Clinical Documentation Manager

AdventHealth; Burleson (TX); On-site; USD 87,000 - 162,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Parental leave

Career development

Well-being resources

Mental health resources

Pet benefits

Job summary

AdventHealth Burleson in Texas is seeking a Clinical Documentation Specialist to audit documentation quality and support reimbursement for regional acute care facilities. The role includes training staff, maintaining records, and leading improvement initiatives across facilities.

The position requires clinical credentials (RN/PA/CRNP/MD/DO/ECFMG options) and CCDS certification, with strong ICD-10 knowledge and regulatory experience. Excellent communication and project management are essential.

Qualifications

• Associates degree required.
• Bachelor's degree preferred.
• 4+ acute care nursing experience with medical/surgical, ICU, post-acute, or ED experience required.
• 2+ clinical documentation specialist experience required.
• 2+ leadership experience preferred.

Responsibilities

• Audits documentation quality to support accurate statistics and reimbursement for regional acute care facilities.
• Maintains team members' personal records.
• Works with employee relations on performance issues with team members.
• Assists with regional budgets and operates within budgetary targets.
• Provides training for frontline staff to ensure expected outcomes.
• Chairs facility-based improvement meetings and provides presentations for physician education.
• Monitors computer applications and performs quarterly testing updates as needed.
• Develops and monitors implementation of market departmental goals/objectives and oversees the performance improvement process for all acute care facilities.
• Supports hospitals’ quality operating systems by generating and analyzing data and reports to identify opportunities for continuous growth and improvement.
• Develops and implements site facility work plans.

Skills

Regulatory knowledge

Data interpretation

Quality improvement

Analytical thinking

Communication skills

Office software

Project management

Team collaboration

Adaptability

Education

Associates

Bachelor's

Tools

Windows

Outlook

Excel

PowerPoint

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance

• Paid Time Off from Day One

• 403-B Retirement Plan

• 4 Weeks 100% Paid Parental Leave

• Career Development

• Whole Person Well-being Resources

• Mental Health Resources and Support

• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

11801 SOUTH FWY

City:

BURLESON

State:

Texas

Postal Code:

76028

Job Description:

• Audits documentation quality to support accurate statistics and reimbursement for all regional acute care facilities.
• Maintains team members' personal records.
• Works with employee relations on performance issues with team members.
• Assists with regional budgets and operates within budgetary targets.
• Provides training for front line staff to ensure expected outcomes.
• Chairs facility-based improvement meetings and provides presentations for physician education.
• Monitors computer applications and performs quarterly testing updates as needed.
• Develops and monitors implementation of market departmental goals/objectives and oversees the performance improvement process for all acute care facilities.
• Supports hospitals’ quality operating systems by generating and analyzing data and reports to identify opportunities for continuous growth and improvement.
• Develops and implements site facility work plans.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities:

• Broad knowledge of healthcare regulations [Required]
• Ability to interpret reports and provide education based on results [Required]
• Apply critical thinking and strong organizational skills [Required]
• Extensive knowledge of reimbursement systems; federal, state, and payer-specific regulations and policies pertaining to documentation and coding [Required]
• Excellent communication techniques in oral and written form [Required]
• Knowledge of computers including basic skills in Windows and Outlook [Required]
• Ability to present to management, staff, and business partners [Required]
• Comfortable in a complex and changing healthcare environment [Required]
• Knowledge of medical record investigative review [Required]
• Strong analytical and problem-solving skills [Required]
• Knowledge of ICD-10 coding compliance and regulations [Required]
• Demonstrates knowledge and use of effective quality improvement/change management techniques with the ability to lead the implementation of new models and ensure the goals are achieved [Required]
• Ability to understand major objectives and break them down into meaningful action steps [Required]
• Methodically analyzes and evaluates business problems by defining the challenges, identifying alternatives, and making timely suggestions [Required]
• Project management including the ability to learn and effectively use project management software [Required]
• Proficiency in Office Suite of products particularly Excel and PowerPoint [Required]
• Proficiency or ability to learn Social Media Management [Required]
• Strong interpersonal skills with the ability to communicate and work well with staff at all levels of the organization [Required]
• In-depth knowledge of clinical and non-clinical hospital operations and continuum of care quality standards and regulations [Required]
• Experience in leadership with multidisciplinary teams [Required]
  

Education:

• Associates [Required]
• Bachelor's [Preferred]

Field of Study:

• in nursing or health related field

Work Experience:

• 4+ acute care nursing experience with specific medical/surgical, intensive care, post-acute care unit, or emergency department experience [Required]
• 2+ clinical documentation specialist experience [Required]
• 2+ leadership experience [Preferred]

Additional Information:

• Candidate may be an unlicensed physician who graduated from a medical school listed in the World Directory of Medical Schools AND meets eligibility requirements to apply for the ECFMG Certification.

Licenses and Certifications:

• Registered Nurse (RN) [Required] OR Physician Assistant (PA) [Required] OR Certified Registered Nurse Practitioner (CRNP) [Required] OR Advanced Practice Registered Nurse (APRN) [Required]ORMedical Doctor (MD) [Required] OR Doctor of Osteopathic Medicine (DO) [Required] OR Educational Commission for Foreign Medical Graduates (ECFMG) [Required]
• Certified Clinical Documentation Specialist (CCDS) [Required]

Physical Requirements:

(Please click the link below to view work requirements)

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$87,256.00 - $162,281.60

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.