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Advocate Health

Healthcare provider delivering equitable, cost-effective care

Manager Clinical Documentation Improvement Service

Clinical Support & Patient AdministrationPosted on Nov 10
Full-timeOak Brook, IL, USA$47.50 - $71.25

About the Job

Requirements

  • A Registered Nurse license issued by the state in which the team member practices is required.
  • A Certified Clinical Documentation Specialist (CCDS) designation issued by the Association of Clinical Documentation Improvement Specialists (ACDIS) is required.
  • A Bachelor's degree (or equivalent knowledge) in Nursing is required.
  • Five years of experience in a clinical environment, including one year of supervisory experience in a clinical environment, is typically required.
  • The role requires the ability to prioritize and organize work and respond to multiple requests simultaneously.
  • The role requires the ability to travel and work across multiple sites as assigned.
  • The role requires effective communication skills and critical thinking for timely decision-making.
  • Knowledge of Microsoft Office products is required.
  • Leadership skills are required.
  • Knowledge of Medicare Part A and B guidelines and their impact on DRG assignment is required.
  • Knowledge of the regulatory environment is required.
  • The role requires the ability to prioritize independently.
  • The role requires maintaining required competencies, licensure, and certification, as applicable.
  • The role requires functional speech, vision, smell, touch, and hearing, and the ability to operate all equipment necessary to perform the job.

Responsibilities

  • Provide management oversight of daily clinical documentation program operations at assigned sites.
  • Interview, hire, orient, and conduct ongoing competency assessments of CDI staff in collaboration with the Director of CDI Operations.
  • Conduct performance evaluations, salary reviews, and corrective actions for CDI staff.
  • Approve and monitor staff schedules, paid time off, and time cards to ensure continuity of services.
  • Monitor each site's CDI staff proficiency and implement action plans to address deficiencies.
  • Build teams and resolve conflicts.
  • Facilitate performance-improvement activities for the clinical documentation management program.
  • Identify and discuss overall and individual physician documentation trends with the Director of CDI Operations and site Medical Staff Leadership as appropriate, documenting improvement plans with identified strategies and educational needs.
  • Create and run reports from the clinical documentation management program to evaluate individual associate and overall site program performance.
  • Analyze data and reports to identify root causes of performance gaps.
  • Review site successes and improvement opportunities regularly with the Director of CDI Operations and other key stakeholders.
  • Serve as an internal consultant on clinical documentation opportunities and as an expert resource for the CDI program, including supporting mismatch resolution and challenging-case regulatory interpretation, intervening with physicians when necessary, and disseminating and interpreting regulatory requirements and changes.
  • Consult, communicate, and organize ongoing education; co-lead site clinical documentation steering committees and other site meetings as appropriate.
  • Participate in professional organizations and maintain effective working relationships with internal and external customers.
  • Maintain ongoing knowledge of clinical documentation standards and regulatory requirements through workshops, conferences, and in-services, and maintain records of participation.
  • Collaborate with CDI Operations Directors and team members on team-member and physician-engagement strategies.
  • Ensure the enterprise CDI program complies with CMS, AHIMA, and ACDIS practice standards and codes of ethics.
  • Collaborate with Compliance to ensure the enterprise CDI program meets state and federal guidelines.
  • Perform human-resources responsibilities for staff, including interviewing and selecting new employees, promotions, staff development, performance evaluations, compensation changes, resolving employee concerns, corrective actions, terminations, and maintaining employee morale.
  • Develop and recommend operating and capital budgets and control expenditures within approved budget objectives.
  • Understand and adhere to the organization's Code of Ethical Conduct, and ensure personal actions and the actions of supervised employees comply with applicable policies, regulations, and laws.
  • Travel and work across multiple sites as assigned.
  • Comply with physical and workplace safety conditions, including wearing protective clothing as necessary when exposed to potential mechanical, electrical, or chemical hazards.

About the Company

Advocate Health

Healthcare provider delivering equitable, cost-effective care

Advocate Health runs a multi-state healthcare system that provides care through a network of hospitals, clinics, and affiliated services. It aims to help people live well by delivering equitable care for all in its communities, using its combined strength and expertise to improve health outcomes while lowering costs. The organization operates across seven states (Alabama, Georgia, Illinois, Michigan, North Carolina, South Carolina, and Wisconsin) with strong bases in Chicago and Milwaukee, and focuses on coordinating care, expanding access, and reducing waste to deliver value to patients. Its goal is to offer consistent, high-quality care that is more affordable by emphasizing equity, prevention, and efficient care delivery within a regional network.

Company size
10,001+
Company stage
Not listed
Total funding
Not listed
Headquarters
Charlotte, NC
Founded
2022

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