Manager, CDI Services

Reposted 22 Hours Ago
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Hiring Remotely in US
Remote
Senior level
Healthtech
The Role
The Manager, CDI Services leads the CDI program, overseeing documentation quality, compliance, and team management while implementing educational initiatives.
Summary Generated by Built In

 About Us:


Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. 


We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.  

JOB SUMMARY:

ESSENTIAL DUTIES AND RESPONSIBILITIES: 
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.

The Manager, Clinical Documentation Improvement (CDI) Services is responsible for leading and overseeing the CDI program to ensure accurate, timely, and complete clinical documentation that reflects the severity of illness and quality of patient care. This role involves managing a team of CDI specialists, collaborating closely with internal stakeholders as well as the client, to promote best practices in clinical documentation, and ensuring compliance with regulatory standards and coding guidelines.

The Manager analyzes documentation trends, develops educational initiatives for providers and staff, and implements process improvements to enhance the quality of documentation and quality metrics. The role requires a strong clinical background, excellent leadership skills, and a solid understanding of coding, DRG assignment, and healthcare data analysis.

  • Effectively communicates with Director, other Managers, Leads and staff on schedule needs and assignments
  • Facilitates initial onboarding process of all concurrent review CDIS to ensure proper understanding of overall workflow process, expectations, and established access
  • Reviews the productivity report weekly with each Project Lead; responsible for discussing the CDI’s productivity, monitoring and developing remediation plans for CDIS with Director as needed
  • Reviews timecards weekly
  • Notifies Director of CDI Services of errors found, specifically trending by CDIS/Auditor, concerns reported by Project Leads
  • Report project status updates to Director weekly and additionally as needed
  • Participates in report writing, education development and/or delivery
  •  Assists in new hire orientation
  •  Collaborates with CDI Director on Education topics
  •  Monitors for maintenance of Share Point folders for all staffing projects, discussing needs with Project Leads
  • Rounds with each CDI Project lead weekly for updates and needs of individual projects
  • Billable 50% per month
  • Report work time and work products in a timely and accurate manner
  • Communicates with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing
  • Interacts with clients in a professional manner, that at all times exhibits excellent relationship, work performance and communication skill so as to support the company and its business interests
  • Provide schedule of planned work activities, events and sites and any changes to same, to Management and appropriate coworkers
  • Maintenance of professional credentials and knowledge of coding, reimbursement and compliance issues through continuing education
  • Periodic travel as required
  • Performs other duties as assigned
  • Desired Minimum Qualifications
  • Recognized credential from ACDIS (CCDS) or AHIMA (CDIP).
  • Experience with telecommuting and electronic medical record systems required.
  • Current license as a registered nurse (RN)
  • BSN or MSN preferred
  • Possess sound judgment and strong analytical skills.
  • Proficient computer skills, specifically Microsoft Office products.
  • Proficient skills utilizing a management system.
  • Strong team player with ability to train and mentor others.
  • Ability to work with multiple and diverse clients and projects.
  • Ability to work with minimal supervision.
  • Ability to maintain and access multiple files.
  • Assure that work product is completed with high levels of accuracy and attention to detail.
  • Possess extensive knowledge of medical and health care policies and processes.

PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Top Skills

MS Office
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The Company
HQ: Plano, TX
890 Employees
Year Founded: 2020

What We Do

Our core purpose is to help you exceed your financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our skilled domestic and global teams with leading technology allows analytics to guide our solutions and keeps us accountable to your goals. For both health systems and plans, we navigate regulatory and compliance complexities, ease physician burdens and improve financial outcomes. We consistently deliver the right solutions at the right time.

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