Manager - Clinical Documentation Integrity, Clinical Licensure

Kaiser Permanente Northwest; Portland (OR); On-site; USD 110,000 - 160,000; Full time

Job summary

Kaiser Permanente Northwest is seeking a CDI team lead to oversee reviews of medical records and coordinate scheduling and coverage for CDI activities. The role focuses on improving clinical documentation integrity and ensuring accurate coding in alignment with federal regulations.

The incumbent will mentor staff, conduct root-cause analyses, and collaborate with leaders to address non-compliance issues while promoting ongoing training and development for the medical team.

Qualifications

• Experience leading CDI programs and audits to ensure accurate diagnosis capture.
• Ability to train medical staff on CDI standards and documentation requirements.
• Strong collaboration skills to drive cross-functional improvements.

Responsibilities

• Provides developmental opportunities for others; coaches staff to drive performance improvement.
• Translates business plans into tactical action items and ensures policy compliance.

Skills

CDI knowledge

Team leadership

Mentoring

Job description

Job Summary

Leads the reviews of applicable cases of medical/health records and manages the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation, and mentors team members on resolving coding issues to facilitate the accurate capture of diagnoses in medical codes and diagnostic-related groups. Manages the improvement of the clinical documentation improvement/integrity (CDI) program by conducting data and root cause analyses and reviewing reports to identify improvement opportunities in CDI processes. Oversees regulatory compliance by performing audits of clinical documentation to facilitate compliance with coding guidelines and federal regulations, and collaborating with the team and leaders to address cases of non-compliance. Monitors staff training and education by identifying opportunities, developing, and/or leading trainings for medical staff on CDI (e.g., medical review and coding, quality standards, documentation requirements for diagnosis capture).

Essential Responsibilities

• Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends. Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
• Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability