Supervisor, Clinical Doc Integrity Clinical Doc Integrity Full Time 8 Hour Days (Exempt) (Non-Union)

The Clinical Documentation Improvement (CDI) Supervisor will have an integral part of the departmental leadership team in overseeing the daily operations of the CDI program. This position utilizes clinical knowledge ICD coding expertise and an understanding of regulatory guidelines to ensure accurate complete and compliant clinical documentation that supports appropriate reimbursement and reflects the quality of patient care. The CDI Supervisor provides day-to-day direction and mentoring to Clinical Documentation Specialists (CDSs) assisting with work assignments case review prioritization and adherence to departmental policies and collaboration with CDI leadership the Supervisor participates in onboarding training and ongoing education to strengthen staff competency compliance and performance. This role will have an instrumental role in the preparation of audit readiness and in the review and analysis of CDI performance metrics and documentation audits. The Supervisor collaborates closely with HIM Coding Quality and Compliance departments to promote best practices in provider documentation maintain regulatory compliance and achieve CDI program goals. The CDI Supervisor serves as a liaison between CDI staff and leadership facilitating communication identifying process improvement opportunities and ensuring that CDI operations align with organizational standards and enterprise objectives.

Essential Duties:

• Partner with CDI Manager and Director in coordinating daily CDI operations to meet departmental and organizational goals. Monitors workflow processes concurrent review assignments and case distribution to ensure timely accurate and compliant documentation review activities. Supports the development and execution of the annual CDI work plan and contributes to routine operational and performance reports.
• Provides day-to-day guidance mentoring and support to CDI Specialists and new team members. Collaborate with departmental leadership in the development implementation and delivery of CDI education and training programs for staff providers and other stakeholders. Identifies educational needs through audit findings and collaborates with leadership to design and facilitate targeted training and documentation improvement sessions.
• Performs case reviews and quality audits to ensure completeness accuracy and clinical validity of documentation and code assignments. Tracks and trends audit outcomes identifies performance opportunities and works with leadership to implement corrective action plans. Supports audit readiness and participates in ongoing quality improvement initiatives related to CDI coding and clinical documentation compliance.
• Collaborates with HIM Coding Quality Compliance and Performance Improvement teams to maintain consistency in documentation practices promote best practices across disciplines and make recommendations as needed. Serves as a liaison between CDI staff and leadership ensuring timely communication of updates performance data and documentation-related initiatives.
• Supports provider education by facilitating discussions on documentation requirements query response expectations and clinical specificity. Provides feedback and collaborates with medical staff to enhance the accuracy and completeness of the medical record.
• Assists with the collection tracking and analysis of CDI metrics including productivity query response rates case mix index (CMI) and quality indicators. Prepares and distributes reports that support performance monitoring compliance tracking and program improvement initiatives.
• Responds to clinical documentation or clinical validation denials and provide CDI leadership with updates and request for escalation as needed Reviews relevant documentation and coding to identify root causes assists in preparing appeals and recommends process improvements to minimize future denials.
• Participates in the review and development of CDI policies procedures and training materials and make recommendations as needed. Assists in maintaining program compliance with federal and state regulations AHIMA and ACDIS guidelines and institutional standards.
• Performs other related duties as assigned to support the goals and success of the CDI program.

Required Qualifications:

Qualifications

• Req Graduate of an accredited school of registered nursing and/or foreign medical graduate.

• Req 2 years Experience in a lead/supervisory capacity Clinical Documentation Specialist role
• Req 3 years Clinical experience in an acute care setting
• Req Advanced clinical expertise and extensive knowledge of complex disease processes with broad based clinical experience in an inpatient setting

• Req Knowledge of care delivery documentation systems and related medical record documentation.
• Req Strong broad based clinical knowledge and understanding of pathology/physiology of disease processes.
• Req Expertise on: ICD10 CM & PCS coding clinic and Official Guidelines for Coding and Reporting Risk and Severity-Stratification Models: MS-DRGAPR-DRG HCC Quality metrics: Patient Safety Indicators (PSIs) Mortality Index Hospital Acquired Conditions (HACs) and AHIMA and ACDIS CDI regulations standards and code of ethics
• Req Proficiency with Microsoft Applications including word processing spreadsheets and presentation software
• Req Extensive knowledge and experience in reporting software and electronic medical record systems
• Req Demonstrated leadership ability
• Req Maintains working knowledge of Medicare/Medicaid rules and regulations regarding CDI POA (present on admission) basic coding as well as current trends and developments in the area of Clinical Documentation Improvement (CDI)
• Req Ability to work with senior management physicians and medical center staff with various levels of education and experience
• Req Ability to develop and maintain strong collaborative and supportive working relationships with CDI peers physicians and other clinical professionals
• Req Must have demonstrated interpersonal verbal and written communication skills in dealing with multidisciplinary teams and variety of ongoing activities
• Req Knowledge of computer systems and software used in functional area
• Req Knowledge of project management processes and systems
• Req Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation
• Req Demonstrated organizational project management skills
• Req Ability to be creative and innovative in a high volume work environment
• Req Ability to communicate effectively both orally and in writing
• Req Ability to lead teams and produce project results within schedule and budget
• Req Ability to plan organize motivate mentor direct and evaluate the work of others
• Req Ability to provide leadership and influence others
• Req Ability to work effectively with individuals at all levels of the organization
• Req Ability to work independently
• Req Skilled and experienced in data analysis and qualitative reporting of results
• Req Skill in developing and delivering training and education to clinical CDI and coding professionals regarding CDI practices coding and documentation requirements
• Req Demonstrated organizational and critical thinking skills ability to assess evaluate and teach
• Req Skilled in adaptability and self-motivation in staying abreast of CDI practices coding changes and clinical practices
• Req Demonstrated judgment and independent decision making
• Req Ability to motivate train and teach individuals; demonstrated skills in interpersonal relationships and in oral and written communication. Ability to analyze and prioritize work efforts and organize and coordinate multiple functions and tasks.

Preferred Qualifications:

Required Licenses/Certifications:

• Req Valid California Registered Nurse license or foreign medical graduate
• Req Certified Coding Specialist - CCS (AHIMA)
• Req Certified Clinical Documentation Specialist (CCDS) from ACDIS or Certified Documentation Improvement Practitioner (CDIP) from AHIMA
• Req Fire Life Safety Training (LA City) If no card upon hire one must be obtained within 30 days of hire and maintained by renewal before expiration date. (Required within LA City only)

USC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity national origin protected veteran status disability or any other characteristic protected by law or USC policy. USC observes affirmative action obligations consistent with state and federal law. USC will consider for employment all qualified applicants with criminal records in a manner consistent with applicable laws and regulations including the Los Angeles County Fair Chance Ordinance for employers and the Fair Chance Initiative for Hiring Ordinance and with due consideration for patient and student safety. Please refer to theBackground Screening Policy Appendix Dfor specific employment screen implications for the position for which you are applying.

We provide reasonable accommodations to applicants and employees with disabilities. Applicants with questions about access or requiring a reasonable accommodation for any part of the application or hiring process should contact USC Human Resources by phone at or by email at. Inquiries will be treated as confidential to the extent permitted by law.

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