CLINICAL DOCUMENTATION MANAGER CMO (JR229353)

Montefiore Hudson Valley Collaborative; Village of Tarrytown (NY); On-site; USD 100,000 - 130,000; Full time

Job summary

ViziRecruiter,LLC. is looking for a professional to manage software frameworks aimed at enhancing clinical documentation outcomes. The role involves overseeing a team conducting chart reviews, ensuring quality and completeness of documentation, and developing educational programs for clinical integrity. Candidates must have 10 years of relevant experience, strong coding knowledge, and advanced clinical expertise. Key tools include 3M 360 Computer Assisted Coding and Microsoft Office applications.

Qualifications

• 10 years of work experience with Coding and Reimbursement as well as Clinical Pathways required.
• 7-10 years of progressive management experience required.
• CCS, CCDS, or CDIP certification required.
• Advanced clinical knowledge of disease processes and clinical practice.

Responsibilities

• Manage staff performing chart reviews to improve clinical documentation quality.
• Perform reviews and oversight of direct reports to support reimbursement and hospital quality.
• Plan and develop clinical documentation education programs and ongoing development.

Skills

Coding and Reimbursement

Clinical Pathways

Clinical Expertise

Communication Skills

Initiative

Dependability

Resourcefulness

Education

Bachelor's degree in Medicine, Nursing or HIM

Master's degree (Preferred)

Tools

3M 360 Computer Assisted Coding

3M 360 Natural Language Processing

3M 360 CDIS software

3M 360 Report generation proficiency

Microsoft Word

Microsoft Excel

EPIC enterprise system

Job description

Overview

This position is responsible for managing software frameworks for improved severity, quality, and financial outcomes from Clinical Documentation associates, external programs, and departments (HIM, Network Performance Group, Acute Care Services etc.) in order to meet organizational fiscal and clinical objectives. This position requires exemplary coding, clinical expertise and documentation, and communication skill sets.

Responsibilities

• This position manages the staff who are directly performing chart reviews for the purposes of improving overall quality and completeness of clinical documentation so it best reflects a patient's severity of illness and risk of mortality.
• These managers perform reviews or have oversight of their direct reports who perform reviews with the goals of supporting appropriate reimbursement and the impact on hospital quality performance data.
• This position also plans, develops, implements, evaluates and updates clinical documentation education programs and ongoing development of the Montefiore Medical Center's Clinical Documentation Integrity program.

Requirements

• Bachelor's degree in Medicine, Nursing or HIM Required - Master's Preferred.
• 10 years of work experience with Coding and Reimbursement as well as Clinical Pathways Required.
• 7-10 years of progressive management experience Required.
• CCS, CCDS, or CDIP Required.
• Advanced clinical knowledge of disease processes and clinical practice.
• Expert level of inpatient ICD10 CM & PCS.
• Experience with 3M 360 Computer Assisted Coding, 3M 360 Natural Language Processing, 3M 360 CDIS software, and 3M 360 Report generation proficiency Required.
• Knowledge and expertise in computer and software operations, including, but not limited to Microsoft Word and Excel.
• Knowledge of EPIC enterprise system preferred.
• Knowledge of coding guidelines for ICD 10.
• The ideal candidate takes Initiative, is dependable and resourceful.