Clinical Documentation Integrity Manager

3 weeks ago

Fort Worth, Texas, United States JPS Health Full time
Job Summary

The Manager of CDI & Coding Education will play a pivotal role in promoting and supporting the development of Coding and Clinical Documentation Integrity (CDI) expertise within our organization. This position will be responsible for leading education, training, research, continuous quality improvement, evidence-based practice, and exceptional value-based customer service.

Key Responsibilities
  • Develop and implement policies and procedures to support auditing and education workflow and guidelines.
  • Maintain close working relationships with coding teams, CDI teams, Population Health, Revenue Cycle, Physicians/APP's/Residents, and other stakeholders to promote coding education and CDI across the network.
  • Lead and support the Senior Medical Record & Coding Auditor in their role.
  • Coordinate various projects within Acclaim to ensure compliance, quality metrics, and value-based initiatives are met.
  • Meet budget requirements and participate in budget preparation.
  • Interpret the impact of broad scope organizational change for staff and develop change strategies for successful implementation.
  • Ensure continuing education for all coders, CDI team members, and providers.
  • Build long-term relationships with Department Chairs and members of the medical staff.
  • Accountable for coding and documentation projects, including internal educational development, physician and clinician education, and outreach programs.
  • Formulate objectives, goals, and strategies collaboratively with other stakeholders.
  • Proactively identify patterns, trends, and variations in clinical documentation and coding, evaluating the root cause of issues and taking appropriate steps to resolve them.
  • Develop continuing education for physicians and other healthcare clinicians on documentation best practices and requirements.
  • Develop an auditing plan based on provider deficiencies in coding.
  • Collaborate with Coding and Revenue Cycle Department in response to documentation denials/appeals on audited claims, documentation initiative, query policies, physician and staff education.
  • Monitor and maintain an effective quality assurance and process improvement plan for clinical documentation processes.
  • Assist in setting annual department and individual performance goals.
  • Continuously monitor the industry for best practices and ensure that the teams have the tools and resources implemented appropriately to do their jobs while continuously working to improve efficiencies of the team and outcomes of our patient population.
Requirements
  • Bachelor's Degree in a relevant field.
  • Five years of work experience with CPT and ICD coding.
  • Two plus years of work experience leading, supervising, or managing staff.
  • Previous work experience relating to provider coding, education, compliance, reimbursement requirements, and regulatory compliance matters.
Preferred Qualifications
  • Coding Certification CCS, CCS-P, COC, CPC, RHIA, RHIT, etc.

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