Supervisor, Clinical Documentation Integrity (CDI) - (Remote)

About the role

This position supervises daily operations of the CDI program for the Health Ministries within their region. It involves direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator.

Responsibilities

• Communicates effectively with staff to ensure defined regional and/or system goals are met.
• Maintains current knowledge of the MS-DRG system, CCs/MCCs, impact on quality, risk of mortality, severity of illness and CMI as well as ICD-10 coding systems and the guidelines related to Clinical Documentation Integrity.
• Facilitates appropriate clinical documentation to ensure that the severity of illness, risk of mortality and level of services provided are accurately reflected in the health record.
• Serves as a resource for the CDS team for any of the above.
• Provides input for policy and procedure maintenance and development.
• Affords support to the Regional Manager, Clinical Documentation Integrity, in the recruitment, retention and supervision of CDI staff.
• Participates in the development of staff, including fostering teamwork, providing performance feedback, mentoring CDS and scheduling education.
• Collaborates with the Regional Manager, Clinical Documentation Integrity, on competency assessments, performance evaluations, counseling and/or conflict resolution.
• Communicates with and educates physicians and all other members of the healthcare team regarding clinical documentation and monitors provider participation.
• Identifies learning opportunities for healthcare providers.
• Ensures that direct reports communicate, educate and engage with physicians and other members of the healthcare team regarding clinical documentation.
• Serves as a resource for the CDS team for any of the above.
• Ensures that direct reports remain current in coding guidelines and other regulatory directives that impact CDI performance.
• Ensures all compliance and regulatory standards are met.
• Ensures that direct reports perform clinical validation as part of the review process and remain current on CDI strategies.
• Maintains superuser level skill set in the use of 3M/360 and leverages technology and system reporting to improve CDI team efficiency and effectiveness.
• Maintains a working knowledge of applicable Federal, State, and local laws and regulations, Trinity Health Corporate Integrity Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior.
• Maintains professional attitude and ability to relate well with leadership, physicians, other care providers, colleagues and patients and others within the scope of the position.
• Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market.
• Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philosophy, mission, vision, goals, and values of the Ministry.
• Physical And Mental Requirements And Working Conditions Ability to work in a fast-paced, multi-customer environment, with conflicting needs. May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advanced strategic priorities.
• Maintains professional attitude and ability to relate well with leadership, physicians, other care providers, colleagues and patients and others within the scope of the position.
• Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market.
• Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philosophy, mission, vision, goals, and values of the Ministry.
• Physical And Mental Requirements And Working Conditions Ability to work in a fast-paced, multi-customer environment, with conflicting needs. May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advanced strategic priorities.

Requirements

• Bachelor’s Degree in Health Information Management, Healthcare related field or Nursing or equivalent in experience.
• Must Possess One Of The Below Current Registered Nurse (RN) License:
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialists (CCS)
  • Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school
  • Certified Clinical Documentation Specialists (CCDS) or Certified Documentation Improvement Professional (CDIP)
• Minimum of five (5) years of current hospital clinical documentation integrity program experience is required.
• Two (2) or more years of current experience supervising hospital clinical documentation integrity program is required.
• Must have thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement.
• Demonstrated knowledge of state and federal Hospital Acquired Conditions (HAC) and other applicable quality indicator codes (i.e. PSI, PPI, etc.).
• Demonstrated, current expertise with 3M CDI Software.
• Working knowledge of Epic EMR preferred.
• Must possess strong analytical and critical thinking skills in order to detect and resolve problems related to clinical documentation integrity.
• Must possess the ability to comply with enterprise policies and procedures.
• Maintains professional attitude and ability to relate well with leadership, physicians, other care providers, colleagues and patients and others within the scope of the position.
• Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market.
• Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philosophy, mission, vision, goals, and values of the Ministry.

Qualifications

• Bachelor’s Degree in Health Information Management, Healthcare related field or Nursing or equivalent in experience.
• One Of The Below Current Registered Nurse (RN) License:
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialists (CCS)
  • Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school
  • Certified Clinical Documentation Specialists (CCDS) or Certified Documentation Improvement Professional (CDIP)
• Minimum of five (5) years of current hospital clinical documentation integrity program experience is required.
• Two (2) or more years of current experience supervising hospital clinical documentation integrity program is required.
• Thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement.
• Demonstrated knowledge of state and federal Hospital Acquired Conditions (HAC) and other applicable quality indicator codes (i.e. PSI, PPI, etc.).
• Demonstrated, current expertise with 3M CDI Software.
• Working knowledge of Epic EMR preferred.
• Strong analytical and critical thinking skills in order to detect and resolve problems related to clinical documentation integrity.
• The ability to comply with enterprise policies and procedures.
• Professional attitude and ability to relate well with leadership, physicians, other care providers, colleagues and patients and others within the scope of the position.
• Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market.
• Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philosophy, mission, vision, goals, and values of the Ministry.

Skills

• Knowledge of MS-DRG system, CCs/MCCs, impact on quality, risk of mortality, severity of illness and CMI as well as ICD-10 coding systems and the guidelines related to Clinical Documentation Integrity.
• Ability to communicate effectively with staff to ensure defined regional and/or system goals are met.
• Ability to maintain current knowledge of the MS-DRG system, CCs/MCCs, impact on quality, risk of mortality, severity of illness and CMI as well as ICD-10 coding systems and the guidelines related to Clinical Documentation Integrity.
• Ability to facilitate appropriate clinical documentation to ensure that the severity of illness, risk of mortality and level of services provided are accurately reflected in the health record.
• Ability to assist in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication and quality outcomes.
• Ability to serve as a resource for the CDS team for any of the above.
• Ability to provide input for policy and procedure maintenance and development.
• Ability to assist with the collection, aggregation and analysis of data.
• Ability to collaborate in development and monitoring of performance to measure process outcomes, quality and productivity, and to ensure continual process improvements.
• Ability to ensure that direct reports remain current in coding guidelines and other regulatory directives that impact CDI performance.
• Ability to ensure all compliance and regulatory standards are met.
• Ability to ensure that direct reports perform clinical validation as part of the review process and remain current on CDI strategies.
• Ability to maintain superuser level skill set in the use of 3M/360 and leverage technology and system reporting to improve CDI team efficiency and effectiveness.
• Ability to monitor the CDI Dashboard and reporting to identify opportunities for improvement and areas of focus.
• Ability to perform CDI reviews to support program during high volume, short staffing periods.
• Intermediate computer skills required, including working knowledge of and experience using MS Word, Excel, Outlook and PowerPoint.
• Ability to spend majority of work time utilizing a computer, monitor and keyboard.
• Ability to maintain professional attitude and ability to relate well with leadership, physicians, other care providers, colleagues and patients and others within the scope of the position.
• Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market.
• Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philosophy, mission, vision, goals, and values of the Ministry.

Benefits

N/A

Pay

Hourly pay range: $47.2309-$70.8464

Schedule

N/A