JOB SUMMARY

Responsible for management of Clinical Documentation Improvement (CDI) program to direct the activities of the CDI operations across multiple hospitals, facilitate modifications to clinical documentation to ensure accurate depiction of the level of clinical services and patient severity through extensive concurrent interaction with client leadership, physicians, nursing staff and other caregivers, case management and medical records coding staff. Responsible for performance improvement for Conifer and Client(s).

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following. Others may be assigned.

1.

• Implement and support the strategic vision for assigned Clinical Documentation Improvement (CDI) functions to include:
• Direct responses to CDI and trending completion of DRG worksheets via analytical reports.
• Act as a resource to CDI leaders in matters relating to published DRG information.
• Works with market and national leaders including physician groups to develop systems to facilitate complete documentation for data reporting purposes.
• Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations.
• Oversees compliance with government and agency regulations

2. Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective action.

3. Develops and manages direct reports; and oversees the development and management of indirect reports.

4. Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, Compliant documentation protocols

5. Other duties as assigned

FINANCIAL RESPONSIBILITY (Specify Revenue/Budget/Expense): N/A

No. Direct Reports (incl. titles) - 2+ CDI Manager

No. Indirect Reports (incl. titles) - 30+ CDI Specialist, CDI Supervisor, CDI Lead

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• CDI Director must display, leadership, teamwork and commitment while performing daily duties
• Must demonstrate initiative and discipline in time management and medical record review
• Travel may be required to meet the needs of the division
• Other duties as assigned based on leadership request(s).
• Advanced knowledge of IMedicare Part A and familiar with Medicare Part B
• Intermediate knowledge of disease pathophysiology and drug utilization
• Intermediate knowledge of MS-DRG classification and reimbursement structures
• Critical thinking, problem solving and deductive reasoning skills
• Effective written and verbal communication skills
• Knowledge of regulatory environment
• Excellent organizational skills for initiation and maintenance of efficient work flow
• Regular and reliable attendance and time reporting per Conifer Telecommuting program requirements
• Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.
• Understand and communicate documentation strategies
• Recognize opportunities for documentation improvement
• Formulate clinically, compliant credible queries
• Ability to maintain an auditing and monitoring program as a means to measure query process
• Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation
• Develop and implement work policy and procedures
• Responsible for the CDI program to ensure quality documentation

Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment.This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings.

EDUCATION / EXPERIENCE

Include minimum education, technical training, and/or experience required to perform the job.

• Graduate from a Nursing program ADN, BSN prefered, or graduate of Health Information Management RHIT, RHIA preferred.
• Current state Registered Nurse license or Certified Coding Speiclaist credential
• Preferred: Two (2) years experience with either HIM/Coding or Case Management experience.

CERTIFICATES, LICENSES, REGISTRATIONS

• Preferred: RN, RHIT, RHIA, and CCS, CDIP, CCDS

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to sit for extended periods of time
• Must be able to efficiently use computer keyboard and mouse to perform CDI functions assignments
• Good Visual acuity

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OTHER

• The ideal candidate will have clinical documentation experience in an acute care facility
• Must be able to travel nationally as needed

Compensation and Benefit Information

Compensation

• Pay: $118,227 - $177,362 annually. Compensation depends on location, qualifications, and experience.
• Position may be eligible for an Annual Incentive Plan bonus of 10%-25% depending on role level.
• Management level positions may be eligible for sign-on and relocation bonuses.

Benefits

Conifer offers the following benefits, subject to employment status:

• Medical, dental, vision, disability, life, and business travel insurance
• Management time off (vacation & sick leave) – min of 12 days per year, accrued accrue at a rate of approximately 1.84 hours per 40 hours worked.
• 401k with up to 6% employer match
• 10 paid holidays per year
• Health savings accounts, healthcare & dependent flexible spending accounts
• Employee Assistance program, Employee discount program
• Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
• For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

Employment practices will not be influenced or affected by an applicant’s or employee’s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Tenet participates in the E-Verify program. Follow the link below for additional information.
E-Verify: http://www.uscis.gov/e-verify
The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations.