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Clinical Documentation Manager Registered Nurse

Company: Pro Health Medical
Location: Lynchburg
Posted on: July 15, 2019

Job Description:

The Manager of Clinical Documentation Improvement is responsible for daily operations of the organizations CDI Specialists. He/She will be primarily responsible for managing the Clinical Documentation Specialists staff and their performance, productivity, and accuracy including daily concurrent initial and follow up reviews, appropriate and compliant documentation queries, interactions with coders, and the patient care team. Works collaboratively with the Manager of IP Coding and providers to ensure quality clinical documentation to support appropriate severity of illness, expected risk of mortality and complexity of patient care. Oversees orientation and education of new providers to the organization's CDI program. Responsible for concurrently reviewing Inpatient charts for documentation improvement to support accuracy of diagnostic and procedural data and completeness related to primary diagnosis, secondary diagnoses, MCCs, CCs, ROM, SOI, and final DRG. Identifies documentation improvement as it relates to ICD-10, UHDDS, CMS, and level of specificity and communicates such through regular reports. Develop, perform, and report weekly audits to ensure compliance with the CDI program as well as focused education opportunities by CDIS. Identify strategies through data gathering and analysis of trends to establish recommendations for the sustained work process changes that facilitate complete and accurate clinical documentation. Assists with preparation and presentation of CDI monitoring/trending reports for physician and hospital leadership. Participates on patient care teams and committees to advance education of documentation guidelines to support clinical coding and DRG assignment. Minimum of 2 years as a CDI Specialist.Excellent written and verbal communication skillsKnowledge of ICD-10 Inpatient Coding guidelines and DRG assignment.

Keywords: Pro Health Medical, Lynchburg , Clinical Documentation Manager Registered Nurse, Executive , Lynchburg, Virginia

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