Supervisor, Clinical Documentation Integrity (Remote)

POSITION PURPOSE

At the direction of the Regional Manager, Clinical Documentation Integrity (CDI), this position supervises daily operations of the CDI program for the Health Ministries (HMs) within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional Manager, Clinical Documentation Integrity, is directly responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. Ensures that defined goals are accomplished utilizing timely and compliant processes within the region and in concert with the Trinity Health System Office CDI program standards, policies, procedures and workflows.

Essential Functions

• Directly supervises the daily operations for the CDI team who work onsite and remotely.
• 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.
• Aids in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication and quality outcomes.
• Serves as a resource for appropriate clinical documentation.
• Responsible for scheduling and work assignments for colleagues.
• Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports the patient’s severity of illness, risk of mortality, clinical validity and proper DRG assignment.

Minimum Qualifications

• 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 strong written and verbal communication skills to effectively supervise clinical documentation integrity activities and communicate with a wide-ranging audience.
• Intermediate computer skills required, including working knowledge of and experience using MS Word, Excel, Outlook and PowerPoint.

Pay Range

$47.2309-$70.8464