System CDI and Coding Director
3 weeks ago
The Care New England - Systems Clinical Documentation Integrity (CDI) and Coding Director collaborates with physicians, nurses, case managers, chief financial officers, and others. Will actively participate as a member of the Leadership Team to support and enforce a culture of excellence in care delivery, customer service, technological efficiency, and fiscal integrity.
Primary responsibilities include:
- The oversight and guidance of both hospital and professional coding, including the operational functions of the CDI and Coding departments.
Duties and Responsibilities:
- Ensures regulatory compliance is met with respect to both hospital and professional coding and clinical documentation improvement.
- Develops and leads departmental processes to review new regulatory developments and communicates to affected departments.
- Evaluate professional coding across the system to identify opportunities to standardize processes and create new centralized workgroups to improve accuracy and maximize reimbursement.
- Demonstrates comprehensive knowledge of all procedures concerning the sequencing of diagnoses and procedures including, but not limited to, those outlined in ICD-10-CM, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines, and other appropriate classification systems.
- Oversees the Clinical Documentation Improvement staff to ensure best practices for the CDI program.
- Monitor and communicate patterns, trends, and insurer updates to identify areas of improvement.
- Compiles, analyzes, and evaluates quality and clinical data collected as part of an integrated system-wide program of clinical improvement and documentation requirements.
- Manage and direct all activities of the Department by providing leadership and by serving as a resource to evaluate and identify strategies for problem-solving.
- Meet cost and quality standards by demonstrating creativity in responding to healthcare trends.
- Review budgetary reports and submit capital budget requests.
- Identify opportunities to automate processes utilizing current and/or new systems to accelerate and improve coding.
- Lead and participate in the Electronic Medical Record (EMR) transition to Epic.
- Continue to then lead and guide for progress improvement of EMR utilization.
- Ensures high levels of performance, achievement of goals, and quality of results across CNE through subordinate managers.
Requirements:
- Certified Coding Specialist (CCS) required with Certified Professional Coding (CPC) also preferred.
- Certified Clinical Documentation Specialist (CCDS) preferred.
- CDI preferred.
- Experience Minimum 7 Years.
- Education: Bachelor's Degree Required.
- Excellent oral and written skills required.
- Ability to work between clinical, operational, and financial areas is necessary.
- Experience with labor management and also the management of a remote workforce is preferred.
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