CLINICAL DOCUMENTATION MANAGER
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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
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
- Active and unrestricted California RN or Nurse Practitioner License
- Master s Degree in Nursing or other healthcare related field
- Minimum years of clinical RN experience
- 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 M Epic
- Knowledge of ICD 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
- 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
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
Employment Type
Full Time
