Team Lead, Clinical Documentation Improvement

Methodist Health System

Dallas (TX)

On-site

USD 95,000 - 125,000

Full time

14 days+

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Job summary

Methodist Health System in Dallas is seeking a Team Lead of Clinical Documentation Improvement (CDI) to coordinate and supervise the CDI team, assign duties, support quarterly performance reviews, onboard new staff, perform audits and second-level chart reviews, and prepare education materials for physicians.

The role includes DRG reconciliation, planning and day-to-day operations in the director's absence, and delivering CDI education to providers and staff.

Qualifications

Graduate from an accredited school of nursing; BSN preferred.
RN license is required; CCDS/CDIP certification required; CCS preferred.
Minimum 5 years CDI experience with strong knowledge of CDI duties.

Responsibilities

Coordinate and supervise the CDI team and assign duties.
Assist with quarterly performance reviews and new hire onboarding.
Perform audits and second-level chart reviews; educate physicians.
Support DRG reconciliation and CDI/coding collaboration.
Plan and manage day-to-day CDI operations in the director's absence.

Skills

Team leadership

CDI operations

Auditing

Education delivery

DRG reconciliation

Education

RN license

CCDS/CDIP

Bachelor's degree in nursing

Tools

3M 360 software

Job description

Job Purpose:

The Team Lead of clinical documentation improvement (CDI) is responsible for day-to-day coordination and supervision of the CDI team within the parameters defined by the Department Director. The responsibilities include assignment of duties, assistance with quarterly performance reviews, training and on-boarding of new CDI team members, performing audits and second-level chart reviews, compiling power point presentations and delivering physician education on clinical documentation improvement, as well as assisting CDI and coding with DRG reconciliation process. In the absence of the director, the Team Lead will take on the responsibilities of planning, managing, coordinating and performing day-to-day operations of the clinical documentation improvement department.

Hours of Work :

8:00 am - 5:00 pm

Days Of Week :

Mon - Fri

Work Shift :

8X5 Day (United States of America)

Job Description :

Job Purpose: The Team Lead of clinical documentation improvement (CDI) is responsible for day-to-day coordination and supervision of the CDI team within the parameters defined by the Department Director. The responsibilities include assignment of duties, assistance with quarterly performance reviews, training and on-boarding of new CDI team members, performing audits and second-level chart reviews, compiling power point presentations and delivering physician education on clinical documentation improvement, as well as assisting CDI and coding with DRG reconciliation process. In the absence of the director, the Team Lead will take on the responsibilities of planning, managing, coordinating and performing day-to-day operations of the clinical documentation improvement department.

Education:
Graduate from an accredited school of nursing. Bachelor’s degree.

Licenses and/or Certifications (Required and Preferred):
RN, CCDS/CDIP required; CCS preferred, not required

Related Work Experience and Other Skills:
Minimum 5 years experience in Clinical Documentation Improvement with expert-level knowledge and mastery of the entire CDI scope of duties.

Physical Demands and Work Environment:
All of the work is done using a PC in an office or home office environment. This position requires sitting or standing (depending on the desk used) for extended periods of time; usage of keyboard and monitor(s).

Job Roles

Assist with daily CDI operations, including monitoring of CDI team's productivity, compliance with legal/ethical requirements and quality improvement initiatives.
Provide input to CDI Director in the review and evaluation of staff performance appraisals and personnel issues.
Conduct second-level reviews for CDI, coding and quality teams.
Compile and deliver CDI-related education to healthcare providers, CDI team and other departments.
Coordinate initial training for new hires as well as education for existing staff, when there are changes in process/technology. Monitor and address technical difficulties experienced by staff and assist with 3M 360 software prioritization tool retune.
Identify CDI opportunities by prescreening charts and assign charts to CDI staff.
Monitor CDI workflow and resolve accounts from work-queues using departmental prioritization rules and deadlines.
Supervise CDI daily chart review process and provide guidance to CDI team's questions in secure chat.
Conduct CDI team chart review audits biannually.
In the absence of the director, the Team Lead will take on the responsibilities of planning, managing, coordinating and performing day-to-day operations of the clinical documentation improvement department

Other duties as assigned.

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned: