Professional Ambulatory CDI Manager

Deans Professional Services
Bellaire, TX Full Time
POSTED ON 4/10/2024

Dean’s Professional Services is now hiring a qualified, patient-care-focused Professional Ambulatory Clinical Documentation Integrity Manager to work for a State HospitalRemote- but cannot reside in any of these states: Ohio, Wyoming, Washington, North Dakota, California, New York


We are on a mission to create care that’s more convenient and professional. With solutions that are value-based and patient-centered. To accomplish this, we are looking for individuals who share our sense of excellence and are ready to embrace new opportunities!


The Professional Ambulatory Clinical Documentation Integrity Manager is responsible for developing and carrying out the CDI Review and Education plan for the professional ambulatory services provided. The Professional Ambulatory Clinical Documentation Integrity Manager is responsible for communicating documentation and coding regulations, policies, and guideline changes to all applicable parties across the health system and will serve as a documentation and coding subject matter expert for Revenue Integrity departments, physicians and administration on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements. Conducts and coordinates ongoing educational programs and training on ICD-10 (Internal Classification of Diseases)/CPT (Current Procedural Terminology)/HCPS (Healthcare Common Procedure Coding Systems)/CDPS (Chronic Illness and Disability Payment Systems), and physician coding and billing related updates.


Job Responsibilities:

  • Manages and oversees all professional and ambulatory documentation and coding quality education staff and activities.
  • Acts as second level escalation for team members in preparation and delivery of materials, particularly when disagreements of perspective and interpretation occur.
  • Develops and provides system wide educational and training program regarding elements of the documentation and coding review program to coding staff and physicians.
  •  Monitors accuracy and quality of the Professional Ambulatory Clinical Documentation Integrity team, and reports progress to leadership.
  • Adapts and updates educational and training programs to coincide with regulatory changes.
  • Responsible for communicating documentation and coding regulations, policies, and guideline changes to all applicable parties across the health system and will serve as a documentation and coding subject matter expert for Revenue Integrity departments, physicians, and administration on accurate and ethical coding and documentation standards, guidelines, and regulatory requirements.
  • Conducts and coordinates ongoing educational programs and training for the Hospital on ICD-10 (Internal Classification of Diseases)/CPT (Current Procedural Terminology)/HCPS (Healthcare Common Procedure Coding Systems)/CDPS (Chronic Illness and Disability Payment Systems), and physician coding and billing related updates

     

Job Requirements:

  • High school diploma or equivalent. Required
  • Bachelor's Degree – Required
  • Coding – Required 
  • 5 years of healthcare experience. Required
  • Professional managerial experience in clinical documentation improvement, particularly in the context of medical office billing.  Required
  • Demonstrated working knowledge of medical terminology, ICD-10, CPT-4 and HCPCS coding rules.
  • Creative problem-solving skills to deal with complex and often contradictory information.
  • Someone who works well in a fast-paced setting
  • Ability to manage multiple projects in a timely manner.


One of the certifications below are Required: 

MDL - Medical Doctor License    Texas Medical Board   

OR RN - Lic-Registered Nurses    Texas Board of Nursing or Nursing Licensure Compact    

OR PA - Cert-Physician Assistant    Texas Medical Board    

OR RHIA - Cert-Reg Health Inform. Admins    American Health Information Management Association (AHIMA)    

OR RHIT - Cert-Reg Health Inform. TECH    American Health Information Management Association (AHIMA)    

OR CCS - Cert-Cert Coding Specialist    American Health Information Management Association (AHIMA)    

OR CPC - Cert-Cert Professional Coder    American Academy of Professional Coders (AAPC)    

OR CCDS DOC - Cert-Cert Clinical Doc. SPCLST    Association of Clinical Documentation

OR CDIP - Cert-Clinical Doc. Impr. PROF    American Health Information Management Association (AHIMA)    

OR CCS-P - Cert-CCS-P Physician Based    American Health Information Management Association (AHIMA)    

OR CIPC - Certified Inpatient Coder    American Academy of Professional Coders (AAPC)    

OR COC - Certified Outpatient Coder    American Academy of Professional Coders (AAPC)    

OR CDEO Certified Documentation Expert Outpatient    American Academy of Professional Coders (AAPC)    

OR CCDS-O Certified Clinical Documentation Specialist- Outpatient    Association of Clinical Documentation Improvement Specialist


Job Details:

  • Schedule varies; Typically, M-F hours between 8am-4pm Remote- but cannot reside in any of these states: Ohio, Wyoming, Washington, North Dakota, California, New York 
  • $54/hr benefits
  • Full benefits – healthcare, dental, vision, 401k program.
  • Temp-to-Hire opportunity.
  • Outpatient facility 


Dean’s Professional Services is a national, award-winning staffing solutions firm. Since 1993, DPS has placed over 45,000 professionals across the nation. We work with our clients to provide placement opportunities that match your skill, experience, and personality. For more information please visit www.deansprofessionalservices.com.


Salary.com Estimation for Professional Ambulatory CDI Manager in Bellaire, TX
$89,357 to $113,705
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