Manager Clinical Documentation RN - Day Shift
Manager Clinical Documentation RN - Day Shift
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Job Description
Job Details
Manager for Clinical Documentation (RN)
FT MT (Hours:8am4:30pm) Remote Work Available
Newark DE
Are you an experienced CDILeader 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 monitorall processes related to Clinical Documentation Integrity.
- Providedirection and leadershipto the Clinical Documentation Integrity Team.
- Ensureaccuracy and compliancein 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 ones 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 daytoday 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 entityspecific 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 costeffective 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
- Bachelors 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 problemsolving 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 510 pounds
Ability to utilize computer equipment.
WORKING CONDITIONS:
Frequent travel to multiple sites as needed. Occasional exposure to office materials. Normal office environment.
Post End Date
Apr 30 2025EEO Posting Statement
Christiana Care Health System is an equal opportunity employer firmly committed to prohibiting discrimination whose staff is reflective of its community and considers qualified applicants for open positions without regard to race color sex religion national origin sexual orientation genetic information gender identity or expression age veteran status disability pregnancy citizenship status or any other characteristic protected under applicable federal state or local law.
Required Experience:
Manager
Employment Type
Full-Time
