Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryDevelops implements and manages an effective and comprehensive Health Information Management HIM Clinical Documentation Integrity CDI quality audit education and denials prevention program consistent with clinical regulatory contractual and professional standards and healthcare revenue cycle industry practices This position ensures effective and efficient work operation of the unit by managing staff and assigning work according to business needs and collecting data to monitor progressPosition ResponsibilitiesKey Areas of ResponsibilityManagement Auditing Denial Prevention and Managementmiddot Manages a team of Clinical Documentation Integrity CDI Specialists for inpatient CDI mortality Patient Safety Indicators PSIs Hospital Acquired Conditions HACs and other specialty reviews This position also supports denials and appeals specialists as a subject matter expert SME and collaborates with Revenue Cycle Medical Director to provide provider CDI and coding education for DRG downgrade denials prevention and management middot Validates CDI reviews related to their review process documentation clarificationsqueries and resulting Diagnosis Related Groups DRGs to ensure severity of illness and quality of care consistency and efficiency in data collection and quality outcomes reporting for Hartford HealthCare HHCmiddot Accountable for DRG downgrade denials prevention and internal denial appeal processes Creates HHC strategies for denial prevention middot Accountable for preparingfacilitating written reports on the results of audits and denials including recommendations for improvementsmiddot Presents audit and denial reports results and action plans to Revenue Cycle leadership CDICoding management for discussion and plans for dissemination to providers clinical documentation specialists CDS and coding professionalsmiddot Facilitates the smooth flow of reporting and data in collaboration with the Quality Management Department on mortality PSI HAC and other risk adjustment outcomes middot Shares accountability to present quarterly Key Performance Indicators KPI to compliance officemiddot Meets revenue cycle goals Key Performance Indicators KPIs and Productivity StandardsEducationTrainingmiddot Creates and implements annual education plan for providers CDI coders and other interdepartmental stakeholders across HHCmiddot Develops creates and oversees orientation activities for new CDI staff and their mentors middot Participates in recruitment and retention strategiesmiddot Acts as a resource to CDI leadership for Performance Improvement activities as neededmiddot Provides feedback and creates focused educationaltraining programs on the results of auditing and monitoring activities for CDS coders and providers as appropriate in all care settingsmiddot Manages CDI education platform FinThrive or other assigns assessments and remediation strategies recommends focused individualized education for CDI team creates reports and communicates results and action planning to CDI Manager and Supervisorsmiddot Provides CDS coding and provider education on changes in regulations related to CDImiddot Assists in developing CDI clinical documentation guidelines standard work policies procedures workflows and queries and plays a key role in educating staffCommunicationmiddot Ensures the appropriate adherence dissemination and communication of all CMS coding and HIM regulation policy and guideline changes to appropriate stakeholdersmiddot Participates in Clinical Quality Council meetings represents CDI at local and system level by participating in meetings on mortality and harm and other HHC initiatives related to CDI education middot Presents regular updates on denial prevention to providers CDI and coding professionalsmiddot Presents on topics related to clinical documentation integrity in all care settings to all service linesmiddot Maintains system folders with CDI policies procedures and educational articles Maintains and updates content on the CDI Intranet page Other Managementmiddot Exercises the usual authority of a manager concerning performance improvement plans and reviews promotions salary recommendations and terminations Coaches develops and inspires staff to maximize their potential middot Monitors key performance metrics and works with CDI Manager and Supervisors to adjust operations as needed to meet objectives middot Works with key vendor stakeholders to assure optimum value with existing and new technology Ensures compliance with CDI program Iodine other collaborates with client manager and other vendor leaders for optimal performance and results middot Facilitates CDI team scheduling and Kronos entry to ensure appropriate staffing levels and adherence to Revenue Cycle attendance and PTO policiesmiddot Establishes and maintains performance expectations of direct reports provides timely written performance reviews and discussions and provides continuous feedback to enable employees to be successful in their roles Othermiddot Participates in and contributes to CDI Leadership and CodingCDI Meetingsmiddot Works on general or special assignments and other duties and may lead specialized projects as assigned middot Abides by The Ethical Standards for Clinical Documentation Improvement CDI Professionals as set forth by the American Health Information Management Associationmiddot Perform other related duties as requiredWorking Relationshipmiddot This Job Reports To Job Title HHC Director of Clinical Documentation Integritymiddot Job Titles of HHC positions reporting to this Jobo Direct supervision of CDI education audit and denial team potential indirect supervision of system wide CDI team in CDI Managerrsquos absence Strong working relationships with Revenue Cycle Leadership physicians HIM Coding staff Quality Management leadership teams and others as neededmiddot Number Direct Reports middot Number Indirect Reports Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryDevelops implements and manages an effective and comprehensive Health Information Management HIM Clinical Documentation Integrity CDI quality audit education and denials prevention program consistent with clinical regulatory contractual and professional standards and healthcare revenue cycle industry practices This position ensures effective and efficient work operation of the unit by managing staff and assigning work according to business needs and collecting data to monitor progressPosition ResponsibilitiesKey Areas of ResponsibilityManagement Auditing Denial Prevention and Managementmiddot Manages a team of Clinical Documentation Integrity CDI Specialists for inpatient CDI mortality Patient Safety Indicators PSIs Hospital Acquired Conditions HACs and other specialty reviews This position also supports denials and appeals specialists as a subject matter expert SME and collaborates with Revenue Cycle Medical Director to provide provider CDI and coding education for DRG downgrade denials prevention and management middot Validates CDI reviews related to their review process documentation clarificationsqueries and resulting Diagnosis Related Groups DRGs to ensure severity of illness and quality of care consistency and efficiency in data collection and quality outcomes reporting for Hartford HealthCare HHCmiddot Accountable for DRG downgrade denials prevention and internal denial appeal processes Creates HHC strategies for denial prevention middot Accountable for preparingfacilitating written reports on the results of audits and denials including recommendations for improvementsmiddot Presents audit and denial reports results and action plans to Revenue Cycle leadership CDICoding management for discussion and plans for dissemination to providers clinical documentation specialists CDS and coding professionalsmiddot Facilitates the smooth flow of reporting and data in collaboration with the Quality Management Department on mortality PSI HAC and other risk adjustment outcomes middot Shares accountability to present quarterly Key Performance Indicators KPI to compliance officemiddot Meets revenue cycle goals Key Performance Indicators KPIs and Productivity StandardsEducationTrainingmiddot Creates and implements annual education plan for providers CDI coders and other interdepartmental stakeholders across HHCmiddot Develops creates and oversees orientation activities for new CDI staff and their mentors middot Participates in recruitment and retention strategiesmiddot Acts as a resource to CDI leadership for Performance Improvement activities as neededmiddot Provides feedback and creates focused educationaltraining programs on the results of auditing and monitoring activities for CDS coders and providers as appropriate in all care settingsmiddot Manages CDI education platform FinThrive or other assigns assessments and remediation strategies recommends focused individualized education for CDI team creates reports and communicates results and action planning to CDI Manager and Supervisorsmiddot Provides CDS coding and provider education on changes in regulations related to CDImiddot Assists in developing CDI clinical documentation guidelines standard work policies procedures workflows and queries and plays a key role in educating staffCommunicationmiddot Ensures the appropriate adherence dissemination and communication of all CMS coding and HIM regulation policy and guideline changes to appropriate stakeholdersmiddot Participates in Clinical Quality Council meetings represents CDI at local and system level by participating in meetings on mortality and harm and other HHC initiatives related to CDI education middot Presents regular updates on denial prevention to providers CDI and coding professionalsmiddot Presents on topics related to clinical documentation integrity in all care settings to all service linesmiddot Maintains system folders with CDI policies procedures and educational articles Maintains and updates content on the CDI Intranet page Other Managementmiddot Exercises the usual authority of a manager concerning performance improvement plans and reviews promotions salary recommendations and terminations Coaches develops and inspires staff to maximize their potential middot Monitors key performance metrics and works with CDI Manager and Supervisors to adjust operations as needed to meet objectives middot Works with key vendor stakeholders to assure optimum value with existing and new technology Ensures compliance with CDI program Iodine other collaborates with client manager and other vendor leaders for optimal performance and results middot Facilitates CDI team scheduling and Kronos entry to ensure appropriate staffing levels and adherence to Revenue Cycle attendance and PTO policiesmiddot Establishes and maintains performance expectations of direct reports provides timely written performance reviews and discussions and provides continuous feedback to enable employees to be successful in their roles Othermiddot Participates in and contributes to CDI Leadership and CodingCDI Meetingsmiddot Works on general or special assignments and other duties and may lead specialized projects as assigned middot Abides by The Ethical Standards for Clinical Documentation Improvement CDI Professionals as set forth by the American Health Information Management Associationmiddot Perform other related duties as requiredWorking Relationshipmiddot This Job Reports To Job Title HHC Director of Clinical Documentation Integritymiddot Job Titles of HHC positions reporting to this Jobo Direct supervision of CDI education audit and denial team potential indirect supervision of system wide CDI team in CDI Managerrsquos absence Strong working relationships with Revenue Cycle Leadership physicians HIM Coding staff Quality Management leadership teams and others as neededmiddot Number Direct Reports middot Number Indirect Reports Educationmiddot Bachelorrsquos degree in Nursing or equivalent combination of education and experience in accordance with job responsibilitiesExperiencemiddot Minimummiddot Registered Nurse RN with or more years CDS experiencemiddot years previous supervisory management experiencemiddot Preferredmiddot yearsrsquo experience as a CDSmiddot Previous management experience preferredLicensure Certification Registrationbull RN licensed in the state of CTAnd bull Certified Clinical Documentation Specialist CCDS certification or Certified Clinical Documentation Professional CDIP certification Language Skillsmiddot Strong written and verbal communication skills Knowledge Skills and Ability Requirements middot Strong understanding of clinical documentation integrity middot Understand and support CDI documentation strategiesmiddot Knowledge of Pathophysiology and Disease Process strong clinical skillsmiddot Knowledge of Medicare Part A and Part B regulationsmiddot Working knowledge of clinical informatics middot Extensive ability to understand and communicate the impact of CCMCCrsquos PSIHACs risk adjustment and other variables on the assignment of the various DRG methodologiesmiddot Specialized understanding and knowledge of ICD CM diagnosis and ICD PCS procedure codesmiddot Strong analytical capabilitiesmiddot Excellent organizational skillsmiddot Strong organizational critical thinking problem solving and deductive reasoning skillsmiddot Excellent knowledge of WordExcelPower Point middot Strong Encoder andor Computer Assistant Coding CAC skillsmiddot Strong ability tomiddot Function independently and handle a flexible work schedulemiddot Travel between facilities as necessarymiddot Handle multiple prioritiesmiddot Delegate tasks effectively to othersmiddot Listen and acknowledge ideas and expressions of others attentivelymiddot Converses clearly using appropriate verbal and body languagemiddot Collaborate with others to achieve a common goal through mutual cooperation middot Influence others for positive and productive outcomesmiddot Work across the Hartford HealthCare Systemmiddot Utilize subject matter expertise to support coders other departments and projects as neededWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentEducationmiddot Bachelorrsquos degree in Nursing or equivalent combination of education and experience in accordance with job responsibilitiesExperiencemiddot Minimummiddot Registered Nurse RN with or more years CDS experiencemiddot years previous supervisory management experiencemiddot Preferredmiddot yearsrsquo experience as a CDSmiddot Previous management experience preferredLicensure Certification Registrationbull RN licensed in the state of CTAnd bull Certified Clinical Documentation Specialist CCDS certification or Certified Clinical Documentation Professional CDIP certification Language Skillsmiddot Strong written and verbal communication skills Knowledge Skills and Ability Requirements middot Strong understanding of clinical documentation integrity middot Understand and support CDI documentation strategiesmiddot Knowledge of Pathophysiology and Disease Process strong clinical skillsmiddot Knowledge of Medicare Part A and Part B regulationsmiddot Working knowledge of clinical informatics middot Extensive ability to understand and communicate the impact of CCMCCrsquos PSIHACs risk adjustment and other variables on the assignment of the various DRG methodologiesmiddot Specialized understanding and knowledge of ICD CM diagnosis and ICD PCS procedure codesmiddot Strong analytical capabilitiesmiddot Excellent organizational skillsmiddot Strong organizational critical thinking problem solving and deductive reasoning skillsmiddot Excellent knowledge of WordExcelPower Point middot Strong Encoder andor Computer Assistant Coding CAC skillsmiddot Strong ability tomiddot Function independently and handle a flexible work schedulemiddot Travel between facilities as necessarymiddot Handle multiple prioritiesmiddot Delegate tasks effectively to othersmiddot Listen and acknowledge ideas and expressions of others attentivelymiddot Converses clearly using appropriate verbal and body languagemiddot Collaborate with others to achieve a common goal through mutual cooperation middot Influence others for positive and productive outcomesmiddot Work across the Hartford HealthCare Systemmiddot Utilize subject matter expertise to support coders other departments and projects as neededWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment