Regional CDI Director- Remote

Conifer Health Solutions

3d•Remote

About The Position

Responsible for management of Clinical Documentation Improvement (CDI) program to direct the activities of the CDI operations across multiple hospitals, facilitate modifications to clinical documentation to ensure accurate depiction of the level of clinical services and patient severity through extensive concurrent interaction with client leadership, physicians, nursing staff and other caregivers, case management and medical records coding staff. Responsible for performance improvement for Conifer and Client(s). ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. 1. Implement and support the strategic vision for assigned Clinical Documentation Improvement (CDI) functions to include: Direct responses to CDI and trending completion of DRG worksheets via analytical reports. Act as a resource to CDI leaders in matters relating to published DRG information. Works with market and national leaders including physician groups to develop systems to facilitate complete documentation for data reporting purposes. Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations. Oversees compliance with government and agency regulations 2. Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective action. 3. Develops and manages direct reports; and oversees the development and management of indirect reports. 4. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, Compliant documentation protocols 5. Other duties as assigned

Requirements

CDI Director must display, leadership, teamwork and commitment while performing daily duties
Must demonstrate initiative and discipline in time management and medical record review
Travel may be required to meet the needs of the division
Other duties as assigned based on leadership request(s).
Advanced knowledge of IMedicare Part A and familiar with Medicare Part B
Intermediate knowledge of disease pathophysiology and drug utilization
Intermediate knowledge of MS-DRG classification and reimbursement structures
Critical thinking, problem solving and deductive reasoning skills
Effective written and verbal communication skills
Knowledge of regulatory environment
Excellent organizational skills for initiation and maintenance of efficient work flow
Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements
Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.
Understand and communicate documentation strategies
Recognize opportunities for documentation improvement
Formulate clinically, compliant credible queries
Ability to maintain an auditing and monitoring program as a means to measure query process
Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation
Develop and implement work policy and procedures
Responsible for the CDI program to ensure quality documentation
Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.
Graduate from a Nursing program ADN, BSN prefered, or graduate of Health Information Management RHIT, RHIA preferred.
Current state Registered Nurse license or Certified Coding Speiclaist credential
Must be able to travel nationally as needed
Ability to sit for extended periods of time
Must be able to efficiently use computer keyboard and mouse to perform CDI functions assignments
Good Visual acuity

Nice To Haves

Preferred: Two (2) years experience with either HIM/Coding or Case Management experience.
Preferred: RN, RHIT, RHIA, and CCS, CDIP, CCDS
The ideal candidate will have clinical documentation experience in an acute care facility

Responsibilities

Implement and support the strategic vision for assigned Clinical Documentation Improvement (CDI) functions
Direct responses to CDI and trending completion of DRG worksheets via analytical reports.
Act as a resource to CDI leaders in matters relating to published DRG information.
Works with market and national leaders including physician groups to develop systems to facilitate complete documentation for data reporting purposes.
Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations.
Oversees compliance with government and agency regulations
Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective action.
Develops and manages direct reports; and oversees the development and management of indirect reports.
Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, Compliant documentation protocols
Other duties as assigned

Benefits

Medical, dental, vision, disability, life, and business travel insurance
Management time off (vacation & sick leave) – min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
401k with up to 6% employer match
10 paid holidays per year
Health savings accounts, healthcare & dependent flexible spending accounts
Employee Assistance program, Employee discount program
Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

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