Description
Oversees the daily activities of the Clinical Documentation Integrity (CDI) program at MedStar Health. Monitors CDS metrics including productivity, code assignment, and query content and quality. Fosters provider engagement, relationships, and collaboration with the CDI team. Supports CDI relations and development. Demonstrates a collaborative approach with Health Information Management, Finance, Compliance, Physician advisors, Medical Directors and other hospital departments, to improve the overall quality and completeness of clinical documentation. Identifies CDS education, training, performance monitoring, and CDI technology implementation. Manages the Pre/Post bill process. Manages reconciliation and query processes. Collaborates with CDI Director to review prebill findings. lead meetings with teams, discuss process management, workflows, and troubleshoot challenging cases. Monitors analytics to identify program deficiencies. Reviews monthly reporting to identify potential trouble areas. Collaborates with extradepartmental departments to improve organizational metrics. Review analytics to identify areas for improvement and challenges associated with CMI. Participates in monthly steering committees. Is guided by the Association of Clinical Documentation Improvement Specialists (ACDIS) "Code of Ethics" and the American Health Information Management Association's (AHIMA) "Ethical Standards for Clinical Documentation Improvement Professionals" and the Official Guidelines for Coding and Reporting. These functions are performed in accordance with all applicable laws and regulations and MedStar Health philosophy, policies, procedures and standards.
Education
- Bachelor's degree in a health care related field. required and
- Master's degree in a health care related field. preferred
- Consideration will be provided for clinicians (i.e. graduates of medical schools outside the U.S. but not yet licensed to practice in the U.S.).
- 5-7 years 5 years CDI experience required and
- 3-4 years 3 years management experience in an acute care setting required
- RN - Registered Nurse - State Licensure and/or Compact State Licensure Upon Hire required and
- Certified Coder (CPCODER)-AHIMA or AAPC AHIMA or ACDIS certification (CDIP or CCDS) preferred and
- Excellent knowledge of clinical documentation integrity and coding.
- Must have excellent communication (written and verbal) skills.
- Strong organizational, problem-solving and critical thinking skills.
- Ability to work independently using excellent judgment to handle sensitive matters in an appropriate manner.
- Excellent coaching and counseling skills.
- Ability to balance clinical and management responsibilities.
- Must be able to manipulate and analyze statistical data.
- Must be able to work with all levels of personnel within the Hospital.
- Preferred: Quality improvement process skills.
- Proficient in the use of computers to perform daily work including Microsoft Office (Word, Excel, PowerPoint, etc.), Ability to collect and analyze data related to the CDI program Excellent interpersonal and team building skills, with an ability to collaborate effectively with physicians, nurses and members of the health care team.
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