Regional Supervisor Clinical CDI Specialist
Job description
Adventist Health is more than an award-winning health system. We provide whole-person care to our communities and champion the greater good - from the operating room to the boardroom, we are driven by our unique passion to live God's love through health, wholeness and hope. From Oregon to Oahu, we have a calling to always do more. Now is your chance to apply your passion to our mission.
We're looking for someone to join our team as a Regional Supervisor, Clinical Documentation Integrity Specialist who:
- Serves as working manager for team or work group at multiple sites requiring travel between sites. Provide day-to-day oversight of clinical documentation integrity specialists (CDIS) including managing associates, hiring, and orienting new CDIS staff. Completes performance reviews on an annual basis. Evaluates and assesses medical records of patients. Runs program(s) with moderate budget/impact. Serves as 2nd level reviewer for all cases with unanswered queries being considered for escalation to Physician Champion/CMO, and aid in the escalation as approach for the case. Acts as a CDI liaison between departments and sites. Assist with quality assurance activities for the site and CDI department as directed by CDI Leadership. Audit work of CDIS' for accuracy, productivity and quality standards. Proactively identifies issues or trends and proposes solutions. Communicates issues or concerns with site CDI operations to system CDI leadership. Arranges and delivers education for providers and care givers based on identified opportunities. Participates in performance improvement/action plan activities as needed to assure all CDIS' are meeting or exceeding performance expectations. Produces, analyzes, and distributes reports to leadership. Works with providers for improved documentation. Provides guidance to staff within latitude of established work area and policies.
Essential Functions:
- Performs audits and education on clinical documentation integrity specialist (CDIS) records including the evaluation and assessment of medical records of patients, looking for specificity of an illness, the accuracy of the clinician's documentation, coding requirements and documentation of important medical details to ensure the overall quality and completeness of clinical documentation of the patient medical record. Educates CDIS' on how better to perform duties listed above & other CDIS related information and maintaining their key performance indicators (KPIs). Contributes to staff evaluations and maintains a good relationship with staff while managing their performance. Participates in hiring new CDIS staff, orienting staff and has input on the job status of all associates (hiring, firing, promotions, assignments), sets work assignments and work schedules. Produces, analyzes and distributes reports to leadership.
- Analyzes and interprets medical records, reports and clinical documentation. Makes presentations about CDI performance to senior leadership at site. Balances small projects while maintaining workload.
- Reviews quality of medical record and communicates when conflicting data is found. Conveys deficiencies to the health care provider for more information to resolve the conflict.
- Keeps abreast of regulatory changes related to documentation and coding and communicates these changes to appropriate staff. Follows documentation guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
- Acts as a liaison between the medical staff and coding department, providers and other departments. Works collaboratively with physicians and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate clinical diagnosis and level of severity is captured for the level of service rendered to all patients.
- Performs other job-related duties as assigned.
You'll be successful with the following qualifications:
Education:
- Bachelor's degree or equivalent combination of education/related experience: Required
- Master's degree: Preferred
Work Experience:
- Certified Clinical Documentation Specialist (CCDS) and /or Certified Documentation Improvement Practitioner (CDIP): Required
- or within two years after hire
Required Licenses/Certifications:
- Current licensed RN, medical provider or equivalent: Preferred
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.
The estimated base pay for this position is $89,603 - $134,404. Additional individual compensation may be available for this role through years of experience, differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.
Apply to learn more about our total compensation and benefits!
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