care setting.
• Critical reasoning skills in clinical decision making, problem solving and ability to interpret data.
• Flexible, positive and clear interpersonal and communication skills with the ability to provide information in a collaborative manner with physicians and other staff.
• Organization and computer skills.
• Minimum of 2 years of CDS Experience
• Minimum 5 years Experience in adult inpatient medical/surgical or critical care setting

Responsibilities

• Develops and manages the Clinical Documentation Improvement CD i department to meet department and corporate targets and goals.
• Based upon strategic initiatives and departmental goals, develop CDI department work plan annually and report completed activities to the Director of Clinical documentation Improvement on ongoing basis.
• Manages and oversees the daily operational CDI department activities, data collection, analysis, and reports.
• Oversees CDI personnel management including performance evaluations and discipline issues.
• Participates on committees and conducts studies/audits as necessary to demonstrate improvement in clinical documentation processes.
• Proactively manages those campus services which facilitate improvements in clinical documentation at OhioHealth.
• Provides education/updates on coding clinics to specific patient populations to physicians, hospital staff, and Clinical Documentation Specialist CD s .
• Develops and implements strategies for efficient and effective improvements in targeted clinical care processes in response to quality improvement and regulatory compliance activities.
• Annually reviews the CDI program to ensure compliance to state and regulatory guidelines.
• Develops performance improvement tactics for annual goal setting that identify measurable opportunities/targets for cost savings and/or improved outcomes.
• Creates a support structure within each medical staff department for achieving clinical and operational excellence in relation to CDI efforts.
• Identify CDI issues and through excellent communication with physicians, nurses, coding, and other members of the healthcare team, work independently to resolve such issues.
• Monitor and evaluate staffing and appropriate concurrent CDI reviews by CDI team.
• Develop and present employee productivity reports of CDI staff to Director monthly.
• Identify staff development opportunities; perform management and evaluation tasks for all clinical documentation staff, assist in the hiring and orienting of all new CDSs.
• Promotes innovations leading to best practices.
• Assists with analysis and implementation of the CDI program to facilitate quality improvement within the department and throughout the system.
• Assists with development of CDI competencies and audits of CDI chart reviews and queries.
• Mentor and assist with CDS developmental plans.
• Responsibility for orientation and developmental training of new CDS hires.
• Assists with management of application used for CDI review and workflow processes to enhance physician education and query responses.
• Assist with IS and CDI workflows when onboarding of new facilities.
• Exhibits expert knowledge of clinical documentation requirements, coding guidelines, DRG assignment, and clinical conditions and procedures.
• Understand compliance standards and complies with AHIMA Standards of Ethical Coding guidelines.
• Understanding of hospital quality metrics and healthcare regulations are essential to provide guidance to other hospital departments regarding documentation requirements.
• May participate in auditing documentation or queries to facilitate interdepartmental compliance standards.
• Demonstrates competency of ICD10 documentation requirements.
• Possesses working knowledge of computer-based applications including but not limited to Word, Excel, and facility-based Electronic Health Record EH r .

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level