Cleveland, OH, USA
9 hours ago
Clinical Documentation Improvement Manager

                    

At Cleveland Clinic Health System, we believe in a better future for healthcare. And each of us is responsible for honoring our commitment to excellence, pushing the boundaries and transforming the patient experience, every day.

                        

We all have the power to help, heal and change lives — beginning with our own. That’s the power of the Cleveland Clinic Health System team, and The Power of Every One.

                                    

Job TitleClinical Documentation Improvement Manager

                        

LocationCleveland

                    

FacilityRemote Location

                     

DepartmentCdi Admin-Finance

                      

Job Code000872

                     

ShiftDays

                       

Schedule8:00am-5:00pm

                       

Job Summary

                         

Job Details

Join the Cleveland Clinic team, where you will work alongside passionate caregivers and provide patient-first healthcare. Cleveland Clinic is recognized as one of the top hospitals in the nation. At Cleveland Clinic, you will receive endless support and appreciation and build a rewarding career with one of the most respected healthcare organizations in the world.   

At Cleveland Clinic, the CDI Manager embodies our mission and vision by championing a patient-centered approach - ensuring that our decisions and efforts always serve the best interests of those in our care. Financial priorities never eclipse our unwavering commitment to our patients. As Clinical Documentation Improvement Manager, you will oversee and coordinate the day-to-day operations of the Clinical Documentation Improvement (CDI) program, including personnel management, education and training, productivity oversight, work assignments, quality reviews and report management. In this role, you will facilitate and promote standardization across the Florida and Ohio Region, ensuring that all documentation accurately and compliantly reflects the clinical care provided to patients, while also serving as a liaison to hospital and medical staff in all matters related to clinical documentation improvement.

A caregiver in this role works remotely from 8:00 a.m. – 5:00 p.m.

This position is primarily remote, with occasional on-site work required based on your distance from a Cleveland Clinic location.

A caregiver who excels in this role will:

Manage CDI department personnel and operations to include personnel management, education, training, workflow analysis, productivity, quality and report management to ensure achievement of departmental goals and objectives.

Facilitate appropriate clinical documentation reviews to support accurate assignment of diagnoses and procedure codes, severity of illness, risk of mortality, MCC/CC capture, appropriate POA assignment, PSI, HAC, APC & HCC coding, risk adjustment analysis and provider queries.

Perform and/or monitor quality reviews to ensure compliance with regulatory requirements, accreditation standards and industry best practices.

Collaboratively work with coding, quality, care management, physician champions and other key stakeholders to improve clinical documentation.

Conduct data and root cause analysis and communicate clinical documentation opportunities and/or concerns to key stakeholders in a timely and effective manner.

Contribute to CDI strategic planning and process improvement activities.

Integrate Cleveland Clinic’s Improvement Model (CCIM) and tools into daily operations to drive best practices and outcomes (i.e. huddles, visual management tools, 4-blocker, return to green plan, A3, etc.).

Review, revise and/or implement departmental policies, procedures and/or guidelines.

Monitor achievement of CDI key performance indicators and initiate and execute action plans as appropriate.

Minimum qualifications for the ideal future caregiver include:

Associate's Degree in Health Information Management or related field and three years of supervisory or management experience in a health care setting OR Bachelor’s degree and two years of supervisory or management experience in a health care setting

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Documentation Improvement Practitioner (CDIP), Certified Coding Associate (CCA), Certified Coding Specialist/Physician (CCS/P) from American Health Information Management Association OR Certified Professional Coder (CPC) from the American Academy of Professional Coders OR Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O) from the Association of Clinical Documentation Integrity Specialists (ACDIS) OR Registered Nurse (RN)

Knowledge of coding classification assignments (ICD-10-CM/PCS/CPT/APC/OPPS) and reimbursement methodologies (e.g., risk adjustment, value-based payment, MS-DRGs, APR-DRGs, POA, HAC, PSI and HCC)

Knowledge of differences between Medicare Part A and Part B guidelines and their impact on DRG assignments

Computer skills including Microsoft Word, Excel, PowerPoint and Outlook

Preferred qualifications for the ideal future caregiver include:  

Bachelor's Degree in Health or Business Administration, Nursing or related field

Health Information Management department experience

Strong background in CDI

Experience leading a remote team

Managing remote workforce experience

Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we’re dedicated to providing what matters most to you: https://jobs.clevelandclinic.org/benefits-2/

Physical Requirements:

Manual dexterity to operate office equipment.

May requires extended periods of sitting, standing, and the ability to travel to various locations throughout the Florida Region.

Normal or corrected vision to normal range.

Able to clearly communicate by phone or in person.

May occasionally lift up to 25 pounds.

Personal Protective Equipment:

Follows standard precautions using personal protective equipment.

                       

The policy of Cleveland Clinic Health System and its system hospitals (Cleveland Clinic Health System) is to provide equal opportunity to all of our caregivers and applicants for employment in our tobacco free and drug free environment. All offers of employment are followed by testing for controlled substance and nicotine. All offers of employment are follwed by testing for controlled substances and nicotine. All new caregivers must clear a nicotine test within their 90-day new hire period. Candidates for employment who are impacted by Cleveland Clinic Health System's Smoking Policy will be permitted to reapply for open positions after one year.

Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with this program, which will include obtaining an influenza vaccination on an annual basis or obtaining an approved exemption.

Decisions concerning employment, transfers and promotions are made upon the basis of the best qualified candidate without regard to color, race, religion, national origin, age, sex, sexual orientation, marital status, ancestry, status as a disabled or Vietnam era veteran or any other characteristic protected by law. Information provided on this application may be shared with any Cleveland Clinic Health System facility. 

Please review the Equal Employment Opportunity poster. 

                  

Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities

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