Manager AHN Clinical Documentation Improvement

Company :

Allegheny Health Network

Job Description : 

GENERAL OVERVIEW:

The Clinical Documentation Manager is a Registered Nurse with a high level of clinical proficiency necessary for the oversight of the Clinical Documentation team of registered nurses. Collaborates with interdisciplinary teams including, but not limited to, physicians, nurse practitioners, PA's, and the department managers for Revenue Integrity, Coding and Data Quality, Case Management and Health Information Management. Collaborates extensively with other members of the health care team to provide data and solution development processes. The Clinical Documentation Improvement Manager is involved in the direction and education of all phases of the Clinical Documentation process and will be held accountable to work in a collegial manner with physicians, staff, and consultants. Assists and oversees ongoing Clinical Documentation Improvement program education for new staff. Serves as a resource on DRG issues and acts as a subject matter expert for all Clinical Documentation issues. Participates on departmental and hospital committees and taskforces as assigned. Under the direction of the CDI Director, the Clinical Documentation Improvement (CDI) Manager is responsible for managing, coordinating and performing day-to-day operations to include personnel management, education, training, productivity, work assignments, quality reviews, and report management for the Clinical Documentation Improvement program. Facilitates and promotes standardization across the enterprise and ensures alignment of high quality documentation that supports a compliant and accurate representation of the clinical care provided to patients. Acts as a liaison for hospital/medical staff in all areas related to Clinical Documentation Improvement.

ESSENTIAL RESPONSIBILITIES:

• Strategizes implements, directs and evaluates the overall services and functions of the Clinical Documentation Improvement Program across the Network. (35%)
• Manages CDI staff across the Network. Assists in hiring of new staff and development of new staff to expert level of practice. Directs CDI preceptors for training. Oversees and manages internal audits and ensures that education is provided to the CDS staff as needed. Assists with Performance Evaluations. Assists with development and administration of Performance Improvement Plans for individual staff as needed. (35%)
• Identifies and resolves issues affecting service delivery and acts as a liaison with internal and external facilities/agencies such as IT, software vendors, and facilities. (10%)
• Functions as liaison and works collaboratively with Coding, Quality, Compliance and UR leadership and all other stakeholders involved in Documentation Improvement. (10%)
• Collaborates with Director of CDI to develop, monitor and adhere to the annual budget at each facility across the Network. (10%)

QUALIFICATIONS:

Minimum

• Bachelor’s degree in Nursing
• Registered Nurse license
• 5-7 years nursing experience in an acute adult inpatient facility
• 5-7 years Clinical Documentation Improvement experience
• 1-3 years management experience

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times.  In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. 
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

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