Description

JOB SUMMARY

Manages activities of the Clinical Documentation Improvement department locally and/or across other Conifer’s CDI departments. Lead the monitoring of performance, collection, and analysis of data to report on the effectiveness of process improvement. Collects and analyzes data to provide reports for company and hospital wide use and to make recommendations as appropriate. Will participate in the planning, development and implementation, and ongoing success of the Clinical Documentation Management Program. Educates members of the patient care team regarding documentation guidelines, including attending physicians, nursing, and other interdisciplinary team members.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

Monitoring and Building CDI teamOversee and act as resource for Clinical Documentation Improvement departments across Conifer Health including monitoring daily activity and completion of performance and metric reports. Test, interview, hire and retain CDI staff. Lead meetings with team leads and CDI l staff Account for timekeeping in all systems for all initiatives Development of team goals and plans ensuring alignment with national goals and yearly evaluationsImprove Medical CMI throughout Conifer.Responsible for the supervision and coordination of CDI process including implementation and adherence to best practices and principles. Education/Development/CommunicationEducates department and facility staff as needed. Develops of facility specific Policy &Procedure, process flow maps, communication and education plans in line with national directivesLead meetings and educate within Systems and Individual facility leaders including Presidents, CMO, CFO, Facility Physician Service Line Heads, Physicians and other leaders.Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution. Develops a collaborative CDI and Coding team. Analysis/Implementation:Performs analysis, identifies trends, validation of compliance as related to the clarity of documentation which impact revenue. Market analysis and interpretation of regional and facility-specific data and CDI audits.Implement and develop new CDI programs across the markets.Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education. CDI leader for ICD 10 impact – ICD10 Core team and education leader of CDI staffOther duties as assigned

SUPERVISORY RESPONSIBILITIES

If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

No. Direct Reports (incl. titles) CDI Supervisor and CDI Lead

No. Indirect Reports (incl. titles) CDI Lead and CDI Specialist

KNOWLEDGE, SKILLS, ABILITIES

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

CDI Subject Matter ExpertKnowledge of Medicare Part A and familiar with Medicare Part BKnowledge of disease pathophysiology and drug utilizationKnowledge of MS-DRG classification and reimbursement structuresPC/Systems literate including the Internet and MS office skills Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentationManagement of multiple priorities – effective time management skillsLeadership and organizational skills along with critical, deductive reasoning and problem solving skills Effective written and verbal communication skills including report writing and presentation skillsCapacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.Understand and communicate documentation strategiesRecognize opportunities for documentation improvementFormulate clinically, compliant credible queries Ability to maintain an auditing and monitoring program as a means to measure query processReport writing with management reviewSkilled in performing quality assessment/analysisOverall knowledge and ability to drive operational metrics. Overall knowledge of the flow of the revenue cycle Detail oriented and analytical skillsAssess, coach, train and develop talentPossesses the ability to motivate and maintain effective working relationships with staff and all stakeholders. Demonstrates strength in both performance management and leadership developmentManage change while minimizing interruption at an operational and service level

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

Three (3) or more years’ experience in CDIPreferred: Graduate from a Nursing program, BSN or graduate of Health Information Management RHIT, RHIA Preferred: Minimum: Two (2) years supervisory experience

CERTIFICATES, LICENSES, REGISTRATIONS

Preferred: Active state Registered Nurse license or Certified Coding Specialist credentialPreferred: CCDS or CDIP Preferred: RN, RHIT, RHIA, and CCS

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to sit for extended periods of timeMust be able to efficiently use computer keyboard and mouse Good Visual acuity

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OTHER

The ideal candidate will have clinical documentation experience in an acute care facilityMust be able to travel

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!

Compensation and Benefit Information

Compensation

Pay: $104,624.00 - $156,957.00 annually. Compensation depends on location, qualifications, and experience. Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level. Management level positions may be eligible for sign-on and relocation bonuses.

Benefits

Conifer offers the following benefits, subject to employment status:

Medical, dental, vision, disability, life, and business travel insuranceManagement time off (vacation & sick leave) – min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.401k with up to 6% employer match10 paid holidays per yearHealth savings accounts, healthcare & dependent flexible spending accountsEmployee Assistance program, Employee discount programVoluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.2503013858