Clinical Documentation Integrity Manager (CDI Manager) – Remote

Job Description

Networks Connect is conducting a search for a Clinical Documentation Integrity Manager (CDI Manager) to work remotely. Networks Connect is conducting a search for a prominent healthcare system for someone to join their dynamic healthcare team as a Clinical Documentation Integrity Manager! Leverage your expertise in clinical documentation, compliance, and healthcare coding to spearhead our CDI program. This role is crucial in enhancing the accuracy, quality, and completeness of medical record documentation.

Key Responsibilities:

• Lead day-to-day operations of the Clinical Documentation Integrity program.
• Ensure admission reviews of patients’ records are completed within 24-hours of notification of admission to evaluate and analyze documentation in order to assign the principal diagnosis, pertinent secondary diagnoses and procedures for accurate and optimal MS-DRG/APR-DRG assignment.
• Collaborate with CDI Specialists, department heads, and healthcare providers (including Physicians, Advanced Practice Professionals, and Medical Residents) to enhance medical record documentation.
• Conduct thorough audit investigations, educational initiatives, and data analysis to ensure documentation quality.
• Work closely with medical coders and healthcare staff to ensure accurate coding and appropriate charge capture.
• Perform pre-bill compliance audits, adhering to coding guidelines and regulatory requirements.
• Proactively identify and resolve issues impacting data quality and reimbursement accuracy.
• Coordinate and organize the CDI for inpatient services, facilitate physician documentation, denials, and coding, and collaborate with physicians, directors, providers, and other healthcare team members to make improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, decision, and diagnoses for the patient.
• Develop and implement methods of improving the clarity, accuracy and completeness of clinical documentation; monitor and evaluate coding outcomes and provide periodic status to medical center departments and committees.

Required Qualifications:

• At least 3 years of clinical acute care hospital experience.
• At least 1 year of Case Management experience
• At least 1 year of Supervisory experience
• Active RN License
• CCS, CCDS or CDIP certification.

Preferred Qualifications:

• Experience in Clinical Documentation Integrity Auditing/Education.
• Proficiency in ICD-10-CM coding and AHA Coding Clinic.
• Excellent communication and team collaboration skills.
• Ability to work independently and manage multiple tasks effectively.
• Familiarity with payer compliance and quality metrics.

Key Job Standards:

• Comprehensive management of daily CDI operations, including chart audits and query resolutions.
• Development of CDI educational programs for staff and physicians.
• Advanced use of CDI software and maintaining data integrity.
• Active involvement in quality assurance and process improvement initiatives.
• Ensuring compliance with all relevant healthcare regulations and standards.

Earnings

$100,000-$115,000 salary

Category

Revenue Cycle