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Clinical Documentation Integrity Manager RN

AdventHealth • Full-time • Daytona Beach, Florida, United States • 1m ago

All the benefits and perks you need for you and your family:

Benefits and Paid Days Off from Day One
Paid Parental Leave
Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense)
Develops, produces, and delivers training for CDI on an ongoing basis. This includes monthly New Hire CDI training, CDI Preceptor Program, and on an as needed basis for current employees in the CDI Department.
Responsible for the hiring process for CDI departments. Completes performance evaluations timely and is involved in employee counseling, coaching and termination per policy. Provides orientation for new employees and ensures compliance with department policy and procedure. Maintains high levels of employee engagement and job performance by providing recognition and opportunities for learning. Ability to appropriately handle stress and interact with others.
Audits new CDI members during their 90 day probationary period. Presents written and verbal updates to the CDI Managers and the CDI Director. Provides additional education based on results of audit and provides input for the 90 Day Evaluation.
Audits 10% of reconciled cases for each campus on a monthly basis for the following scorecards: CDI Campus, CDI System, and AHS-Corporate.
Supports the hospitals’ quality operating systems by generating and analyzing data and reports to identify opportunities for continuous growth and improvement; provides feedback to site-based teams and administrators, develops and implements action plans when appropriate.
Develops and monitors implementation of market departmental goals/objectives; oversees the performance improvement process for all acute care facilities within the west FL division.
Monitors CDI computer applications and performs quarterly testing updates as needed (Iodine).
Maintains CDI website by reviewing and updating content on a regular basis. This includes but is not limited to CDI regulatory information.
Reviews and revises CDI Policies and Job Descriptions annually, or as needed.
Identifies resources in the community and coordinates education opportunities for CDI staff including webinars and continuing education.
Acts as the SME (Subject Matter Expert) for Clinical Documentation for Revenue Cycle related projects.
Meets regularly with the acute care site and regional based Physician Advisor designee.
Assist with regional budgets and operates within the budgetary targets; develops and implements site facility work plans; collaborates with all members of the health care team to ensure CDI success.
Acts as a liaison between CDI leadership, staff members of the Revenue Cycle, other interdisciplinary team members at all applicable levels of leadership, and external partners. Communicates appropriately and effectively with all involved parties.

Minimum Qualifications

The expertise and experiences you’ll need to succeed:

Bachelor’s degree in Nursing (BSN)
Current valid State of Florida or multi state license as a Registered Nurse
Five years of acute clinical experience
Experience in Clinical Documentation Improvement and Acute Care
Broad knowledge of health care regulations. The ability to interpret reports and provide education based on results.
Extensive knowledge of reimbursement systems; federal, state and payer-specific regulations and policies pertaining to documentation and coding.
Knowledge of medical record investigative review

Preferred Qualifications

Master’s degree in Nursing Education or related health care related field
Experience educating in a healthcare or Clinical Documentation Improvement setting
Certified Clinical Documentation Specialist (CCDS) accredited by HCPRO or Association of Clinical Documentation Improvement Specialist
Knowledge of specific AdventHealth computer-based programs (such as Clintegrity, Iodine, and Cerner)
Familiarity with Center for Medicare and Medicaid Services Programs
Ability to read, interpret, and strategize future projects, bringing future state to reality

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances. The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range. The minimums and maximums for each position may vary based on geographical

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