System CDI Clinical Advisor Job Listing at MedStar Medical Group in Columbia, MD (Job ID req34670)

Description

General Summary of Position

Job Summary The Clinical Documentation Physician Advisor will function within MedStar Health's Clinical Documentation Improvement Department to ensure that clinical documentation data capture practices are compliant, efficient, accurate and consistent. Accepts a commitment to the values expressed in the MedStar Health's mission statement "to serve our patients, those who care for them, and our communities". Demonstrates behavior consistent with the MedStar values and contributes to the expected positive climate within the healthcare system, working well with both physicians, executives, and subordinates.  Performs his/her job function in a way that makes him/her a recognized expert for affiliated hospital, physicians, and other entities. Develops the trust and confidence of Clinical Documentation Improvement stakeholders and becomes the resource of choice for the coding compliance and hospital coder and clinical questions. Develops a trust and confidence of the COO, CFO and other market and divisional managers with accountability for coding within assigned geographic areas. 

 

Primary Duties • Provides leadership and direction as needed to the CDI Director and staff on issues related to clinical documentation improvement, disease process, corporate compliance, projects and other initiatives. • Analyzes the effectiveness and efficiency of clinical documentation processes and advises COO and CFO on mechanisms to improve efficiency and effectiveness. • Serves as a resource for CDI staff. • Performs regular/daily query clarification and escalation as assigned. • Works with Clinical Documentation Improvement team to periodically analyze MS-DRG data, MDC and ICD-10 to identify variations and determine the cause and the appropriateness of such variation and presents such findings to COO, CFO and departmental directors. • At the request of the COO, CFO, and other management, evaluates systems and processes related to or impacting coding and recommend system process improvements, which will enhance the organization's efficiency. • Develops a trust and confidence of the COO, CFO and other market and divisional managers with accountability for coding within assigned geographic areas. • At the request of the COO, CFO, and other management, evaluates systems and processes related to or impacting coding and recommend system process improvements, which will enhance the organization's efficiency. • Ensures that data collection is performed in a manner consistent with relevant laws, regulations and standards. Participate in a “newsletter” via writing articles related to coding compliance issues. Assists the organization in reviews relating to internal or external investigations. • Performs follow-up and focused audits as directed and as necessary, both concurrent and retrospectively clinical documentation improvement documentation clarification questions. • Presents education programs on a regular basis designed to improve the accuracy and specificity of clinical documentation to clinical documentation specialists (CDSs), physicians, mid-levels and others. • Is a reliable resource for CDSs and physicians who are involved in CDI/Quality work, providing advice on MS-DRG and APR-DRG assignment, as well as SOl/ROM, PSI90, MHACs, POA conditions, and other related topics • Assists with the implementation and adoption of a formal escalation policy, ensuring that it is understood and adopted by the organization's medical staff. • Serves as the initial escalation step, per policy, if physician response is not met by a determined amount of time. • Manages and coordinates with national CDI Directors on specific clinical documentation and coding compliance accountability issues.   Qualifications • Doctoral Degree – Graduate from an accredited medical school listed in the World Directory of Medical Schools is required • 5-7 years of Acute care Clinical Documentation Integrity experience is required • MD – Physician – State Licensure in the US is preferred • CCDC – Certified Clinical Documentation Specialist is preferred • CDIP – Clinical Documentation Improvement Practitioner is preferred • CCD – Certified Coding Specialist is preferred

This position has a hiring range of $190,000 - $369,283

 

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