Manager, CDI and Auditing Services

1 week ago

Kinston, United States UNC Health Care Full time
Job Description

Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
The CDI Manager will be responsible for managing clinical documentation functions and overseeing the administrative responsibilities for staff, daily assignment of cases for the clinical documentation staff. Provides the necessary leadership to achieve the objectives of the Health Information Services Department and the hospital are met. Must plan, develop, and manage efficient and effective processes for CDI and Clinical Auditing activities. Services provided must meet the medical, administrative, legal, ethical, regulatory and institutional requirements utilized in the health care delivery system at UNC Health Lenoir. Will serve as the first-level resource for the Clinical Documentation team of registered nurses in addition to performing the functions of a Clinical Documentation Improvement Specialist (CDIS) as needed.

Responsibilities:
Clinical Documentation provides a formalized approach to promote accurate and complete medical record documentation reflecting a patient's true severity of illness and risk of mortality. The Manager reviews inpatient medical records and identifies opportunities in provider documentation that will clarify patient severity of illness, risk of mortality, quality indicator measures and intensity of care rendered. The Manager collaborates with providers and HIS Coding staff to ensure accurate clinical documentation by concurrently assigning DRG's and capturing documentation specificity to support diagnosis and clinical indicators in the medical record. Compiles and documents chart findings in CDI software on a daily basis. Communicates with and educates members of the patient care team (physicians, advanced practice providers, patient resource managers, and case management) on an ongoing basis. Participates in select committees and provides education programs as necessary. Maintains documentation regarding results of audit activity and shares those with staff and management as necessary.

Other information:
Qualifications

EDUCATION REQUIREMENTS

  • B.S. in Nursing or Associate Degree in Nursing required with current license in state of NC.
PROFESSIONAL EXPERIENCE REQUIREMENT
  • Three years' experience in ICD-10-CM and CPT coding in an acute care setting with a strong DRG background preferred. Knowledge of coding, regulatory and TJC guidelines with a strong clinical background preferred.
LICENSURE/REGISTRATION/CERTIFICATION
  • RN or BSN required. CDIP or CCDS credential preferred and expected after two years of employment.
KNOWLEDGE, SKILLS AND ABILITIES REQUIREMENTS
  • Critical reasoning skills in clinical decision making, problem solving and ability to interpret data.
  • Flexible, positive and clear interpersonal and communication skills with the ability to provide information in a collaborative manner with physicians and other staff.
  • Intermediate to advanced knowledge of computer systems Microsoft Office (Word, Excel, PowerPoint) experience required.
  • Developed knowledge of anatomy, physiology and medical terminology, coding and reporting guidelines and ability to apply same.
WORK ENVIRONMENT
  • Mix of general office setting with clinical exposure requiring organizational skills to manage multiple projects and priorities.
  • Some exposure to radiation from computer monitor.
  • Primary equipment used: Computer, Printer, Copier, Telephone, Facsimile Machine
PHYSICAL REQUIREMENT
  • Standing, squatting and carrying laptop and medical records.
  • Talking on the phone and hearing well.
  • Handling/fingering/feeling papers.
  • Reads medical records and views computer monitor frequently.

Job Details

Legal Employer: Lenoir Health

Entity: UNC Lenoir Health Care

Organization Unit: CDI

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: LENOIR MEM

Exempt From Overtime: Exempt: Yes

  • Clinical Documentation Improvement Manager

    1 week ago

    Kinston, North Carolina, United States UNC Health Care Full time

    Job SummaryWe are seeking a highly skilled Clinical Documentation Improvement Manager to join our team at UNC Health Care. As a key member of our Health Information Services Department, you will be responsible for managing clinical documentation functions and overseeing administrative responsibilities for staff. Your expertise will be crucial in ensuring...

  • Environmental Services Department Manager

    1 week ago

    Kinston, North Carolina, United States Healthcare Services Group Full time

    About UsHealthcare Services Group (HCSG) is a leading provider of housekeeping, laundry, dining, and nutritional services to the healthcare industry. With over 45 years of experience, we have established ourselves as a trusted partner to thousands of healthcare communities across the country.Our Purpose and ValuesWe are committed to fostering fulfillment in...

  • Manager of Residential Services

    4 weeks ago

    Kinston, North Carolina, United States NOVA Behavioral Health Full time

    Position OverviewJoin a mission-driven organization committed to fostering positive change.About Us:NOVA Behavioral Health is focused on providing support to individuals and families navigating complex social, emotional, and behavioral challenges. We offer a comprehensive array of behavioral health services tailored to the unique needs of our community. Our...

  • Manager of Residential Services

    4 weeks ago

    Kinston, North Carolina, United States NOVA Behavioral Health Full time

    Position OverviewJoin a dedicated organization committed to making a positive impact.About Us:NOVA Behavioral Health is focused on assisting individuals, families, and youth facing intricate social, emotional, and behavioral difficulties. We offer a diverse array of behavioral health services tailored to the unique needs of our community. Our mission is to...

  • Residential Services Manager

    4 weeks ago

    Kinston, North Carolina, United States NOVA Behavioral Health Full time

    Position OverviewJoin a dedicated organization committed to making a positive impact.About Us:NOVA Behavioral Healthcare has been at the forefront of providing hope and a brighter future for individuals facing emotional, social, and intellectual challenges since its inception in 1985. Our mission is to deliver tailored services within a structured and...

  • Auditor specializing in credit institutions

    1 week ago

    Kinston, North Carolina, United States Sapphire Ventures Full time

    About the RoleWe are seeking a highly skilled Auditor specializing in credit institutions to join our team at Sapphire Ventures. As a key member of our audit team, you will play a crucial role in ensuring the integrity and soundness of our banking partners.Key ResponsibilitiesConduct regular and occasion-based examinations of credit institutions to assess...

  • Auditor specializing in credit institutions

    1 day ago

    Kinston, North Carolina, United States Sapphire Ventures Full time

    About the RoleWe are seeking a highly skilled Auditor specializing in credit institutions to join our team at Sapphire Ventures. As a key member of our audit team, you will play a crucial role in ensuring the integrity and stability of the financial system.Key ResponsibilitiesConduct regular and occasion-based examinations of credit institutions to assess...

  • Residential Services Manager

    4 weeks ago

    Kinston, North Carolina, United States NOVA Behavioral Health Full time

    Position OverviewJoin a dedicated organization committed to transforming lives.About Us:NOVA Behavioral Healthcare has been a cornerstone in providing hope and support for individuals facing emotional, social, and intellectual challenges since its inception in 1985. Our mission is to deliver tailored services within a secure and therapeutic environment,...

  • Residential Services Manager

    4 weeks ago

    Kinston, North Carolina, United States NOVA Behavioral Health Full time

    Position OverviewJoin a dedicated organization committed to making a positive impact.About Us:NOVA Behavioral Healthcare has been a leader in providing hope and support for individuals facing emotional, social, and intellectual challenges since its inception in 1985. Our mission focuses on delivering tailored services within a structured and therapeutic...

  • Crisis Management Specialist

    4 weeks ago

    Kinston, North Carolina, United States RHA Health Services Full time

    Position Overview: We are seeking dedicated individuals for the role of Crisis Management Specialist. This position is integral to our mission at RHA Health Services, where we focus on enhancing the lives of individuals facing intellectual and developmental challenges, as well as mental health and substance use issues. Job Type: Regular Role Summary: As a...

  • Customer Service Ambassador

    1 week ago

    Kinston, North Carolina, United States A-1 Termite and Pest Control, Inc. Full time

    About the RoleWe are seeking a highly skilled and motivated Customer Service Representative to join our team at A-1 Termite and Pest Control, Inc.Key ResponsibilitiesProvide exceptional customer service and support to our clientsSchedule appointments and manage routes efficiently using our web-based route management systemUtilize sales skills to promote our...

  • Poultry Production Manager

    2 weeks ago

    Kinston, North Carolina, United States Wayne-Sanderson Farms Full time

    Job Summary:The Poultry Processing Supervisor at Wayne-Sanderson Farms is responsible for overseeing the production line and department personnel to ensure compliance with company policies and federal and state regulations. This role requires strong leadership and organizational skills to manage daily operations and maintain a safe and efficient work...

  • Aerospace Quality Manager

    1 month ago

    Kinston, United States Expleo Full time

    Job DescriptionJob DescriptionEXPLEO GROUP USA is currently looking for an Quality Manager to join our team for an exciting new opportunity in Kinston, NC.Expleo is a trusted partner for end-to-end, integrated engineering, quality services and management consulting for digital transformation. We are a talent incubator. The time you spend at Expleo will...

  • Senior Client Relationship Manager

    3 weeks ago

    Kinston, North Carolina, United States TowneBank Full time

    Join TowneBank: Your Career, Your Future, Your Towne. TowneBank is seeking a Senior Account Manager for Commercial Lines to enhance our team. The Senior Account Manager plays a crucial role in delivering exceptional service to both new and existing clients, ensuring all interactions are handled promptly and accurately. About Us TowneBank is a...

  • Service Technician for Waste Management Solutions

    3 weeks ago

    Kinston, North Carolina, United States FleetGenius Full time

    Job DescriptionWho we are:FleetGenius, LLC is a premier national organization dedicated to delivering comprehensive life-cycle sustainable container solutions for our clientele. We expertly manage both plastic and steel cart inventories, encompassing delivery, retrieval, repairs, warranty management, and end-of-life recycling. FleetGenius operates as a...

  • Medical Telemetry Assistant

    2 days ago

    Kinston, North Carolina, United States UNC Health Care Full time

    Job SummaryWe are seeking a skilled and compassionate Medical Telemetry Assistant to join our team at UNC Health Care. As a key member of our healthcare team, you will provide high-quality patient care and support to our patients and families.Key ResponsibilitiesAssist professional caregivers in delivering patient care, including transporting patients and...

  • Medical Telemetry Assistant

    2 days ago

    Kinston, North Carolina, United States UNC Health Care Full time

    Job SummaryWe are seeking a highly skilled and compassionate Medical Telemetry Assistant to join our team at UNC Health Care. As a key member of our healthcare team, you will provide exceptional patient care and support to our patients and families.Key ResponsibilitiesAssist professional caregivers in delivering patient care, including transporting patients...

  • Healthcare Assistant

    20 hours ago

    Kinston, North Carolina, United States UNC Health Care Full time

    Job SummaryWe are seeking a skilled and compassionate Healthcare Assistant to join our team at UNC Health Care. As a key member of our healthcare team, you will play a vital role in providing high-quality patient care and support services.Key ResponsibilitiesAssist professional caregivers in delivering patient care, including transporting patients and...

  • Senior Quality Assurance Specialist

    4 days ago

    Kinston, North Carolina, United States Capgemini Full time

    About the RoleWe are seeking a highly skilled Senior Quality Engineer to join our team in Kinston, North Carolina. As a Senior Quality Engineer, you will be responsible for implementing innovative solutions to improve quality, customer satisfaction, and reduce costs.Key ResponsibilitiesImplement preventive quality standards and processes to ensure a...

  • Supplier Quality Assurance Engineer

    4 weeks ago

    Kinston, North Carolina, United States Trigo ADR Americas Full time

    Job OverviewThe Supplier Quality Assurance Engineer is tasked with implementing and enhancing critical initiatives within the supplier quality domain. This role encompasses a variety of supplier quality engineering functions, including Compliance, Process, and Product Audits, Material Review Board (MRB) activities, First Article Inspection (FAI) witnessing,...