Manager Clinical Document Coding Integrity

Job description

Job Requirements
A Day in the Life of a Manager Clinical Document Coding Integrity
The Manager serves as an on-site team leader and facilitator for the Clinical Documentation and Coding Integrity program (CDCI) and as Clinical Nurse Auditor for patients with DRG and Insurance based payers. Ensures reviews of the patient's medical data are conducted to assess appropriateness and medical necessity for admission and continued stay. Facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation.
Why Work at Cheyenne Regional?
• Employer Sponsored Medical, Dental, and Vision Plans
• 403(b) and 457(b) retirement options with 4% employer match
• Life Insurance
• Short Term and Long-Term Disability Insurance
• Employer Sponsored Wellness Program
• Employee Assistance Program
• ANCC Magnet Hospital
• 21 PTO days per year (increases with tenure)
• Tuition Reimbursement Program
• Dedicated Loan Forgiveness Advisory Service

Here is What You Will Be Doing:
• Facilitates coordination, prioritization, and collaboration of staff, and actively participates in the concurrent documentation processes to meet departmental needs and accurate documentation.
• Interacts effectively with physicians regarding documentation appropriate to diagnosis and severity of illness.
• Participates as an active member of the documentation work group, assist with special projects as needed and performs related duties as assigned.
• Manages Clinical Documentation Integrity Specialists (CDIS) and Clinical Nurse Auditor personnel and their activities. Develops processes and tools for use by CDIS and Clinical Nurse Auditor personnel.
• Leads routine CDCI Task Force meetings with CDIS, Auditing and coding personnel.
• Develops and monitors CDCI productivity, query response, and fiscal metrics to assess the impact of and performance opportunities for CDCI initiatives.
• Collaborates with other disciplines regarding proposed DRG changes and proposed quality concerns when requested; communicates with the attending physician or medical director regarding these issues as appropriate.
• Develops educational and training materials for physician advisor and medical staff to promote an understanding of and participation in CDCI initiatives.
• Participates in coding appeal process with HIM Coding Manager and PFS staff as requested.
• Collaborates with coding staff to ensure that the clinical information used in measuring and reporting outcomes is complete and accurate.
• Performs employee selection, orientation, training/development, performance reviews, disciplinary actions and work assignments.
• Provides operational leadership and has budget responsibilities.
• Adheres to established leadership competencies, service standards and reinforces excellence in those standards with subordinates.
• Promotes and participates in LEAN practices and strategies.

Desired Skills:
• Strong knowledge of clinical practices and patient population to collaborate with all members of the care team
• Working knowledge of Epic EHR
• Strong knowledge of disease definitions and natural history
• Ability to assess/interpret data reflecting patient clinical status
• Ability to use technology and software supporting daily activities
• Professional verbal, written, and interpersonal communication skills
• Organizational skills
• Strong critical thinking skills and ability to integrate knowledge
• Ability to independently perform critical analysis
• Ability to resolve complaints/problems within a reasonable time period
• Ability to function as an integral member of a multi-disciplinary team

Here is What You Need:
• Bachelor’s Degree or higher from an accredited school of nursing
• License (must meet one of the following):
• Current Wyoming Registered Nurse (RN) license from the Wyoming State Board of Nursing
• Current enhanced Nurse Licensure (eNLC)
• Two (2) or more years of acute care nursing experience
• 2 Years (must have one of the following within two (2) years of start date):
• Current Certified Coding Specialist (CCS) certification through American Health Information Management Association (AHIMA)
• Current Certified Professional Coder (CPC or CPC-A) certification through American Academy of Professional Coders (AAPC)

Nice to Have:
• National certification from the American Health Information Management Association (AHIMA) as a Registered Health Information Administrator, (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) or equivalent from American Academy of Professional Coders (AAPC)
• Experience with Epic systems
• Two (2) or more years of coding experience
• Three (3) or more years of Clinical Document Integrity (CDI) experience
• Certified Clinical Document Specialist (CCDS) certification through Association of Clinical Documentation Integrity Specialist (ACSIS)

About Cheyenne Regional:
Cheyenne Regional Medical Center was founded in 1867 as a tent hospital by the Union Pacific Railroad to treat workers injured while building the transcontinental railroad. Today, we are the largest hospital in the state of Wyoming, employing over 2,000 people, and treating over 350,000+ patients from southeastern Wyoming, western Nebraska, and northern Colorado. We pride ourselves on patient and employee experience by living our core values of I ntegrity, Cari n g, Compa s sion, Res p ect, Serv i ce, Teamwo r k and E xcellence to great health.
Our team makes a difference every day by providing trusted healthcare expertise through a passionate and I.N.S.P.I.R.E.(ing) approach with a personal touch. By living our values, we aim to achieve our goal of becoming a 5-star rated hospital, providing critical support and resources to our community and the greater region we serve. If you are eager to make a difference and passionate about healthcare, we encourage you to apply today!