Regional Manager Clinical Documentation Integrity ( Remote)

Trinity Health • Livonia, MI

11d • $52 - $85 • Remote

About The Position

The Regional Manager Clinical Documentation Integrity directs Clinical Documentation Integrity (CDI) activities and manages day-to-day CDI programs for Health Ministries within an assigned region. In collaboration with the Director, CDI, the role ensures alignment with Trinity Health CDI program standards, policies, procedures, workflows, and software practices. The manager monitors specialist productivity, accuracy, compliance, and program performance; develops improvement plans; and provides training to clinical documentation specialists to strengthen clinical and coding skills and use of 3M CDI software.

The role analyzes performance data to identify education opportunities and delivers training to providers to improve documentation quality. It works with regional and local physician champions, Chief Medical Officers, Health Ministry leadership, clinical staff, coding teams, and denials teams to support accurate documentation of severity of illness, risk of mortality, clinical validity, services provided, and appropriate DRG assignment. The position also leads and develops the CDS team through hiring, scheduling, workload management, coaching, and performance evaluations.

This is a remote position. Travel to Trinity Health locations and the System Office is required. The work may involve a fast-paced, multi-customer environment and varied or extended hours as workloads and priorities change. The stated salary range is $51.8114–$85.4888.

Requirements

• Bachelor’s degree in Health Information Management, a healthcare-related field, or nursing, or equivalent experience.
• Must hold one of the following: current RN license; RHIA; RHIT; CCS; PA or NP/APN licensure; completion of medical school; CCDS; or CDIP. CCDS or CDIP is identified as preferred in the posting.
• At least five years of progressively responsible operational or management experience, including prior work in a hospital clinical documentation integrity program.
• Thorough knowledge of CMS regulations, coding guidelines, and DRG reimbursement.
• Project management and/or system implementation experience.
• Strong analytical skills and ability to understand the effect of data on revenue-cycle and quality metrics.
• Ability to influence and engage direct and indirect reports and peers to achieve results.
• Excellent interpersonal skills and ability to build collaborative relationships with clinical staff, finance, and compliance.
• Excellent written and oral communication skills, including the ability to write clearly and succinctly for varied settings and styles.
• Ability to address complex, multi-level problems using sound judgment, in-depth analysis, and expertise.
• Strong knowledge of IT applications and technology and their impacts on productivity and workflow.
• Intermediate computer skills, including working knowledge of MS Word, Excel, Outlook, Teams, and PowerPoint; ability to use a computer, monitor, and keyboard for most of the workday.
• Ability to create and implement business strategies and processes in response to changes in healthcare and reimbursement.
• Professional demeanor and ability to relate well with executive management, physicians, care providers, colleagues, and patients.
• Strong understanding of the Catholic health ministry and the changing healthcare delivery and reimbursement environment.
• Ability to operate effectively in a collaborative, shared-leadership environment.
• Honesty, integrity, caring, and the ability to inspire and motivate others in support of Trinity Health’s mission, vision, goals, and values.
• Ability to work in a fast-paced, multi-customer environment with conflicting needs and changing workloads and priorities.
• Ability to comply with enterprise policies and procedures.
• Valid driver’s license and ability to travel to Trinity Health locations and the System Office.

Nice To Haves

• Previous experience at the corporate or enterprise level.
• CCDS or CDIP certification is identified as preferred in the qualifications.

Responsibilities

• Direct CDI activities and manage day-to-day CDI programs for Health Ministries in the assigned region.
• Ensure the Health Ministry CDI team follows Trinity Health CDI standards, policies, procedures, workflows, and software-use practices.
• Monitor CDI dashboards and reports to identify performance trends, improvement opportunities, and areas of focus.
• Develop and implement action plans when program performance is below target benchmarks.
• Support accurate clinical documentation and clinical validation so the health record reflects severity of illness, risk of mortality, level of services, and appropriate data and outcomes.
• Hire and develop the CDS team; maintain work schedules, balance workloads, conduct performance evaluations, and mentor and coach colleagues.
• Serve as a resource on MS-DRGs, CCs/MCCs, quality and case-mix impact, ICD-10 coding systems, and CDI guidelines.
• Ensure direct reports remain current on coding guidelines, regulatory directives, clinical validation, and CDI strategies, and meet compliance requirements.
• Use 3M/360 to enter and abstract CDI performance data and monitor dashboards and reports.
• Communicate with and educate physicians and other healthcare team members on clinical documentation; monitor provider participation and identify learning opportunities.
• Ensure direct reports engage, communicate, and educate physicians and other healthcare team members regarding clinical documentation.
• Collaborate with coding leaders to ensure diagnoses and comorbidities reflect patients’ clinical status and care, and resolve discrepancies courteously.
• Maintain knowledge of applicable laws, regulations, and organizational integrity, ethics, and policy requirements.
• Travel to Trinity Health locations and the System Office as required.

What This Job Offers

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