Orange, United States | Posted on 11/26/2023
- On Site Clinical Documentation Managerfor a large healthcare system in Orange, CA
- Full Time Permanent Position
- Highly Competitive Salary
Job Summary
The Clinical Documentation Manager isresponsible for the leadership and management of the Clinical DocumentationImprovement (CDI) Program. This position is accountable for budgeting, planningand monitoring budget variances, etc. Ensures standards of unit operations arein compliance with all state and federal healthcare regulatory agencies ACDIS& AHIMA guidelines for compliant query, as well as hospital policies andprocedures. Incumbent facilitates the improvement in the overall quality,completeness, and accuracy of medical record documentation throughcomprehensive review and evaluation of the medical record. Proactively seeksclarification from physicians and other healthcare providers when furtherspecificity is needed to ensure. The CDI Manager educates senior leaders andphysicians on documentation guidelines on an ongoing basis.
Requirements
- Active and unrestricted California RN orNurse Practitioner License
- Master’s Degree in Nursing or otherhealthcare related field
- Minimum 7 years of clinical RN experience
- 5 years’ experience as a CDI Specialist
- Previous lead or supervisory experience
- Familiarity with Utilization Reviewcriteria
- Knowledge of CMS, Joint Commission,CADP, and other regulatory and compliance requirements
- CDI Credential (CCDS, CDIP)
- Electronic Health Record experience 3M,Epic
- Knowledge of ICD-10 CM and CPT coding
- Ability to establish and maintaineffective working relationships across the Health System
- Ability to maintain a work paceappropriate to the workload
- Must demonstrate customer service skillsappropriate to the job
- Complete understanding of acuity levelsfor specific patient populations
- Excellent written and verbalcommunication skills in English
- Strong clinical knowledge with abilityto interpret clinical documentation
Preferred Qualifications
- Previous experience with comprehensivechart / record review
- Knowledge of patient safety strategies
- CCS or CPC Coding Credential
- Knowledge of quality improvementmethodologies
- Knowledge of University and medicalcenter organizations, policies, procedures and forms
Full time in orange at Unknown Company
This position is listed as full time and onsite.