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Clinical Documentation Improvement Manager

Job Description


Job ID: 1217256
Employment Status: Full-Time
More Information:

For more than 130 years, St. Louis Children's Hospital has provided exceptional care for children in all 50 states and 80 countries around the world. With its academic partner, Washington University School of Medicine, Children’s is consistently ranked among the nation’s best pediatric hospitals by U.S. News & World Report. A member of BJC Healthcare, St. Louis Children’s Hospital follows one simple mission – to do what’s right for kids. That mission comes to life through medical discovery, innovative therapies and compassionate care. In 2018, Children's expanded with a state-of-the-art, 12-story medical tower. To learn more, visit StLouisChildrens.org, Facebook, Twitter and Instagram.


Overview


Role Purpose

The Clinical Documentation Improvement Manager oversees the clinical documentation improvement (CDI) program, identifying and focusing on areas of improvement through analysis and interpretation of operational, financial, compliance & quality rating reports. This position manages various operational matters, to include the appropriate scheduling and coverage of reviews, query development and auditing, educating providers, monitoring the program, and refining processes to clarify record documentation. The CDI Manager serves as a resource to provider and administration regarding issues related to the appropriateness of inpatient DRG assignment. Additionally, this position works collaboratively with the CDI team to facilitate documentation within the medical record that supports patient's severity of illness and risk of mortality utilizing strong communication skills with providers, case manager, utilization reviewer, nurse or other healthcare professionals, utilizing appropriate querying tools to capture needed documentation.


Responsibilities

  • Hire, train, assign work, manage & evaluate performance, conduct professional development plans; ensure that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership
  • Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to changes in the business which may affect the ability to achieve the budget goals.
  • Assures policies and procedures support best practices for CDI program and clinical documentation staff; ensures all compliance and regulatory standards are met.
  • Manages provider engagement; collaborates with the CMO office, physician leaders/liaisons and other resources to clarify and/or otherwise improve documentation in order to accurately support diagnosis and quality indicators for care rendered to patients.
  • Develops and implements clinical documentation program to improve the accuracy of the medical record and the quality of patient care reported; coordinates the development of multi-disciplinary teams in setting clinical documentation standards; provides guidance to Case Management, physicians, and hospital staff regarding documentation for correct coding and compliance necessary for increased Case Management Index (CMI), decreased Length of Stay (LOS), and optimal resource utilization.
  • Develops department and organization projects related to documentation improvement; collaborates with enterprise CDI for standards in content, process, and technologies.

  • Minimum Requirements

     

    Degree

  • Bachelor's Degree
  • - Nursing/Healthcare related

     

    Experience

  • 5-10 years
  •  

    Supervisor Experience

  • 2-5 years

  •  

    Preferred Requirements and Additional Job Information

     

    Degree

  • Master's Degree
  • - Nursing/Healthcare related

     

    Experience

  • 10+ years
  •  

    Supervisor Experience

  • 5-10 years
  •  

    Licenses & Certifications

  • Cert Clinical Documentation
  • Certified Coding Spec
  • Cert Doc Improve Practitioner
  • Certified Rev Cycle Rep
  • RN

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer