Manager - Clinical Documentation Integrity

About the role

This role requires critical thinking, effective communication, and strong time management skills to work independently in a high-pressure environment. The primary responsibility is accurately determining ICD-10-CM/PCS codes and MSDRG or APRDRG for hospitalized inpatients during CDI review.

Proficiency in basic computer skills, including Microsoft Office, computerized encoding, and electronic medical records, is essential. The role involves collaborating effectively with physicians and healthcare staff, demonstrating professionalism, and fostering teamwork to support quality patient care.

Responsibilities

• Accurately determine ICD-10-CM/PCS codes and MSDRG or APRDRG for hospitalized inpatients during CDI review.
• Collaborate with physicians and healthcare staff to ensure documentation integrity.

Requirements

• At least three years of clinical documentation integrity management experience.
• Graduation from an accredited Health Information Management (HIM) or nursing program.
• Professional credentials such as RHIA, RHIT, CCS, or RN.
• Proficiency in Microsoft Office, computerized encoding, and electronic medical records.

Skills

• Critical thinking and problem-solving.
• Effective communication and collaboration.
• Strong time management and ability to work independently.
• Attention to detail and accuracy.
• Professionalism and teamwork.