CDI Manager

Phoenix, AZ 85008

Posted: 06/27/2024 Employment Type: Local Profession: CDI Specialist Job Number: 91286 Pay Rate: $2,461 - $2,734 Specialty: Inpatient

Job Description


Overview: In a hybrid work environment and under the guidance of the Health Information Management (HIM) Director, the CDI Manager provides both clinical and administrative leadership to the CDI teams in inpatient and outpatient settings. Responsibilities include staff management and development, maintaining quality and service excellence, enhancing workplace experience, and ensuring positive financial outcomes. The CDI Manager collaborates with organizational leaders to achieve improved provider documentation and holds accountability as designated by the HIM Director.

Job Details
  • Annual Salary Range: $105,164.80 - $155,126.40
  • Start Date: ASAP
  • Duration: 6 Months
  • Shift: 8 Hour Days
  • Hours Per Week:  40

Education:
  • Bachelor of Science in Nursing or a master’s degree in Medicine; or a comparable combination of training and progressively responsible experience.

Experience:
  • Required: Five years of experience in clinical documentation improvement, with at least two years in a supervisory or managerial role.
  • Required: At least ten years of direct clinical experience.

Specialized Training:
  • Required: Practical experience with EPIC Electronic Health Record, 3M encoder, and Microsoft Office software.

Certification/Licensure:
  • Required: Current Registered Nurse licensure in the State of Arizona or compact state licensure.
  • Required: Valid driver's license.
  • Required: Professional certification in Clinical Documentation (CCDS or CDIP).
  • Required: Professional Certification (CRC) within 30 months.
  • Preferred: Coding Credentials (CCS, CCS-P, CPC, CIC, COC) or RHIA, RHIT certification with relevant coding experience.
  • Preferred: Dual credentials.

Key Responsibilities:
  • Oversee daily CDI program activities, including productivity, quality, education and training, auditing, report management, performance improvement initiatives, and the development of standardized practices, processes, policies, and procedures.
  • Manage and report risk-adjusted Hierarchical Condition Category (HCC) capture rate and Risk Adjustment Factor (RAF) accuracy in line with managed care contracts, especially Medicare Advantage plans. Track and trend metrics, occasionally presenting CDI program compliance and progress related to capturing HCC diagnoses to physicians.
  • Advocate for best practices in CDI, ensuring accurate documentation translates to accurate numeric reporting codes, correct reporting, facility and physician profiling, and acuity capture.
  • Audit documentation quality to support accurate statistics and reimbursement for both inpatient and outpatient CDI programs.
  • Maintain proficiency in CDI technology tools for data entry, report generation, and tracking methods to ensure efficient use of these tools.
  • Approve CDI timesheets, conduct performance evaluations, develop performance improvement plans for team members if necessary, and monitor compliance with learning modules.
  • Lead initiatives related to DRG Downgrade Denials, State Fair Hearing Appeals, PSI reporting, Physician education, ICD-10 preparedness, and implementation.
  • Assist in developing system-wide CDI policies and procedures to meet Corporate Compliance guidelines and ensure appropriate and effective reimbursement.

Skills and Abilities:
  • Strong understanding of computer applications, including Microsoft Office (Excel, Word, PowerPoint, and Outlook), Electronic Health Records, and encoder systems.
  • Ability to adhere to the Standards of Ethical Coding set by the American Health Information Management Association (AHIMA) and AAPC.
  • Analytical skills to interpret clinical data in records and assign appropriate codes.
  • Initiative and critical thinking skills to provide potential solutions to identified problems.
  • Proficiency in developing and presenting educational programs.
  • Effective communication and excellent customer service skills.
  • Ability to work independently and make autonomous decisions.
  • Capability to analyze and prioritize work efforts, and organize and coordinate multiple functions and tasks.
  • Proficiency in reading, writing, and speaking English.
  • Ability to work both remotely and on-site in ambulatory clinics and inpatient acute hospitals.
  • Utilize a personal vehicle for routine travel to assigned ambulatory clinic sites to provide formal and informal education to clinic providers.

Benefits & Perks:
  • Weekly direct deposit.
  • Health, dental, and vision insurance.
  • 401(k) with company matching.
  • Paid liability & workers’ comp coverage.
  • Flexible scheduling options.
  • Referral bonuses.
  • Personalized 1:1 career support before, during, & and after assignments.

About Us:

With over 30 years of healthcare staffing experience, GHR Healthcare is your trusted partner in finding the perfect contract or permanent role in the healthcare industry. Our specialized teams have placed thousands of healthcare professionals nationwide. You will have a dedicated recruiter, providing access to new opportunities and guidance every step of the way. Whatever your career goals, GHR Healthcare is here to support you and find your perfect fit. Get to know us: www.ghrhealthcare.com

We are an equal-opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
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