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Form of workJob Description
Position Summary:
Incumbent is responsible for the leadership and management of the Clinical Documentation Improvement (CDI) Program. Incumbent is accountable for budgeting, planning and monitoring budget variances, etc. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies ACDIS & AHIMA guidelines for compliant query, as well as hospital policies and procedures. Incumbent facilitates the improvement in the overall quality, completeness, and accuracy of medical record documentation through comprehensive review and evaluation of the medical record. Proactively seeks clarification from physicians and other healthcare providers when further specificity is needed to ensure. The CDI Manager educates senior leaders and physicians on documentation guidelines on an ongoing basis.
Required Qualifications:
- Previous lead or supervisory experience
- Ability to influence and work collaboratively with physicians and all levels of staff
- Familiarity with Utilization Review criteria
- Ability to establish and maintain effective working relationships across the Health System
- Ability to maintain a work pace appropriate to the workload
- Must demonstrate customer service skills appropriate to the job
- Complete understanding of acuity levels for specific patient populations
- Excellent written and verbal communication skills in English
- Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
- Critical thinking skills to problem solve and communicate with physicians on clinical issues
- CDI Credential (CCDS, CDIP)
- Electronic Health Record experience 3M, Epic
- Minimum 7 years clinical RN experience and 5 years experience as a CDI Specialist
- Must possess the skill, knowledge and ability essential to the successful performance of assigned duties
- Knowledge of ICD-10 CM and CPT coding
- MSN Degree
- Strong clinical knowledge with ability to interpret Clinical Documentation
Preferred Qualifications:
- Previous experience with comprehensive chart / record review
- Masters degree with an emphasis in health care related fields (nursing, epidemiology, etc.)
- Knowledge of patient safety strategies
- CCS or CPC Coding Credential
- Knowledge of quality improvement methodologies
- Knowledge of University and medical center organizations, policies, procedures and forms
