Regional Cdi Director

3 weeks ago


Frisco, United States Conifer Revenue Cycle Solutions Full time

**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._
- 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
- Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective action.
- Develops and manages direct reports; and oversees the development and management of indirect reports.
- **Professional Development**: Stays current with AHA Official Coding and Reporting Guidelines, Compliant documentation protocols
- Other duties as assigned

**SUPERVISORY RESPONSIBILITIES**
- If direct report positions are listed below, the following responsibilities will be performed in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. _

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

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

**KNOWLEDGE, SKILLS, ABILITIES**
- 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 required to meet the needs of the division (monthly and or quarterly)
- 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
- Develop and implement work policy and procedures
- Responsible for the CDI program to ensure quality documentation

**EDUCATION / EXPERIENCE**
- Include minimum education, technical training, and/or experience required to perform the job._
- Graduate from a Nursing program ADN, BSN preferred, or graduate of Health Information Management RHIT, RHIA preferred.
- Current state Registered Nurse license or Certified Coding Specialist 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



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