Manager, Clinical Documentation Integrity

Socket.dev; Houston (TX); On-site; USD 110,000 - 160,000; Full time

Job summary

Texas Children's Hospital is seeking a Manager of Clinical Documentation Integrity to lead departmental collaboration with physician groups and Physician Revenue Advisors, with a focus on clinical quality and training for CDS staff.

Responsibilities include concurrent and retrospective reviews, data reporting, staff training programs, and close coordination with Coding and Quality teams on improvement initiatives.

Qualifications

• Bachelor's degree required.
• Licenses/certifications listed in the job posting (RN, RHIA, RHIT, CCS, CPC, CCDS, CDIP).
• 4 years of clinical documentation experience and 7 years of acute care clinical experience required; supervisory experience preferred.

Responsibilities

• Perform concurrent and retrospective tertiary level reviews on opportunities.
• Run reports and analyze data to identify CDI opportunities and track workload.
• Develop and oversee new hire training and orientation for CDS staff.
• Coordinate with IS on process tools and track technology issues.
• Lead CDI and Coding team meetings and provide educational growth.
• Provide feedback to physician advisors on engagement and responses.
• Support creation and presentation of targeted physician education.
• Manage staff competencies and evaluate CDI activities.
• Report and analyze data for the CDI program.

Skills

Auditing

Data analysis

Training programs

Leadership

Education

Bachelor's degree

RN license (Texas)

RHIA certification

RHIT certification

CCS certification

CPC certification

CCDS DOC certification

CDIP certification

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

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.