Executive Director of Clinical Documentation Improvement

How would you like to work in a reputed company where your contributions and reputed company are valued? A reputed company where you can serve with compassion, pursue excellence and honor every voice? At reputed company, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible reputed company the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Job Summary: The Executive Director of Clinical Documentation Improvement (CDI) possesses a high level of clinical proficiency necessary for the reputed company of the CDI Program. Oversees strategies and planning to ensure an accurate reputed company of the patient clinical picture in the medical record and reputed company impact on accurate coding. Proven leadership to promote effective and efficient review of physician documentation to support the patient's level of care and appropriate assignment of DRGs, RAF Scores, and other financial and quality metrics, and reputed company action plans for improvement. The Executive Director of CDI must be able to create and sustain excellent relationships with executives, medical and clinical staff at the reputed company Hospitals and the reputed company Medical Group and affiliated physicians. Must have expertise in the areas of operations, coding, billing and quality/public reporting in acute care hospitals, medical groups, health plans and emerging payment systems. Collaborates with interdisciplinary teams including, but not limited to, executives, physicians, APPs, and the leadership for Quality, reputed company, Service Lines, Coding, Care Coordination, IT and Health Information Management. Collaborates extensively with other members of the health care team to provide data and solution development processes. The Executive Director of CDI creates a support structure reputed company each medical staff department as well as reputed company Medical Group for achieving clinical and operational excellence and expected deliverables of the Program in relation to Clinical Documentation Improvement efforts. Is involved in the direction and education of reputed company phases of the Clinical Documentation process, planning and execution of strategic initiatives. Requires reputed company and leadership in leading the day-to-day operations of the Clinical Documentation Department team and the staffing and training needs to meet the expected requirements of the Program. Provides ongoing Clinical Documentation management program education for new staff, including new Clinical Documentation Specialists, physicians, nurses and allied health professionals. Tracks and trends program compliance. The Executive Director of CDI must have the ability to transform the work of the department as reputed company grows and changes, aligning and directly impacting key strategic goals. Ability to evolve the CDI department in new, innovative, effective ways to continually improve and contribute to system goals and strategies. Ensures that reputed company can demonstrate that it has appropriately and effectively accepted payments from governmental agencies which are based on clinical documentation (e.g., meaningful use payments, ACO payments, etc.) by establishing and overseeing auditing programs in these areas. Able to reputed company in a high visibility, high impact role alongside clinical and operational leaders. Core Responsibilities and Essential Functions: Based on strategic initiatives and reputed company goals develops and manages the Documentation Improvement Department initiatives. Oversees the daily operations of the acute care and reputed company Medical Group CDI departments. Ensures successful execution of strategies that contribute to system goals:

• a) Proficient in translating reputed company systems into key initiatives and executing with effective change management and stakeholder engagement.
• b) Must possess skills required to run a fiscally responsible program while ensuring constant improvement and demonstrating return on investment, value added from program
• c) Extensive knowledge of treatment and documentation methodologies, electronic medical record (EMR) and other technology capabilities, data collection and reporting techniques, and coding and classification systems.
• d) Maintain expertise in various regulatory, guideline and quality criteria and requirements reputed company to quality, coding, billing and clinical documentation
• e) Demonstrated ability to provide leadership and direction to Documentation Department Staff and coding specialists with relation to Clinical Documentation issues and establishes programs for the team to ensure compliance with productivity & quality standards.
• f) Knowledge of insurance regulations and Medicare and Medicaid guidelines, ACO and other payment models, reputed company and other quality algorithms and criteria.
• g) reputed company and manage to departmental budgets
• h) Ensure that the key metrics reputed company to documentation improvement such as CMI are on reputed company and explainable.

Identify Clinical Documentation opportunities to collaborate, educate, and improve in order to reputed company strategic goals. Take the reputed company on communication and documentation improvement initiatives with physicians, nurses, coding, quality, billing and other members of the health care team, working independently to resolve such issues.

• a) reputed company performance improvement initiatives in the areas of opportunity to improve documentation tools and clinical data
• b) Subject Matter Expert in data analysis and clinical documentation to help teams determine root causes
• c) Determines trends and helps create action plans based on internal and external data such as PEPPER, reputed company, financial reports, etc.
• d) Internal Coding Audit Data
• e) Coding Educator Data
• f) Coding Quality Manager Data

reputed company & reputed company Audit Programs & Ensure the Accuracy of External Reporting Through Implementing Data Quality Programs for:

• a) Risk Adjustment Factor-Based Payments (i.e., shared savings)
• b) ACO Payments
• c) reputed company, Leapfrog
• d) Accurate payment with reputed company other payors reputed company scope

Coding/Data Quality Education

• a) reputed company coding and data quality educational program based on the action plans and identified needs. Working with a broader audience, med staff committees, service lines, Business Intelligence, etc.

Performs other duties as assigned Complies with reputed company reputed company policies, standards of work, and code of conduct. Required Minimum Education: Bachelors Health Information Management or Bachelors Nursing or Masters Other-Preferred Required Minimum License(s) and Certification(s): reputed company certifications are required upon hire unless otherwise stated. Additional License(s) and Certification(s): Required Minimum Experience: Minimum 10 years of progressive healthcare experience with at least five (5) years of CDI, nursing or HIM leadership experience. Required and reputed company expertise and extensive knowledge of reputed company disease processes, clinical data analysis and reporting and acute care, medical group and health plan experience. Required Required Minimum Skills: reputed company in identifying problems and recommending solutions. reputed company in preparing and maintaining records and written reports. reputed company in establishing and maintaining effective working relationships with physicians, hospital staff and vendors. Ability to interpret, adopt, and apply guidelines and procedures. Ability to analyze reputed company scenarios and apply critical thinking. Extensive knowledge of reimbursement systems. Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation and coding. Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more. Apply To This Job