Clinical Document Integrity Specialist Manager

About the role

The Clinical Document Integrity Specialist Manager is responsible for overseeing CDI program implementation and day-to-day CDI activities. This includes assisting with chart audits, quality audits, and KPI audits, running reports, attending client meetings, and mentoring and orienting new staff. The role also involves collaborating with providers and other healthcare team members to improve clinical documentation.

Responsibilities

• Assists CDI Director with chart audits, quality audit, and KPI audits
• Assists CDI Director with running reports, attends on-site meetings as directed
• Oversees CDI staff training and orientation
• Oversees and leads workflow for CDI staff
• Ensures adequate staffing for the workload, and steps in to assist teams when workload is more than what the team can complete
• Develops physician teaching and on-site presentations
• Affixes projects or tasks as needed
• Communicates performance expectations to staff-level CDI staff
• Ensures timely feedback to providers regarding clinical documentation opportunities for improvement and successes
• Ensures effective utilization of the CDI software, ensuring documentation of all verbal, written, electronic clarification activity
• Utilizes only the Optum360 approved forms, whether paper or electronic
• Proactively develops a reciprocal relationship with the HIM Coding Professionals
• Engages and consults with Physician Advisors when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process
• Actively engages with Care Coordination and the Quality Management teams to continually evaluate and spearhead clinical documentation improvement opportunities

Qualifications

• RN with current Hawaii RN license or obtain within 90-days of hire date or Foreign Medical Graduate with at least 3 years of CDI experience
• CCDS, CDIP or CCS certification within six months of being in the role
• Ability to be comfortable communicating & working closely with Physicians
• Proven excellent verbal and written skills including solid organizational skills
• Proven solid understanding of Microsoft, Word, Excel, and work related software
• Ability to multi-task
• Ability to lead teams
• Ability to present, speak in public

Preferred Qualifications

• Experience in case management and/or critical care
• CDI Supervisor or Management experience
• Ability to lead projects with complex responsibilities and timelines

Pay and Benefits

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.

We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Benefits

• Life
• Emotional
• Physical
• Financial