Clinical Documentation Excellence Regional Manager

Position Summary

A Brief Overview

The Regional Manager, Clinical Documentation Excellence, provides day-to-day work direction and support to the Clinical Documentation Excellence (CDE) team for multiple sites (Hospitals) and regions.

Responsibilities

What you will do

• Plans, organizes, and directs department activities for multiple sites (Hospitals).
• Provides daily oversight of the Clinical Documentation Specialists (CDS), helps develop a collaborative team, and manages multiple priorities simultaneously for multiple sites (Hospitals).
• Reviews departmental performance and implements changes as necessary to improve performance.
• Keeps administration informed of department activities, needs, and problems.
• Assists with resolving issues related to all aspects of the CDE program to ensure quality outcomes.
• Mentors and coaches the assigned CDE team members.
• Performs second level reviews as necessary.
• Reviews second level review audits performed and identifies educational opportunities for the CDE team.
• Collaborates with the multiple site Physician Liaisons, physicians, physician groups on clinical documentation excellence opportunities.
• Networks within multiple sites (Hospitals)to build provider, clinician, administrative and executive relationships.
• Collaborates with Coding management on areas of opportunity related to clinical documentation and DRG mismatches when needed.
• Participates in the training of new CDS, establishes goals and work priorities for CDE team, and provides ongoing feedback to the Corporate CDE Director/Manager.
• Reviews key CDE metrics (operational, quality, and performance) and assists with development of action plan to capture identified opportunities. Tracks program successes and ongoing opportunities for improvement.
• Represents the CDE team at meetings as assigned in a professional manner.
• Serves as a subject matter expert and resource on interpretation and application of CDE methodology.
• Works closely with other CDE Regional Managers to ensure smooth flow of communication and consistency across all facilities.
• Participates in administrative and management meetings and attends other meetings as necessary.
• Manages various human resources functions including hiring, work assignments, coaching plans, and performance counseling.
• Ensures all employees under supervision complete all required training.
• Other duties as assigned to meet the goals both within the department and organization.
• Ensures monthly individual CDE meetings, meetings with key stakeholders, etc. are completed.
• Develops and maintains records, reports, and files.
• Maintains compliance with federal, state, and local laws and regulations.
• Complies with all Orlando Health policies and procedures, service expectations and standards of behavior.
• Maintain regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
• Maintains confidentiality of data and information.
• Represents Orlando Health through community interaction.
• Investigates new technological advances.
• Utilizes critical thinking and sound judgement in decision making.
• Communicates, promotes, and leads team members through changes.
• Maintains 100% compliance with all required employee education.
• Assumes personal responsibility for professional growth, development, and continuing education to maintain a high level of proficiency.
• CDI Subject Matter Expert (SME).
• Leads others to solve problems.
• Works independently with guidance in only the most complex situations.
• Acts as a resource for team members with less experience.
• Leads teams or has accountability for ongoing activities or objectives.
• Maintains established work production standards for hospitals under supervision.
• Assumes the responsibility for professional growth and development.
• Acts as a support for the director when director is unavailable.
• Performs monthly 1-1 productivity meetings with CDE team members.

Company is committed to diversity and inclusion. We are an equal opportunity employer including veterans and people with disabilities.

Our people are passionate about what they do, the product they sell, and the customers they serve. If you're looking for an opportunity to be a part of a work family that values collaboration, innovation and dedication, we're the right company for you.

Section 1557 Non-Discrimination
The Office for Civil Rights (OCR) enforces Section 1557 of the Affordable Care Act (Section 1557), which prohibits discrimination on the basis of race, color, national origin, age, disability, or sex (including pregnancy, sexual orientation, gender identity, and sex characteristics), in covered health programs or activities. 42 U.S.C. 18116.

Qualifications

• BSN Required or years of experience in CDE will be considered.
• Five (5) years of acute care hospital nursing experience required.
• Two (2) years of acute care hospital CDE experience required.
• One (1) year of previous leadership experience, or verifiable management training is required.
• In-depth conceptual and practical knowledge in CDE required.
• As a Registered Nurse, maintains current State of Florida RN license or valid eNLC multistate RN license.
• Maintains current and at least one of the following: * Certified Documentation Specialist (CCDS) by the Association of Clinical Documentation Integrity Specialists * Clinical Documentation Improvement Professional (CDIP) by The American Health Information Management Association * Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) * Certified Coding Specialist (CCS)