Role Description At the direction of the Regional Manager, Clinical Documentation Integrity (CDI), this position supervises daily operations of the CDI program for the Health Ministries (HMs) within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator.

• Responsible for daily assessments of current Clinical Documentation Specialist staffing levels and processes.
• Ensures defined goals are accomplished utilizing timely and compliant processes within the region and in concert with the Trinity Health System Office CDI program standards, policies, procedures, and workflows.
• Assists with policy and education development on the use of guidelines and proper documentation requirements related to reimbursement and clinical data quality management.
• Provides quality and productivity monitoring; coordinates and participates in performance improvement initiatives.
• Provides training and education to clinical documentation specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software.
• Responsible for scheduling and work assignments for colleagues.
• Works closely with Clinicians, Coding, Quality, and Denials teams to facilitate documentation within the medical record.

Qualifications

• Bachelor’s Degree in Health Information Management, Healthcare related field, or Nursing or equivalent in experience.
• Must possess one of the following:
• Current Registered Nurse (RN) License
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Coding Specialists (CCS)
• 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 current hospital clinical documentation integrity program experience required.
• Two (2) or more years of current experience supervising hospital clinical documentation integrity program required.
• Thorough knowledge of CMS regulations, coding guidelines, and DRG reimbursement.
• Demonstrated knowledge of state and federal Hospital Acquired Conditions (HAC) and other applicable quality indicator codes.
• Demonstrated, current expertise with 3M CDI Software; working knowledge of Epic EMR preferred.
• Strong analytical and critical thinking skills to detect and resolve problems related to clinical documentation integrity.
• Excellent interpersonal skills with ability to build collaborative working relationships with clinical staff, finance, and compliance.
• Strong written and verbal communication skills to effectively supervise clinical documentation integrity activities.
• Intermediate computer skills required, including working knowledge of MS Word, Excel, Outlook, and PowerPoint.
• Maintains professional attitude and ability to relate well with leadership, physicians, and colleagues.
• Strong understanding of the Catholic health ministry in an evolving healthcare delivery system.
• Personal presence characterized by honesty, integrity, and caring.

Requirements

• Ability to work in a fast-paced, multi-customer environment with conflicting needs.
• Must possess the ability to comply with enterprise policies and procedures.
• Must be able to spend the majority of work time utilizing a computer, monitor, and keyboard.

Benefits

• Competitive salary range: $47.4306 to $70.8464.