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Manager Clinical Documentation Improvement (CDI) - Good Samaritan & Illinois Masonic

Req #:  111480
Facility:  Illinois Masonic Medical Center
Department:  Management/Supervisory
City:  Chicago/Lakeview
Posting Budget Status:  Day
Shift Type:  Full Time - Permanent
Posting FTE:  1

Position Requirements:

  • Bachelor's Degree in Nursing
  • Typically requires 5 years of experience in a clinical environment.
  • Includes 1 year of supervisory experience in a clinical environment.
  • Ability to prioritize and organize work.
  • Able to respond to multiple requests simultaneously.
  • Ability to travel and work across multiple sites as assigned.
  • Effective communication skills.
  • Utilization of critical thinking in timely decision making.
  • Knowledge of MS office products.
  • Demonstrates leadership skills.
  • Knowledge of Medicare Part A and B guidelines and how they impact DRG assignment.
  • Knowledge of Regulatory environment.
  • Ability to prioritize independently.
  • Generally exposed to normal office environment.
  • Position requires travel so there will be exposure to weather and road conditions.
  • Potential for exposure to mechanical, electrical and chemical hazards and therefore be able to wear protective clothing as necessary.
  • Must have functional speech, vision, smell, touch and hearing.
  • Operates all equipment necessary to perform the job.


Purpose:
Provides daily leadership and oversight of the Clinical Documentation Improvement (CDI) program and CDI staff at multiple sites as assigned. Provides direct management and development of site CDI staff. Collaborates frequently with Coding Professionals, Physicians, Physician Advisors, Nurses, and others to ensure accurate and timely clinical documentation in the medical record which supports coding process in attaining appropriate DRG assignment. Supports ongoing communication and education on documentation opportunities, coding, and reimbursement issues, and performance improvement methodologies.

Accountabilities:

  1. Provides management oversight of the daily operations of the clinical documentation program at assigned sites. Responsible for interviewing, hiring, orientation, and ongoing competency assessment of CDI staff in collaboration with the Director of CDI operations. Conducts performance evaluations, salary reviews, and corrective action for the CDI staff. Approves and monitors staff schedules, paid time off, and time cards to ensure continuity of services. Monitors proficiency of each sites' CDI staff and includes action plans to improve deficiencies. Responsible for team building and conflict resolution.
  2. Facilitates performance improvement activities for the clinical documentation management program. Identifies and discusses overall and individual physician documentation trends with Director of CDI Operations and site Medical Staff Leadership as appropriate with a documented improvement plan with strategies and educational needs identified.
  3. Creates and runs reports from the Clinical documentation management program in order to effectively evaluate both individual associate and overall site program performance. Analyzes data and information to discern root causes of performance gaps using key data and reports. Regularly reviews individual site successes and improvement opportunities with the Director of CDI Operations and other key stakeholders.
  4. Serves as an internal consultant on clinical documentation opportunities. Acts as an expert resource for CDI program, including support for mismatch resolution and regulatory on of challenging cases, intervening with physicians when necessary, dissemination and interpretation of key regulatory requirements and changes, etc.,
  5. Consults, communicates and organizes key ongoing education , serves as co~leader of site clinical documentation steering committees and other site meetings as appropriate.
  6. Responsible for personal professional growth.


Nearest Major Market: Chicago