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Clinical Documentation Improvement (CDI) Manager

University Medical Center of Southern Nevada -
Las Vegas, NV

Quick Apply

Job Details

Full-time
$90,584.00 - $144,934.40 a year

Benefits

Free parking
Relocation assistance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Employee discount
Life insurance
Retirement plan

Qualifications

Meeting minutes
Statistics
Staff supervision
Report writing
Management
Healthcare staff management
Health data analysis
Health information process improvement
Investigative interviewing techniques
Technical documentation
Safety regulations
Hazardous materials handling safety protocols
Coding for hospital billing
Employee training
State healthcare regulations
ICD-10
Clinical staff training
Quality assurance
Technical writing experience within healthcare
Health insurance knowledge
Budget development
Quality control
Health regulation policy knowledge
Centers for Medicare and Medicaid Services (CMS)
Conflict management
Health record chart audits
Clinical documentation improvement
Medical data abstraction
Clinical documentation standards
Critical thinking

Full Job Description

**Hybrid Work Schedule May Be Available After Probationary Period. Must be available for in-person work on a weekly basis.**

Position Summary
Responsible for identification of documentation improvement opportunities related to ICD-10, UHDDS, and CMS. Assists with day-to-day CDI administration and oversight of concurrent Query writing process. Collaborates with interdisciplinary teams including but not limited to physicians, Advance Practice Professionals, HIM, Quality Improvement, Coding, and leaders in revenue cycle to ensure accurate and comprehensive documentation that reflects the true clinical picture of the patient.

Identifies strategies through data gathering and analysis of trends to establish recommendations for the sustained work process changes that facilitate complete and accurate clinical documentation. Utilizes clinical expertise and clinical documentation improvement practices as well as facility specific tools for best practice and compliance with the mission/philosophy of the hospital.

Job Requirement
Education/Experience:

Option 1 Nurse: Graduation from an accredited school of nursing and five (5) years of clinical nursing experience and three (3) years of clinical documentation improvement experience. Two (2) years of experience in clinical documentation leadership.

Option 2 Physician: Physician graduate International MD with 5 years of acute care experience and 1 year Clinical Documentation Improvement (CDI) experience. Two (2) years experience in clinical documentation leadership.

Option 3 Other: Equivalent to a Bachelor’s degree in Health Information Management or Health Information Technology and four (4) years professional coding and abstracting medical records in an acute care hospital. Two (2) years of experience in clinical documentation leadership.

Knowledge, Skills, Abilities, and Physical Requirements

Knowledge of:
Reimbursement and coding methodologies and guidelines; MS-DRGs, APR-DRGs; Severity of Illness, Risk of Mortality, Medical Necessity, Core and Quality Measures and impact of Length of Stay; HACs/PSIs; supervisory principles and practices; disease pathophysiology and drug utilization clinical documentation improvement and coding; department and hospital safety practices and procedures; patient rights; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures; age specific care practices.

Skill in:

Assigning and monitoring the work of others; evaluating quality control; implementing process including assessment, planning, implementation and evaluation; supervising and training staff; developing and monitoring budgets; developing staffing plans; performing data analysis; holding in complete confidence all information acquired from medical records and physicians; interpreting patient charts to determine whether care given was appropriate and properly documented; interpreting regulations and standards for others; writing reports, meeting minutes and other technical documents; analyzing statistical and other quantitative data; critical thinking; conflict management; dealing with departmental issues involving self or other employees in professional, forthright and impartial manner; applying investigative and interviewing techniques; communicating with a wide variety of people from diverse socio-economic and ethnic backgrounds under stressful conditions; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.

Physical Requirements and Working Conditions:

Mobility to work in a typical clinical setting, including stamina to stand and/or sit for extended periods of time, strength to examine and treat varied individuals, vision to use standard office equipment and read printed materials and a computer screen, and hearing and speech to communicate effectively in both oral and written forms. Strength and agility to exert up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently to move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.

Job Type: Full-time

Pay: $90,584.00 - $144,934.40 per year

Benefits:

Dental insurance
Employee assistance program
Employee discount
Flexible spending account
Free parking
Health insurance
Life insurance
Paid time off
Relocation assistance
Retirement plan
Vision insurance

Application Question(s):

Please list if you have any of the following certifications:

Certified Clinical Documentation Specialist (CCDS)
Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
Certified Document Improvement Practitioner (CDIP)
Certified Coding Specialist (CCS)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA), issued by the American Health Information Management Association
Certified Professional Coder (CPC)
Certified Professional Coder-Physician-based (CPC-P)

Experience:

Clinical documentation leadership: 2 years (Required)

Work Location: In person

Quick Apply

Refine Your Search

Clinical Program Leader jobs

Clinical Documentation Improvement (CDI) Manager

Director, Clinical Technology Oversight Lead

Associate Director, Clinical Assay Strategy, Flu

Vice President, Program Medical Lead

Program Manager Data & Analytics Healthcare

Credentialing Manager

Clinical Quality Consultant - Wisconsin - Remote

Senior Pharmacy Clinical Advisor

Director of Compliance

Sr. Clinical Innovation Specialist

Consultant – Clinical Performance Improvement (Care Transitions) – Healthcare

Clinical Study Manager

Consultant – Clinical Performance Improvement (Nursing) – Healthcare

Contract Administrator

Managing Consultant – Quality – Sepsis/HAI - Healthcare

Clinical Specialist - Regulatory

Managing Consultant – Quality – Patient Experience (HCAHPS) Improvement – Healthcare

Associate Research Director - Complex Care

Consultant – Clinical Performance Improvement (Emergency Department) – Healthcare

Scientific Program Analyst

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