Manager, Clinical Documentation Integrity

TCH Medical Center; Houston (TX); On-site; USD 110,000 - 140,000; Full time

Job summary

TCH Medical Center in Houston seeks a Manager of Clinical Documentation Integrity to lead a fast-paced CDI team. You will oversee tertiary review processes, train CDSs, and partner with physicians and IS to improve clinical documentation and coding accuracy.

You will analyze data, generate reports, and drive education opportunities for staff and physicians while coordinating with Coding and Quality teams on strategic projects.

Qualifications

• Bachelor's degree required for clinical documentation leadership.
• Active clinical documentation certifications listed above.
• 7 years of acute care clinical experience and 4 years in documentation-related leadership preferred.

Responsibilities

• Perform concurrent and retrospective tertiary level reviews on specific opportunities.
• Run and review reports to analyze data and identify opportunities for CDI staff and physicians.
• Develop and oversee new hire training and orientation programs for CDSs.
• Track technology issues with process tools and coordinate with IS on updates.
• Lead weekly huddles or monthly meetings for CDI and Coding teams.
• Provide feedback and educational growth opportunities for the CDI program.
• Support physician engagement and provider education initiatives.
• Manage and evaluate activities of assigned staff and report on CDI program performance.

Skills

Leadership

Data analysis

Auditing

Process improvement

Education

Bachelor's degree

RN licensure (TX)

RHIA

RHIT

CCS

CPC

CCDS DOC

CDIP

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.

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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
• oRN - Lic-Registered Nurses by the Texas Board of Nursing or Nursing Licensure Compact
• oRHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
• oRHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association
• oCCS - Cert-Cert Coding Specialist by the American Health Information Management Association
• oCPC - Cert-Cert Professional Coder by the America Association of Professional Coders
• oCCDS DOC - Cert-Cert Clinical Doc. SPCLST by the Association of Clinical Documentation Improvement Specialists
• oCDIP - 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