What are the responsibilities and job description for the Manager Clinical Documentation & Improvement position at Atrium Health Navicent?
Department
34006 Navicent Health Medical Center - Patient Placement
Status
Full time
Benefits Eligible
Yes
Hours Per Week
40
Schedule Details/Additional Information
Monday- Friday
Pay Range
$46.55 - $69.85
Major Responsibilities
Must be a graduate of an approved school of professional nursing and currently licensed to practice as a Registered Nurse with the Georgia Board of Nursing. Obtain and maintain CCDS within 1 years of employment. (ACDIS rules require at least two years of CDI experience prior to taking the certification exam.)
Education Required
Associate’s degree in nursing required, BSN preferred
Experience Required
Minimum three to five years of acute care nursing experience in an acute care hospital, preferably with ICU and/or Medical/Surgical experience. Must be licensed as a Registered Nurse in the state of Georgia. Prior supervisory experience is required.
Knowledge, Skills & Abilities Required
Critical thinking skills and ability, strong communication skills, strong decision-making and problem-solving skills. Excellent time management and organizational skills. Ability to handle changing work environment and to prioritize activities. Proven ability to work in a team environment. Basic computer skills are necessary, including but not limited to the ability to navigate on a personal computer within a Windows based operating environment; the ability to access and create basic e-mail messages; and the ability to open, edit, and save basic electronic documents if necessary. With training provided, must demonstrate the ability to learn and utilize new systems, computer applications and operating environments as necessary. Approximately four to eight weeks of on-the-job training required to become functional. Expectation of independent functioning within one year.
Physical Requirements And Working Conditions
Works in an environment with high volume of activity and interruptions. Position consists of walking, standing or sitting for long periods of time throughout the hospital. Must be able to comprehend and learn operation of various office equipment. Works with computer and telephone. Must be able to speak clearly, hear and see. Must be able to orally communicate in person and via phone. Must write English in understandable terms. Subject to interacting with challenging customers.
Our CommitmenttoYou
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Plans, supervises and coordinates daily clinical documentation activities. Provides timely and quality services related to CDI to Administration, medical staff and other department personnel, and entities. Acts as a liaison between CDS and Coders for education and DRG Mismatches. Responsible for the supervision, coordination, and participation in concurrent accurate coding of diagnosis, procedure, and DRG codes from medical records in accordance with federal, state, local and American Hospital Association coding guidelines, while focusing on both high quality and productivity, ensuring specificity is applied to obtain appropriate and optimal reimbursement.
34006 Navicent Health Medical Center - Patient Placement
Status
Full time
Benefits Eligible
Yes
Hours Per Week
40
Schedule Details/Additional Information
Monday- Friday
Pay Range
$46.55 - $69.85
Major Responsibilities
- Manages and oversees the daily operational CDI activities, data collection, analysis and reports. Monitors and reviews CDI production weekly. Addresses any CDI coding issues.
- Collaborates with Director to develop, implement and maintain CDI Department policies and procedures, job descriptions and performance standards. Communicates results of internal and external CDI audits to staff and appropriately educates staff on issues discovered through the audit process.
- Ensures competency of CDS staff by conducting on-going reviews and skills assessments; provides action plans and timely constructive feedback as needed, to enhance staff development.
- Performs and supervises personnel management functions such as hiring, orienting, training, scheduling, counseling, evaluating and terminating CDI employees. Works toward sustaining effective recruitment and/or retention of CDI staff.
- Monitors the documentation and collaborates with physicians and ancillary departments within the organization to obtain timely and appropriate documentation for accurate concurrent and post discharge inpatient coding. Actively participates in educational presentations to physicians, coding staff, and clinical staff.
- Collaborates with Quality on quality reviews, assigned projects and process improvement plans. Assures compliance with HIPAA in handling sensitive and confidential documentation.
- Monitors CDS queries for appropriateness and timeliness. Monitors the response time on queries generated by CDS and answered by the provider.
- Assists in setting annual individual performance goals for the upcoming year.
- Reviews the Optum system reports to identify issues in the process or the quality of DRG assignment. Provides staff education and updates on CDI issues and coding rules/requirements update.
- Develops criteria and mechanism for monitoring the quality of work. Identifies areas needing improvement. Works with Optum to develop action plans for improvements. Identifies provider documentation improvement trends and works with the physician to improve. If trends continue, escalates to Director, AVP or Chief Medical Officer.
- Maintains time and attendance logs, approves PTO and closes out CDI time and attendance bi=weekly.
- Is self- directed and able to manage multiple tasks.
- All other duties as assigned to support the operations of Clinical Documentation Integrity and Navicent Health.
Must be a graduate of an approved school of professional nursing and currently licensed to practice as a Registered Nurse with the Georgia Board of Nursing. Obtain and maintain CCDS within 1 years of employment. (ACDIS rules require at least two years of CDI experience prior to taking the certification exam.)
Education Required
Associate’s degree in nursing required, BSN preferred
Experience Required
Minimum three to five years of acute care nursing experience in an acute care hospital, preferably with ICU and/or Medical/Surgical experience. Must be licensed as a Registered Nurse in the state of Georgia. Prior supervisory experience is required.
Knowledge, Skills & Abilities Required
Critical thinking skills and ability, strong communication skills, strong decision-making and problem-solving skills. Excellent time management and organizational skills. Ability to handle changing work environment and to prioritize activities. Proven ability to work in a team environment. Basic computer skills are necessary, including but not limited to the ability to navigate on a personal computer within a Windows based operating environment; the ability to access and create basic e-mail messages; and the ability to open, edit, and save basic electronic documents if necessary. With training provided, must demonstrate the ability to learn and utilize new systems, computer applications and operating environments as necessary. Approximately four to eight weeks of on-the-job training required to become functional. Expectation of independent functioning within one year.
Physical Requirements And Working Conditions
Works in an environment with high volume of activity and interruptions. Position consists of walking, standing or sitting for long periods of time throughout the hospital. Must be able to comprehend and learn operation of various office equipment. Works with computer and telephone. Must be able to speak clearly, hear and see. Must be able to orally communicate in person and via phone. Must write English in understandable terms. Subject to interacting with challenging customers.
Our CommitmenttoYou
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation
- Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
- Premium pay such as shift, on call, and more based on a teammate's job
- Incentive pay for select positions
- Opportunity for annual increases based on performance
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
Plans, supervises and coordinates daily clinical documentation activities. Provides timely and quality services related to CDI to Administration, medical staff and other department personnel, and entities. Acts as a liaison between CDS and Coders for education and DRG Mismatches. Responsible for the supervision, coordination, and participation in concurrent accurate coding of diagnosis, procedure, and DRG codes from medical records in accordance with federal, state, local and American Hospital Association coding guidelines, while focusing on both high quality and productivity, ensuring specificity is applied to obtain appropriate and optimal reimbursement.
Salary : $47 - $70