Clinical Documentation Manager
Clinical Documentation Manager
AdventHealth
Maitland, FL
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All the benefits and perks you need for you and your family:
The Clinical Documentation Manager will report directly to the Regional Clinical Documentation Director and will work extensively with CDI teams, physicians, Chief Medical Officers and Chief Nursing Officers of the current 6 hospitals in the North Florida Division in a matrix relationship to coordinate the efficient review and documentation capture of the underlying conditions that are supported by the physicians’ secondary review of the patient record, upon request of the clinical documentation team members.
Develops, assesses, plans, implements, and evaluates procedures and processes for the system, offers continuing education, process improvement, and change management. Is actively involved in future planning and strategic development for system CDI needs, to include policy development, program development, ongoing audits for the system level and campus level, and quality improvement efforts. Works under general supervision and utilizes critical thinking skills. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The Value You’ll Bring To The Team
Knowledge And Skills Required
The expertise and experiences you'll need to succeed:
- Benefits from Day One
- Paid Days Off from Day One
- This includes management of the case mix index (CMI), length of stay (LOS), severity of illness (SOI) and risk of mortality (ROM) in cooperation with the Director of Clinical Documentation Improvement and all other operational hospital departments. The manager manages the Clinical Documentation Specialists (CDSs) in planning, implementing improvements, and re-evaluating processes to keep staff engaged and to assist in meeting department goals.
The Clinical Documentation Manager will report directly to the Regional Clinical Documentation Director and will work extensively with CDI teams, physicians, Chief Medical Officers and Chief Nursing Officers of the current 6 hospitals in the North Florida Division in a matrix relationship to coordinate the efficient review and documentation capture of the underlying conditions that are supported by the physicians’ secondary review of the patient record, upon request of the clinical documentation team members.
Develops, assesses, plans, implements, and evaluates procedures and processes for the system, offers continuing education, process improvement, and change management. Is actively involved in future planning and strategic development for system CDI needs, to include policy development, program development, ongoing audits for the system level and campus level, and quality improvement efforts. Works under general supervision and utilizes critical thinking skills. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
The Value You’ll Bring To The Team
- Maintains knowledge of all federal, state, and local documentation guidelines and communicates changes to all CDI staff; extensive knowledge of I10 and coding guidelines.
- Develops, produces, and delivers training for CDI on an ongoing basis. This includes monthly New Hire CDI training, CDI Preceptor Program, and on an as needed basis for current employees in the CDI Department.
- Responsible for the hiring process for CDI departments. Completes performance evaluations timely and is involved in employee counseling, coaching and termination per policy. Provides orientation for new employees and ensures compliance with department policy and procedure.
- Maintains high levels of employee engagement and job performance by providing recognition and opportunities for learning. Ability to appropriately handle stress and interact with others.
- Audits new CDI members during their 90 day probationary period. Presents written and verbal updates to the CDI Managers and the CDI Director. Provides additional education based on results of audit and provides input for the 90 Day Evaluation.
- Supports the hospitals’ quality operating systems by generating and analyzing data and reports to identify opportunities for continuous growth and improvement; provides feedback to site-based teams and administrators, develops and implements action plans when appropriate.
- Serves as support for the Clinical Documentation Improvement Director providing backup as necessary. Participates in job interviewing, assessment, and selection of new employees. Maintains positive morale maintenance with clinical documentation improvement and contributes to and promotes departmental performance improvement initiatives and employee engagement. Maintains confidentiality of employees’, patients’, and administrative and medical staff’s information with no infractions and performs other duties as assigned.
Knowledge And Skills Required
The expertise and experiences you'll need to succeed:
- Strong leadership skills
- Strong critical thinking/problem-solving skills
- Interpersonal skills that promote teamwork
- Flexibility in prioritization
- Ability to multitask
- Ability to function in a stressful, fast-paced environment
- Self-motivated and ability to work independently
- Ability to motivate employees to attain program and organizational goals
- Understanding of DRG assignments and metrics associated with the CDMP Program.
- Understanding of coding guidelines for billing purposes
- 4 or more years of Clinical Documentation Integrity Experience
- Nursing Degree (RN, BS, BSN, or advanced degree) or Foreign Medical Graduate
- 5 or more years of acute clinical experience
- Experience with Microsoft Office (Excel, PowerPoint, and Word)
- MSN
- One or more years of coding experience
- Knowledge of Cerner
- Current valid State of Florida or multi state license as a Registered Nurse OR
- Current active State of Florida license as a Nurse Practitioner, Physician Assistant or MD
- CCDS
-
Seniority level
Not Applicable -
Employment type
Full-time -
Job function
Other -
Industries
Hospitals and Health Care
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