Manager, Clinical Documentation Integrity

Texas Children's Hospital; Houston (TX); On-site; USD 130,000 - 170,000; Full time

Job summary

Texas Children’s Hospital seeks a Manager of Clinical Documentation Integrity to lead the CDI program, collaborate with physician groups and Revenue Advisors, and drive clinical quality improvements. The role includes training CDS staff, performing tertiary account reviews, and generating data-driven processes for efficiency.

The manager will coordinate with Coding and Quality teams, oversee audits, and guide staff through education opportunities, with responsibilities across program development

Qualifications

• Bachelor's degree required.
• RN license and AHIMA/AAFP certifications preferred.
• 4 years of clinical documentation experience; 7 years in acute care; supervisory experience preferred.

Responsibilities

• Perform concurrent and retrospective tertiary reviews on opportunities.
• Analyze data and reports to identify CDI improvement opportunities.
• Lead training and orientation for new CDSs.
• Coordinate with IS on tooling and software updates.
• Lead CDI and Coding team huddles and meetings.
• Provide feedback and education for CDI staff and physicians.
• Support physician engagement and education initiatives.
• Oversee staff competencies and evaluate performance.
• Analyze data for CDI program reporting.

Skills

RN License

RHIA

RHIT

CCS

CPC

CCDS DOC

CDIP

Education

Bachelor's degree

Job description

Job Description

We’re searching for a Manager of Clinical Documentation Integrity, someone who works well in a fast-paced setting. In this position you will focus on broader, department-level interface with physician groups and Physician Revenue Advisors and will be focused on clinical quality. This position will also help the CDSs implement and train any new and existing software applications. In addition, the manager will perform tertiary level review of accounts, running reports and analyzing data, as well as creating processes for improvement and efficiency. You will work closely with team members to perform audits of their work, education opportunities, and Physician education opportunities. They will work closely with the Coding and Quality teams on initiatives as assigned and other special projects as assigned.

Job Description

We’re searching for a Manager of Clinical Documentation Integrity, someone who works well in a fast-paced setting. In this position you will focus on broader, department-level interface with physician groups and Physician Revenue Advisors and will be focused on clinical quality. This position will also help the CDSs implement and train any new and existing software applications. In addition, the manager will perform tertiary level review of accounts, running reports and analyzing data, as well as creating processes for improvement and efficiency. You will work closely with team members to perform audits of their work, education opportunities, and Physician education opportunities. They will work closely with the Coding and Quality teams on initiatives as assigned and other special projects as assigned.

Job Description

We’re searching for a Manager of Clinical Documentation Integrity, someone who works well in a fast-paced setting. In this position you will focus on broader, department-level interface with physician groups and Physician Revenue Advisors and will be focused on clinical quality. This position will also help the CDSs implement and train any new and existing software applications. In addition, the manager will perform tertiary level review of accounts, running reports and analyzing data, as well as creating processes for improvement and efficiency. You will work closely with team members to perform audits of their work, education opportunities, and Physician education opportunities. They will work closely with the Coding and Quality teams on initiatives as assigned and other special projects as assigned.

Think you’ve got what it takes?

Job Duties & Responsibilities

• Perform concurrent and retrospective tertiary level reviews on specific types of opportunities.
• Run and review reports through several sources and utilizing information to analyze data and key metrics to identify potential opportunities for CDI staff and physicians, strategize approach and process refinements to capture opportunity within the CDS team (prioritization, assignment, etc.), and track progress of CDI team in capturing opportunities and prioritizing workload effectively.
• Develop and oversee new hire training and orientation programs for new CDSs.
• Track technology issues with process tools and coordinate with IS on updates.
• Track query escalation process, CDS/Coder collaboration, etc. Lead weekly huddles or monthly meetings for CDI and Coding teams.
• Provide feedback and educational growth opportunities for the overall CDI program.
• Provide feedback to physician advisor(s) on provider engagement/response.
• Support the creation and presentation of targeted physician education.
• Manages, ensures competencies, and evaluates the activities of assigned staff.
• Reporting and analysis of data for CDI program.

Skills & Requirements

• Required bachelor's degree
• Licenses/Certifications
• RN - Lic-Registered Nurses by the Texas Board of Nursing or Nursing Licensure Compact
• RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
• RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association
• CCS - Cert-Cert Coding Specialist by the American Health Information Management Association
• CPC - Cert-Cert Professional Coder by the America Association of Professional Coders
• CCDS DOC - Cert-Cert Clinical Doc. SPCLST by the Association of Clinical Documentation Improvement Specialists
• CDIP - Cert-Clinical Doc. Impr. PROF by the American Health Information Management Association
• Required 4 years clinical documentation experience, 7 years clinical experience in an acute care setting, with preferred supervisory experience

About Us

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years. Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children's Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children's Hospital West Campus, a community hospital in suburban West Houston; Texas Children's Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston; and Texas Children's Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children's Health Plan, the nation's first HMO focused on children; Texas Children's Pediatrics, the largest pediatric primary care network in the country; Texas Children's Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children's Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.