WVU Medicine
Manager, Enterprise CDI-Inpatient (Clinical Denials)
WVU Medicine, Core, West Virginia, United States, 26529
Manager, Enterprise CDI-Inpatient (Clinical Denials)
Join to apply for the Manager, Enterprise CDI-Inpatient (Clinical Denials) role at WVU Medicine.
Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below you’ll find other important information about this position.
Minimum Qualifications
Education: Bachelor’s Degree in Health Information Management with successful completion of the Registered Health Information Administrator (RHIA) Exam; or Bachelor’s Degree in Nursing Services with either West Virginia Registered Nurse (RN) credential or Licensed Practical Nurse (LPN) credential; or Associate Degree in Health Information Technology with successful completion of the Registered Health Information Technicians (RHIT) examination.
Certified Credentials: Must have one of the following Certified Credentials within one year of hire: Clinical Documentation Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS).
Experience: Two (2) years’ experience in clinical documentation improvement and two (2) years supervisory experience.
CORE DUTIES AND RESPONSIBILITIES
Responsible for Management of Clinical Documentation Improvement Program. Provides Hospital Coding Specialists and CDI Specialists with clear guidance on coding and DRG assignment; oversees quarterly CDI audits and education.
Develops and manages audit tools and data collection to monitor accuracy of clinical coding and documentation improvement; establishes quality standards; oversees quality validation on DRG/APR DRG assignment.
Manages and provides oversight of the Clinical Documentation Improvement Program to ensure optimal documentation and program effectiveness; prepares physician score card reports and provides oversight for education and improvement plans.
Directs instructions and education activities for WVUH physicians and ancillary staff on coding and documentation related issues; promotes compliance with CMS, Joint Commission and coding & billing regulations.
Oversees initiatives and projects in the area of Clinical Documentation Improvement; implements controls and metrics to reduce data collection issues and improve data quality.
Performs employee performance reviews and manages hiring, coaching, counseling and dismissals.
Maintains productivity and budget statistics; develops expense and capital equipment budgets for the System CDI department.
Participates in hospital committees and serves on the Legal Electronic Health Record Committee.
Physical Requirements
Must be able to sit for long periods of time.
Must have visual and hearing acuity within the normal range.
Must have manual dexterity needed to operate computer and office equipment.
Working Environment
Standard office environment; may be exposed to standard patient care environment.
Visual strain may be encountered in viewing computer screens and other written material.
May require travel.
Skills and Abilities
Excellent written and verbal communication skills.
Knowledge of provider healthcare compliance, revenue cycle operations, and auditing techniques.
Ability to mentor, educate and train others.
Meeting quality and productivity standards.
Ability to handle high stress and critical situations calmly and professionally.
Ability to concentrate and maintain accuracy during constant interruptions.
Independent decision‑making ability and ability to prioritize job duties.
Adaptability to changes in the workplace and work assignments.
Organizational and time management skills.
Knowledge of anatomy, physiology and medical terminology.
Analytical and problem‑solving skills.
Proficiency in office software programs.
Ability to analyze complex data and reports.
Additional Job Description This individual will be over the clinical denial portion of our department.
Schedule 40 hours per week. Exempt.
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Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below you’ll find other important information about this position.
Minimum Qualifications
Education: Bachelor’s Degree in Health Information Management with successful completion of the Registered Health Information Administrator (RHIA) Exam; or Bachelor’s Degree in Nursing Services with either West Virginia Registered Nurse (RN) credential or Licensed Practical Nurse (LPN) credential; or Associate Degree in Health Information Technology with successful completion of the Registered Health Information Technicians (RHIT) examination.
Certified Credentials: Must have one of the following Certified Credentials within one year of hire: Clinical Documentation Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS).
Experience: Two (2) years’ experience in clinical documentation improvement and two (2) years supervisory experience.
CORE DUTIES AND RESPONSIBILITIES
Responsible for Management of Clinical Documentation Improvement Program. Provides Hospital Coding Specialists and CDI Specialists with clear guidance on coding and DRG assignment; oversees quarterly CDI audits and education.
Develops and manages audit tools and data collection to monitor accuracy of clinical coding and documentation improvement; establishes quality standards; oversees quality validation on DRG/APR DRG assignment.
Manages and provides oversight of the Clinical Documentation Improvement Program to ensure optimal documentation and program effectiveness; prepares physician score card reports and provides oversight for education and improvement plans.
Directs instructions and education activities for WVUH physicians and ancillary staff on coding and documentation related issues; promotes compliance with CMS, Joint Commission and coding & billing regulations.
Oversees initiatives and projects in the area of Clinical Documentation Improvement; implements controls and metrics to reduce data collection issues and improve data quality.
Performs employee performance reviews and manages hiring, coaching, counseling and dismissals.
Maintains productivity and budget statistics; develops expense and capital equipment budgets for the System CDI department.
Participates in hospital committees and serves on the Legal Electronic Health Record Committee.
Physical Requirements
Must be able to sit for long periods of time.
Must have visual and hearing acuity within the normal range.
Must have manual dexterity needed to operate computer and office equipment.
Working Environment
Standard office environment; may be exposed to standard patient care environment.
Visual strain may be encountered in viewing computer screens and other written material.
May require travel.
Skills and Abilities
Excellent written and verbal communication skills.
Knowledge of provider healthcare compliance, revenue cycle operations, and auditing techniques.
Ability to mentor, educate and train others.
Meeting quality and productivity standards.
Ability to handle high stress and critical situations calmly and professionally.
Ability to concentrate and maintain accuracy during constant interruptions.
Independent decision‑making ability and ability to prioritize job duties.
Adaptability to changes in the workplace and work assignments.
Organizational and time management skills.
Knowledge of anatomy, physiology and medical terminology.
Analytical and problem‑solving skills.
Proficiency in office software programs.
Ability to analyze complex data and reports.
Additional Job Description This individual will be over the clinical denial portion of our department.
Schedule 40 hours per week. Exempt.
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