Manager for Clinical Documentation Integrity (CDI) FT – M-F (Hours:8am-4:30pm) Remote Work with onsite presence when needed. Newark, DE

Are you an experienced CDI-Leader with a passion for clinical documentation integrity, teamwork, and performance improvement?    We are looking for a dynamic Clinical Documentation Manager with an active RN license to lead our Clinical Documentation Integrity Team. In this role, you will: Create, manage, and monitor  all processes related to Clinical Documentation Integrity. Provide  direction and leadership  to the Clinical Documentation Integrity Team. Ensure  accuracy and compliance  in clinical documentation to support patient care and organizational goals.

SCOPE, PURPOSE, AND FREQUENCY OF CONTACTS: Daily contact with Physicians, Clinical Documentation Specialists, Revenue Integrity, Health Information Management.  Regular communication with Director and Medical Director(s).

PRINCIPAL DUTIES AND RESPONSIBILITIES: Proactively evaluates processes; recommends and implements action plan(s) for change; follows through to ensure effective, sustainable change. Participates in the development and implementation of new procedures and the review and revision of existing procedures. Identifies opportunities and takes action to build strategic relationships between one's area and other areas, teams, departments, and units to achieve business goals. Performs management responsibilities of selection, scheduling, supervision, retention, and evaluation of employees in the department. Provides development and mentoring of staff. Provides fair and leadership and communication to maintain a competent and engaged employee group by conducting regular department meetings to review policies, procedures, and operational matters. Completes performance appraisals, conducts new hire feedback sessions, and develops performance improvement plans where necessary. Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem. Provides clinical documentation integrity education to staff to keep team abreast of latest practices and to improve efficiency. Conducts periodic audits of queries and other clinical documentation integrity work products to ensure accuracy and efficiency Reviews clinical issues when appropriate with coding staff to assign a working DRG and/or clarification of documentation. Plans and organizes day-to-day department operations, schedule and activities. Sets priorities and functional standards, giving direction to staff as necessary to ensure the best possible delivery of service. Educates all internal customers, including physicians, on clinical documentation opportunities, supporting coding guidelines, as well as performance improvement methodologies. Uses and optimizes information systems to enhance operations; supports entity-specific performance improvement and data management/analysis functions. Monitors self and employee compliance with policies, procedures, compliance requirements, and mandatory system and departmental education. Improves the overall quality and completeness of clinical documentation by performing record reviews using clinical documentation guidelines. Assists with performing patient chart reviews during absences and when coverage is necessary. Assists in the development of department budget and ensures that the department operates in a cost-effective manner. Implements department strategies to achieve financial target and staffing needs, through optimizing productivity, supply/resource efficiency, and other areas according to department specifications. Develops and reports performance metrics for assigned work sections. Ensures section goals are met by employees. Seeks opportunities to identify developmental needs of self and staff and takes appropriate action.

EDUCATION AND EXPERIENCE REQUIREMENTS: Active Delaware RN license or Compact Licensure. Formal Clinical Training (RN) with professional licensure required Bachelor’s degree required; Three years’ experience in Clinical Documentation Integrity One year supervisory/management experience. Certified Clinical Documentation Specialist (CCDS) through the Association of Clinical Documentation Improvement Specialists preferred Maintains required documented hours of relevant continuing education related to licensure requirements. An equivalent combination of education and experience may be substituted.

KNOWLEDGE, SKILL, AND ABILITY REQUIREMENTS: Knowledge of DRG payor issues, appropriate DRG assignment alternatives, clinical documentation requirements, and referral policies and procedures Working knowledge of computer software: Word, Access, Excel, PowerPoint and clinical data packages. Knowledge of healthcare delivery and current clinical care. Knowledge of managing staff and processes. Skill in oral and written communication. Skill in initiation and maintenance of projects. Skill in analytical problem-solving techniques. Strong organizational skills. Ability to adjust to a changing work environment and demands necessitated by workload and program requirements. Ability to relate to others in a manner to gain confidence and establish support. Ability to maintain confidentiality in all aspects of related duties.

PHYSICAL DEMANDS: Ability to ambulate with the hospital setting.  Sitting, standing and lifting loads of 5-10 pounds Ability to utilize computer equipment.

WORKING CONDITIONS: Frequent travel to multiple sites as needed.  Occasional exposure to office materials.  Normal office environment.