What are the responsibilities and job description for the CLINICAL DOCUMENTATION MANAGER position at Registry Ally, Inc.?
Job Description
Job Details
On Site Clinical Documentation Manager for a large healthcare system in Orange, CA
Full Time Permanent Position
Highly Competitive Salary
Excellent Benefits
Job Summary
The Clinical Documentation Manager is responsible for the leadership and management of the Clinical Documentation Improvement (CDI) Program. This position is accountable for budgeting, planning and monitoring budget variances, etc. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies ACDIS & AHIMA guidelines for compliant query, as well as hospital policies and procedures. Incumbent facilitates the improvement in the overall quality, completeness, and accuracy of medical record documentation through comprehensive review and evaluation of the medical record. Proactively seeks clarification from physicians and other healthcare providers when further specificity is needed to ensure. The CDI Manager educates senior leaders and physicians on documentation guidelines on an ongoing basis.
Requirements
Active and unrestricted California RN or Nurse Practitioner License
Master's Degree in Nursing or other healthcare related field
Minimum 7 years of clinical RN experience
5 years' experience as a CDI Specialist
Previous lead or supervisory experience
Familiarity with Utilization Review criteria
Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements
CDI Credential (CCDS, CDIP)
Electronic Health Record experience 3M, Epic
Knowledge of ICD-10 CM and CPT coding
Ability to establish and maintain effective working relationships across the Health System
Ability to maintain a work pace appropriate to the workload
Must demonstrate customer service skills appropriate to the job
Complete understanding of acuity levels for specific patient populations
Excellent written and verbal communication skills in English
Strong clinical knowledge with ability to interpret clinical documentation
Preferred Qualifications
Previous experience with comprehensive chart / record review
Knowledge of patient safety strategies
CCS or CPC Coding Credential
Knowledge of quality improvement methodologies
Knowledge of University and medical center organizations, policies, procedures and forms
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