CDI Manager

Job Description Summary

Under the direction of the Revenue Integrity Director, the Clinical Documentation Improvement (CDI) Manager is responsible for managing, coordinating and performing day-to-day operations to include personnel management, education, training, productivity, work assignments, quality reviews, and report management for the Clinical Documentation Improvement program. Facilitates and promotes standardization across the enterprise and ensures alignment of high quality documentation that supports a compliant and accurate representation of the clinical care provided to patients. Acts as a liaison for hospital/medical staff in all areas related to clinical documentation improvement.

Job Description

Understands coding classification assignments (ICD-10-CM/PCS) and reimbursement methodologies (e.g., MS-DRGs, APR-DRGs, POA, HAC and PSI). Understands and communicates differences in Medicare Part A and Part B guidelines and how they impact DRG assignments. Excellent communication (verbal, written, and listening) skills. Strong interpersonal and collaboration skills. Strong analytical and project management skills. Strong computer skills including Microsoft Word, Excel, PowerPoint and Outlook. Ability to conduct and interpret quantitative/qualitative analysis and multi-task. Dependable, self-directed with excellent critical thinking, problem-solving and deductive reasoning skills. Managing remote workforce preferred. Proficient at writing compliant physician queries in accordance with AHIMA Compliant Query Practice Brief; Demonstrated ability to understand the clinical content within medical record documentation; Advanced knowledge of medical terminology, anatomy and physiology, disease process, pharmacology, and complex surgical procedures; ICD-10-CM training preferred; Formal CDI training preferred; Supervisory experience preferred; Demonstrated track record of maintaining acceptable quality standards of 95% accuracy rate and acceptable productivity standards; Position requires individual to be dependable and flexible; Position requires maintaining confidentiality according to hospital policy and to act in accordance with that policy while engaging in all work assignments Ability to utilize 3M 360 software