Manager Clinical Documentation Improvement

Are you looking for a rewarding career with family-friendly hours and top-notch benefits? We’re looking for qualified candidates like you to join our Texas Health family.

Job Summary

This position will oversee the day to day operations of clinical documentation improvement and integrity, for complete, accurate and compliant documentation in the Clinical Documentation Integrity (CDI) department .

• Work location: This position can work remote, but employee must reside within Texas or an approved state outside Texas.

• Core work hours: Full Time (40 Hours); Day Shift; Monday – Friday, 08:00 AM – 5:00 PM.

Job Duties

MANAGEMENT OF OPERATIONS:

Manage and provide oversight of day to day operations of the clinical documentation improvement practices to ensure consistency, meet corporate compliance guidelines, and to ensure appropriate and effective reimbursement.

Manage employees to ensure productivity, quality and review standards are met and maintained.

Reevaluate and adjust productivity and quality metrics as the department evolves due to internal and external changes. Formulating action plans based on results to improve the metrics of the department.

Evaluate, implement, and adjust staffing plan to meet entity volumes, ensuring the needed coverage to meet the department's key performance indicators.

Identify, design, and implement efficient and effective workflows across the department.

Collaborate with the providers and provider leadership, to share feedback and guidance on documentation opportunities.

Evaluate operations and technology continuously and make recommendation to meet changing and evolving needs to improve operations.

DATA QUALITY AND ORGANIZATIONAL IMPROVEMENT:

Provide oversight and act as a resource for assigned entity CDI teams in the system. Coordinate, compile, and share data reflecting the activity associated with the program.

Review and select appropriate action to improve operations based on data patterns and trends.

Collaborate with appropriate stakeholders to develop actions plans to improve and sustain changes and improvements.

Provide valid and accurate data to CDI Leadership and other stakeholders. To include, but not limited to, entity leadership, EFO, GFO, CMO, Quality Directors.

Develop and monitor internal KPIs as it relates to the revenue cycle and quality outcomes. Assures evidence-based practices by creating an environment that encourages the use of research and vision in developing and improving operational processes.

Coordinate, compile and share data reflecting the results of activities of the program with entity leadership.

Continually examine program effectiveness against industry changes, threats, and opportunities.

MANAGEMENT OF HUMAN RESOURCES:

Facilitate hiring, mentoring and retention of qualified CDI staff.

Identify talent and actively develops skill level of staff.

Direct, manage, and leverage staff expertise to accomplish goals enterprise wide.

Perform regular staff evaluations and support ongoing education and communication on documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies.

Assess staff performance, providing regular and timely feedback and intercede promptly to address performance issues and conflict resolution.

Utilizes feedback from Employee Engagement Survey to enhance the department.

Promotes professional growth, development and accountability of staff through regular rounding and coaching of staff.

Creates and fosters an environment that supports THR’s mission, vision and values. This includes promoting a professional image in demeanor, appearance, attitude and behaviors.

MANAGEMENT OF FINANCIAL RESOURCES:

Assist in the preparation of the annual operating budget for area of responsibility

Manage approved budget to meet financial goals and expectations.

Provide effective management and direction for program benefit, to include Case Mix Index (CMI), Severity of Illness (SOI), Risk of Mortality (ROM), CDI / Coder Match rate and other key performance indicators.

Continuously evaluate program payers to identify additionally financial impact opportunities and recommend adjustments to program.

PROFESSIONAL ACCOUNTABILITY:

Collaborate with all customers internal and external, building relationships and delivering quality and timely information.

Create an environment of open communication with staff, where mutual respect is practiced.

Stay abreast of industry changes impacting clinical documentation improvement, formulating plans and implementing best practice.

Research opportunities to enhance skills and knowledge base by attending related training and attends all required training.

Education

Bachelor's Degree in Nursing, Health Information Management, or healthcare related field required

Experience

5 years progressive leadership experience in a healthcare related field and 3 Years CDI experience in an acute care environment required.

Licenses and Certifications

RN - Registered Nurse or RHIA - Registered Health Information Administrator or other healthcare related field required upon hire. Or, CCDS or CDIP preferred upon hire.

Skills

Advanced knowledge of a complex acute care hospital or hospital system's Clinical Documentation Improvement department. Knowledge of federal, state, and local documentation guidelines and understands ICD10 coding guidelines.

Proficient in utilizing software applications, such as the electronic health record, coding and documentation improvement systems. Advanced MS Office suite skills.

Strong interpersonal communication skills, verbal and written. Excellent problem solving skills. Ability to develop and maintain positive relationships with direct reports, physicians, hospital executives, and other stakeholders.

Proficient in developing and revising policies and procedures to accurately reflect new or updated workflows and processes. Highly organized with the ability to manage time and prioritize work effectively.

Change agent; capable of motivating and guiding teams in a dynamic and progressive environment.

Why Texas Health?

At Texas Health Resources, our mission is “to improve the health of the people in the communities we serve”.

We are one of the largest faith-based, nonprofit health systems in the United States with a team of more than 23,000 employees of wholly owned/operated facilities plus 2,200 employees of consolidated joint ventures in the greater Dallas Fort Worth area. Our career growth and professional development opportunities are top-notch and our benefits are equally outstanding.

Join our award-winning Texas Health family and become a part of a team that is improving the health of our communities daily. You belong here.

Here are a few of our recent awards:

• 2021 FORTUNE Magazine’s “100 Best Companies to Work For®” (7 th year in a row)

• Becker's Healthcare "150 Great Places to Work in Healthcare" (4 years running)

• “America’s Best Employers for Diversity” list by Forbes

• A “100 Best Workplaces for Millennials" by Fortune and Great Place to Work®

Explore our Texas Health careers site for info like Benefits , Job Listings by Category , recent Awards we’ve won and more.

Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.