Clinical Documentation Manager
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Job Location:
Las Vegas, NV - USA
Monthly Salary:
Not Disclosed
Posted on:
7 hours ago
Vacancies:
1 Vacancy
Job Summary
Fusion HCR is hiring! Direct Hire Clinical Documentation Manager this is an onsite opportunity working with our client in Acute Healthcare.
Our client a large healthcare organization is seeking an experienced Clinical Documentation Improvement (CDI) Manager to drive documentation accuracy regulatory compliance and clinical integrity across acute care services.
This role is responsible for identifying documentation improvement opportunities related to ICD-10 UHDDS and CMS guidelines. The leader provides oversight of concurrent query processes supports daily CDI operations and collaborates closely with physicians Advanced Practice Professionals HIM Coding Quality and Revenue Cycle teams to ensure documentation accurately reflects the patients true clinical condition.
The position uses data analysis and trend monitoring to develop sustainable process improvements that enhance documentation quality reimbursement integrity and regulatory compliance. This leader applies clinical expertise and CDI best practices while supporting the mission and standards of the organization.Education & Experience
Candidates may qualify under one of the following pathways:
Option 1 Nursing Background
Certification requirements vary by pathway:
Nursing Pathway
Our client a large healthcare organization is seeking an experienced Clinical Documentation Improvement (CDI) Manager to drive documentation accuracy regulatory compliance and clinical integrity across acute care services.
This role is responsible for identifying documentation improvement opportunities related to ICD-10 UHDDS and CMS guidelines. The leader provides oversight of concurrent query processes supports daily CDI operations and collaborates closely with physicians Advanced Practice Professionals HIM Coding Quality and Revenue Cycle teams to ensure documentation accurately reflects the patients true clinical condition.
The position uses data analysis and trend monitoring to develop sustainable process improvements that enhance documentation quality reimbursement integrity and regulatory compliance. This leader applies clinical expertise and CDI best practices while supporting the mission and standards of the organization.Education & Experience
Candidates may qualify under one of the following pathways:
Option 1 Nursing Background
- Graduate of an accredited school of nursing
- Minimum five (5) years of clinical nursing experience
- Three (3) years of CDI experience
- Two (2) years of CDI leadership experience
- International MD with five (5) years of acute care experience
- One (1) year of CDI experience
- Two (2) years of CDI leadership experience
- Bachelors degree (or equivalent) in Health Information Management or Health Information Technology
- Four (4) years of professional coding and abstracting experience in an acute care hospital
- Two (2) years of CDI leadership experience
Certification requirements vary by pathway:
Nursing Pathway
- Active Registered Nurse license
- One of the following:
- Certified Clinical Documentation Specialist (CCDS)
- Certified Clinical Documentation SpecialistOutpatient (CCDS-O)
- Certified Documentation Improvement Practitioner (CDIP)
- One coding credential such as:
- CCS RHIT or RHIA
- CPC or CPC-P
- AND one CDI credential:
- CDIP CCDS or CCDS-O
- Reimbursement methodologies and coding guidelines
- MS-DRGs and APR-DRGs
- Severity of Illness (SOI) and Risk of Mortality (ROM)
- Medical necessity quality measures and length-of-stay metrics
- Hospital-acquired conditions (HACs) and patient safety indicators (PSIs)
- Disease pathophysiology and pharmacology
- Clinical documentation improvement practices
- Regulatory standards and compliance requirements
- Supervisory principles and operational management
- Patient rights safety practices infection control and emergency procedures
- Team leadership and staff development
- Oversight of concurrent query processes
- Data analysis and trend identification
- Process design implementation and performance evaluation
- Budget and staffing plan development
- Chart review and clinical documentation interpretation
- Regulatory interpretation and education delivery
- Investigative interviewing and conflict resolution
- Professional communication across interdisciplinary teams
- Strong critical thinking and problem-solving skills
- Ability to maintain strict confidentiality
Required Experience:
Manager
Key Skills
- Information Management
- Adobe Acrobat
- Continuous Improvement
- Records Management
- Assembly Experience
- User Acceptance Testing
- Project Engineering
- Sharepoint
- Filing
- Document Management Systems
- Mentoring
- Document Management
About Company
Connecting Talent Faster, with absolute precision. Our Talent Solutions We deliver flexible, on-demand solutions to support the dynamic workloads of today. Direct-Hire Placement Our direct-hire placement team connects companies with key local and mobile talent to fill critical or stra ... View more
