Description Why MCR Health? A career at MCR Health offers exciting opportunities with one of the largest Healthcare companies in the areas we serve. Now, more than ever, we are looking for exceptional people to support our passion to provide "Exceptional Care to Everyone, Every Time" and to support our Mission to serve everyone. Whether you are providing direct patient care or in other areas of our Company, you can find a home here. We invite you to be part of our community where you can grow your career and serve with your heart.
In our time of growth, we are seeking a:
Clinical Documentation Integrity Manager (CDI Manager) - ONSITE ONLY!! Work Location(s): Bradenton, FL
As part of this role, you will - Oversight and management of and management of department operations and personnel
- Assessment and division of total daily workload among Clinical Documentation Integrity Specialists (CDIs) to provide equal share of patient census, complexity, of work, and ability to complete assignments
- Monitoring of daily work process for all team members
- Facilitation of communication between Coders and CDI team
- Reconciliation of all CDI Charts reviews
- Knowledge of Risk Adjustment, ICD-10, CPT, HCC's, coding
- Assist in facilitating Physician/Providers engagement and education
- Assist the CDI Department in facilitation of compliant physician queries
- Accurate recording of CDS impact on record
- Advance Knowledge of current Medicare /Medicaid Rules and regulations
- Communication with Coding Manager and CDI Director on Case resolution
- Collaboration in planning, analysis, procedure changes, scheduling, and related administrative duties
- Assists CDI Director in development of future policies and procedures
- Facilitation of issue identification and resolution. Always deploy HIPAA Standard
- Effective communication to teams and administration regarding any barriers to success identified within the CDI department
- Management of staffing to ensure appropriate allocation and compliance with goals and objectives
- Assessment, when necessary, of equality of workload base on complexity and patient census
- Monitoring and reporting of quality and financial performance in collaboration with Strategic Service Associates
- Assurance of compliance with government health regulation, AHIMA, JCAHO guidelines, CMS, quality requirement and customer service standards
- Development, monitoring and implementation of programs to enhance customer service
- Develop skills and improve scope of service for all CDI team members
- Resolution of interdepartmental issue to ensure consistency in quality, procedure, and policy application
- Participate in manager meetings and relevant committees as assign by Director
- Identification of opportunities for intradepartmental and interdepartmental operational improvements
- Reporting of CDI metrics to director and organization leadership to demonstrate impact of program
- Maintenance of accurate records of chart review activities to comply with departmental and regulatory agency guidelines
- Participate in daily workload and function in the role of Clinical Documentation Integrity Specialist as necessary
Requirements - Required certification or license
- Registered or Licensed Practical Nurse
- Foreign graduate Medical Doctorate degree
- Minimum five years outpatient/inpatient CDI Experience
- AHIMA CDIP/CCDS Certification
- Experience in nursing preferred
- Disease Process, Pathophysiology three to five years
- Minimum five years supervisory or management experience in health care required
