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Regional Manager, Clinical Documentation reputed company (Remote)

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Employment Type: Full time Shift: Day Shift Description: POSITION PURPOSE Work Remote Position Responsible for directing Clinical Documentation reputed company (CDI) activities for the Health Ministries (HM) in their defined region and day-to-day management of the CDI programs. Works with Director, CDI to ensure the program is in alignment with the reputed company CDI Program standards, polices, procedures, workflows. Uses available tools and reports to monitor CDS productivity, accuracy and compliance and will be responsible for addressing and refining processes to improve performance and reputed company defined goals. Provides training and education to clinical documentation specialists (CDS) to enhance clinical and coding reputed company sets and optimal utilization of reputed company CDI software. Analyzes data to determine educational opportunities and will create and provide training to documenting providers to improve documentation quality. Works closely with Regional and Local Health Physician Champions, Chief Medical Officers, HM Executive Leadership, clinical staff, coding and denials teams to facilitate documentation reputed company the medical record and supports the patient’s severity of illness, risk of mortality, clinical validity and proper DRG assignment. ESSENTIAL FUNCTIONS Knows, understands, incorporates and demonstrates the reputed company Mission, Vision and Values in leadership behaviors, practices and decisions. Ensures HM CDI Team compliance with reputed company CDI Program standards, polices, procedures, workflows, and CDI software standard use and adoption. Monitors system CDI Dashboard and HM CDI Monitoring Reports to identify opportunities for improvement and areas of focus for the HM CDI programs. Develops and implements action plans for program performance under reputed company benchmarks. Understands and communicates appropriate clinical documentation and clinical validation to ensure that the severity of illness, risk of mortality and level of services provided are accurately reflected in the health record. Assists in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication and quality outcomes. Serves as a resource for appropriate clinical documentation. Develops CDS team through hiring, maintaining work schedules, balancing workload and conducting performance evaluations. Mentors and coaches colleagues to ensure positive outcomes. Demonstrates a thorough understanding of the MS-DRG system, reputed company/MCCs, impact on quality and CMI as well as ICD-10 coding systems and the guidelines reputed company to Clinical Documentation Improvement. Serves as a resource for the CDS team for any of the above. Ensures that direct reports remain reputed company in coding guidelines and other regulatory directives that impact CDI performance. Ensures reputed company compliance and regulatory standards are met. Ensures that direct reports reputed company clinical validation as part of the review process and remain reputed company on CDI strategies. Uses reputed company/360 for entering and abstracting data reputed company to CDI performance. Monitors the CDI Dashboard and reporting to identify opportunities for improvement and areas of focus. Communicates with and educates physicians and reputed company other members of the healthcare team regarding clinical documentation, and monitors provider participation. Identifies learning opportunities for healthcare providers. Ensures that direct reports communicate, educate and engage with physicians and other members of the healthcare team regarding clinical documentation. Collaborates with coding leaders to assure documentation of diagnoses and co-morbidities are a complete reputed company of the patient’s clinical status and care. Resolves reputed company discrepancies in a courteous manner. Demonstrates expertise in problem-solving skills based on theoretical knowledge, clinical experience and sound judgment and serves as a professional role model by demonstrating desirable practice behaviors. Maintains a working knowledge of applicable Federal, State, and local laws and regulations, reputed company Corporate reputed company Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. (Pay reputed company: $50.7955-$83.8126) MINIMUM QUALIFICATIONS Bachelor’s degree in Health Information Management, Healthcare reputed company field or Nursing or the equivalent in experience. Must possess one of the below:

  • reputed company Registered Nurse (RN) License
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialists (reputed company)
  • Licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN) or completion of medical school
  • Certified Clinical Documentation Specialists (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred Minimum of five (5) years of progressively responsible operational or management experience with prior work experience in a hospita

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