Clinical Documentation Manager Position with UCI

4 weeks ago


Orange, United States Source Code Full time
Job DescriptionJob Description

CLINICAL DOCUMENTATION MANAGER 

Orange, CA

Full-Time (On-Site)

Job Description

The incumbent is responsible for the leadership and management of the Clinical Documentation Improvement (CDI) Program. The incumbent is accountable for budgeting, planning and monitoring budget variances, etc. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies ACDIS & AHIMA guidelines for compliant query, as well as hospital policies and procedures. The incumbent facilitates the improvement in the overall quality, completeness, and accuracy of medical record documentation through comprehensive review and evaluation of the medical record. Proactively seeks clarification from physicians and other healthcare providers when further specificity is needed to ensure. The CDI Manager educates senior leaders and physicians on documentation guidelines on an ongoing basis.

Must-Haves:

  • Minimum 7 years of clinical RN experience
  • 5 years experience as a CDI Specialist
  • Previous lead or supervisory experience
  • Familiarity with Utilization Review criteria
  • Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
  • CDI Credential (CCDS, CDIP)
  • Electronic Health Record experience 3M, Epic
  • Knowledge of ICD-10 CM and CPT coding
  • MSN Degree

Preferred:

  • Previous experience with comprehensive chart / record review
  • Masters degree with an emphasis in health care related fields (nursing, epidemiology, etc.)
  • Knowledge of patient safety strategies
  • CCS or CPC Coding Credential
  • Knowledge of quality improvement methodologies
  • Knowledge of University and medical center organizations, policies, procedures and forms


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