Mgr Clinical Documentation Integrity

General Description: The CDI Manager has a key role in assisting with the strategy, planning, development, implementation and maintenance of CDI processes, CDI policies and CDI education for OU Health. The CDI Manager assists with initiating, executing and managing projects associated with clinical documentation integrity initiatives.

Essential Responsibilities:

• Manages and coordinates the day-to-day activities of the clinical documentation improvement area.
• Includes: developing, maintaining, interpreting and evaluating procedures and processes and directing their application to ensure that activities are carried out in an effective manner.
• Responsible for reviewing medical records for identifying payer population as directed on admission and throughout hospitalization.
• Analyzes status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation.
• Prepares provider profiles.
• Prepares utilization analyses.
• Communicates with attending physicians to validate observations.
• Works closely with Coding staff to assure documentation of discharge diagnosis and any co-existing co-morbidities are a complete reflection of the patient's clinical status and care.
• Develops policies and procedures to support CDI workflow and guidelines.
• Represents CDI on various multidisciplinary committees and work groups.
• Provides subject matter expertise on documentation integrity topics (e.g., tools and resources, education, data collection and reporting).
• Develops documentation integrity tools, resources and education materials.
• Provides guidance and leadership in the evaluation, selection and maintenance of vendor relationships for CDI products / services.
• Recruits, hires and develops CDI Specialists to establish, maintain and keep current an effective training program for coding and clinical documentation.
• Practices and adheres to the Company's Code of Conduct philosophy.
• Practices and adheres to the Company's Mission and Values.

General Responsibilities:

• Performs other duties as assigned

Minimum Qualifications:

Education: Bachelor's degree required.

Experience: Minimum 5 years management experience. Minimum 3 years recent CDI experience.

License(s)/Certification(s)/Registration(s) Required: RN, LPN, RHIA, RHIT, and/or CCS required. CCDS or CDIP strongly preferred. If an RN or LPN, Current Basic Life Support issued by the American Heart Association required upon hire.

Knowledge, Skills and Abilities:

• Leadership - leads individuals and groups toward identified outcomes, setting high performance standards and delivering quality services.
• Critical thinking - actively and skillfully conceptualizing, applying, analyzing, synthesizing or evaluating information gathered from, or generated by, observation, experience, reflection, reasoning or communication as a guide to belief and action.
• Building and Maintaining Strategic Working Relationships - develops collaborative relationships to facilitate the accomplishment of work goals. Possesses excellent interpersonal skills in building, negotiating and maintaining crucial relationships.
• Adaptability - maintaining effectiveness when experiencing major changes in work tasks or the work environment; able to adapt to change in environment and/or circumstances with a positive outlook; and adjusting effectively to work within new work structures, processes, requirements, or cultures.
• Initiative - independently takes prompt proactive steps towards problem resolution.
• Effective Decision Making - able to gather facts, assess all perspectives and weigh different possibilities in order to influence positive outcomes.
• Managing conflict - dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people.
• Energy - consistently maintaining high levels of activity or productivity; sustaining long working hours when necessary; operates with vigor, effectiveness, and determination over extended periods of time.
• Stress tolerance - maintaining stable performance under pressure or opposition; handling stress in a manner that is acceptable to others and the organization.
• Organization - proactively prioritizes initiatives, effectively manages resources and keen ability to multi-task.
• Communication - communicates clearly, proactively and concisely with all key stakeholders.
• Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
• Work Independently - is self-supporting; not needing to rely on others to complete a job.
• Facilitation - ability to facilitate small to large groups of people at various organizational levels for purposes of planning, problem solving, or strategy development.
• ICD-10-CM & ICD-10-PCS Technical Coding Skills - ability to review, apply and educate on inpatient and outpatient coding guidelines.
• PC skills - demonstrates proficiency in Microsoft Office applications and others as required.