Team Lead, Clinical Documentation Improvement

methodisthealthsystem

Dallas (TX)

On-site

USD 90,000 - 130,000

Full time

11 days ago

Application generator

Turn this role into an interview — a resume and cover letter built around what this employer wants.

Get past ATS filters

Job summary

Methodist Health System in Dallas, TX is seeking a Team Lead of Clinical Documentation Improvement (CDI) to coordinate and supervise the CDI team. Responsibilities include assigning duties, training new staff, audits, DRG reconciliation, and supporting daily operations in a hospital setting.

The role requires RN licensure with CCDS/CDIP, a Bachelor's degree, and at least 5 years in CDI. CCS certification is preferred. The position is based in a clinical office environment with standard hours.

Qualifications

RN, CCDS/CDIP required; CCS preferred, not required
Minimum 5 years experience in Clinical Documentation Improvement
Graduate from an accredited school of nursing. Bachelor’s degree.

Responsibilities

Assist with daily CDI operations, including monitoring team productivity and quality initiatives.
Provide input to CDI Director on staff performance and personnel issues.
Conduct second-level chart reviews for CDI, coding and quality teams.
Deliver CDI-related education to healthcare providers and staff.
Coordinate training for new hires and ongoing education when processes/tech evolve.
Identify CDI opportunities by prescreening charts and assigning to staff.
Monitor CDI workflow and prioritize work-queues to meet deadlines.
Supervise daily chart review process and guide questions via secure chat.
Conduct CDI team chart review audits biannually.
In the absence of the director, oversee day-to-day operations of the CDI department.

Job description

Hours of Work :

8:00 am - 5:00 pm

Days Of Week :

Mon - Fri

Work Shift :

8X5 Day (United States of America)

Job Description :

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.

Job Purpose:

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

1) Assist with daily CDI operations, including monitoring of CDI team's productivity, compliance with legal/ethical requirements and quality improvement initiatives.
2) Provide input to CDI Director in the review and evaluation of staff performance appraisals and personnel issues.
3) Conduct second-level reviews for CDI, coding and quality teams.
4) Compile and deliver CDI-related education to healthcare providers, CDI team and other departments.
5) 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.
6) Identify CDI opportunities by prescreening charts and assign charts to CDI staff.
7) Monitor CDI workflow and resolve accounts from work-queues using departmental prioritization rules and deadlines.
8) Supervise CDI daily chart review process and provide guidance to CDI team's questions in secure chat.
9) Conduct CDI team chart review audits biannually.
10) 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: