Clinical Documentation Improvement Supervisor - RUHS - Medical Records
Clinical Documentation Improvement Supervisor - RUHS - Medical Records
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$ 101425 - 137458
1 Vacancy
Job Description
ABOUT THE POSITION
Riverside University Health SystemMedical Center is seeking a Clinical Documentation Improvement Supervisor for the Medical Records Department.
The most competitivecandidates will have significant CDI experience and be familiar with EPIC and 3M Clinical Documentation Integrity Services. At least one certification as a Certified Coding Specialist (CCS) Registered Health Information Technician OR Registered Health Information Administrator issued by the American Health Information Management Association is strongly preferred.
The schedule is a 9/80 with occasional telecommuting options (most work time will be onsite).
Under direction the incumbent supervises plans directs and coordinates the operations of the Clinical Document Improvement (CDI) department; assures compliance to conduct complex and difficult research and analytical studies involving the operations and programs of the department served; makes recommendations for the development implementation and improvement of departmental operations services and programs; performs other related duties as required.
The Clinical Document Improvement Supervisor is the supervisory level classification in the Clinical Document Improvement series performing the full range of supervisory duties. Incumbents will coordinate and organize the CDI for both inpatient and outpatient services facilitate physician documentation denials and coding and collaborate with physicians directors providers and other healthcare team members to make improvements that result in accurate comprehensive documentation that reflects completely the clinical treatment decision and diagnoses for the patient.
Incumbents may participate in the employee selection process training coaching and mentoring of employees.
Meet the Team!
Riverside University Health SystemMedical Center consistently receives national recognition for its progressive and innovative care as well as being known as one of the top employers in the region. The 439bed Medical Center is a designated Stroke Center Level II Trauma Center and the only Pediatric ICU in the region. Can you see yourself here For more information on RUHSMedical Center please visitwww.ruhealth
For questions regarding this recruitment contact the recruiterAngela Levinson:
/EXAMPLES OF ESSENTIAL DUTIES
Plan assign and direct the work of a unit of Clinical Documentation Improvement Specialists.
Develop and deliver training and education to clinical CDI and coding professionals regarding CDI practices coding and documentation requirements.
Actively communicate with providers to clarify information and communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality.
Develop and recommend policies and procedures; develop written procedures to clarify or describe standard practices; coordinate the publication and dissemination of procedures.
Ensure admission reviews of patients records are completed within 24hours of notification of admission to evaluate and analyze documentation in order to assign the principal diagnosis pertinent secondary diagnoses and procedures for accurate and optimal CMSDiagnostic Related Group (CMSDRG) assignment.
Initiate and perform concurrent documentation reviews of selected inpatient and outpatient records to clarify conditions/diagnoses and procedures where inadequate or conflicting documentation exists and conduct followup reviews as necessary.
Develop and implement methods of improving the clarity accuracy and completeness of clinical documentation; monitor and evaluate coding outcomes and provide periodic status to medical center departments and committees.
Communicate with and serve as a resource for physicians nurses and other healthcare providers to facilitate complete and accurate documentation of the patient record; query physicians regarding missing unclear or conflicting medical record documentation and obtain additional documentation; keep physician leaders informed of pertinent data documentation trends and opportunities for learning and improvement related to documentation integrity.
Collect data for performance improvement and report findings and outcomes; participate in the analysis and trending of statistical data for specified patient populations to identify opportunities for improvement.
Participate in revenue cycle meetings providing data relative to reimbursement concerns; educate physicians and healthcare providers regarding documentation matters related to coding billing and reimbursements.
Select train assign discipline and evaluate the work of an assigned staff; write and discuss work performance evaluations.MINIMUM QUALIFICATIONS
OPTION I
Education: Graduation from an accredited college or university with a bachelors degree in nursing.
Experience: Four years as a Registered Nurse in an acute care hospital.
License: Must possess and maintain a current valid license to practice as a Registered Nurse in the State of California.
Possession of valid Basic Life Support (BLS) Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) certificates issued by the American Heart Association for professional healthcare providers.
OPTION II
Education: Graduation from an accredited college or university with a bachelors degree in health information management or health information technology.
Experience: Five years of professional coding and abstracting medical records in an acute care hospital.
Certificate: Possession of valid certification as a Certified Coding Specialist (CCS) Registered Health Information Technician or Registered Health Information Administrator issued by the American Health Information Management Association.
OPTION III
Education: Completion of Doctor of Medicine degree.
Experience: Two years of performing clinical documentation improvement in a healthcare setting.
Certificate: Possession of valid certification as a Certified Coding Specialist (CCS) Registered Health Information Technician or Registered Health Information Administrator issued by the American Health Information Management Association. Certification in clinical documentation preferred.
ALL OPTIONS
Knowledge of: The principles and practices of public and/or business administration; principles and practices of organizational analysis fiscal management budget preparation control and contract monitoring and personnel management; principles and practices of supervision; coding abstracting and terminology systems such as: International Classification of Diseases Clinically Modified (ICD10 and Current Procedural Terminology (CPT 4; comprehensive medical terminology covering a wide variety of medical specialties; clinical documentation standards; federal state and local laws and regulations governing professional aspects of nursing; payor source documentation requirements and governmental regulations affecting reimbursement.
Ability to: Analyze administrative problems reach practical and logical conclusions and put effective solutions into practice; develop cooperative working relationships; plan organize train supervise and evaluate the work of others; prepare clear and concise reports; analyze and interpret the technical elements of a medical chart; analyze code and abstract complex technical data from medical records covering a wide variety of medical specialties utilizing an encoder and electronic abstracting system; prepare and maintain concise and complete records and reports; establish and maintain effective working relationships with physicians patients and fellow employees; maintain effective communication skills.
APPLICATION INFORMATION
Veterans Preference
The County has a Veterans Preference Policy applicable to new hires. To qualify upload a copy of your (or your spouses) Member4 Form DD214 indicating dates of service and a copy of your spouses letter of disability (if applicable) with your application. For privacy reasons it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans preference.The Veterans Preference Policy C3 is available here: https://rivcocob/boardpoliciesReasonable Accommodations
The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). Qualified individuals with disabilities who need a reasonable accommodation during the application or selection process should contact the recruiter for the position noted above. For additional information and/or to obtain the appropriate form for requesting a reasonable accommodation please visit the Disability Access Office web page located at: https://rchr/disabilityProof of Education
If using education to qualify or when requested by the recruiter upload a copy of any license(s) official/unofficial transcript(s) degrees and/or related employment documents to your NeoGov account at the time of application and before the closing date. Official or unofficial transcripts will be accepted.If your education was completed outside of the United States you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services NACES or Association of International Credential Evaluators Inc. AICE.
Equal Opportunity Employer
The County of Riverside is an Equal Opportunity Employer. It is the policy of the County of Riverside to provide equal employment opportunities for all qualified persons. All applicants will be considered without regard to race color religion sex national origin age disability sexual orientation gender gender identity gender expression marital status ancestry medical condition (cancer and genetic characteristics) genetic information or denial of medical and family care leave or any other nonjobrelated factors.PreEmployment
All employment offers are contingent upon successful completion of preemployment requirements including a criminal background investigation which involves fingerprinting. (A felony or misdemeanor conviction may disqualify the applicant from County employment). A preemployment physical examination and background check may be required.Probationary Period
As an Approved Local Merit System all County of Riverside employees except those serving At Will are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding County Resolution or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.General Information
Current County of Riverside and/or current employees of the hiring department may receive priority consideration. Qualified candidates may be considered for future County vacancies.Job postings may close without notice based on application volume. Submit your complete application by the recruitment close date; no late applications are accepted. Ensure all relevant experience/education is reflected on your application/resume as a failure to demonstrate position requirements may disqualify applicants. A description of job duties directly copied from the job classification or job posting will not be considered.
Please read and follow any special application instructions on this posting. Click the Apply link located on this page to submit your application. For additional instructions on the application process examinations Veterans preference preemployment accommodation or other employment questions please refer to our web site www.rchr.
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Required Experience:
Manager
Employment Type
Full-Time
