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About the job
The System Manager of Clinical Documentation Improvement (CDI) is responsible for providing leadership, strategic direction, and operational oversight for CDI across multiple facilities within the system. This role ensures the consistent application of CDI best practices, optimizes documentation for accurate reflection of the patient's severity of illness (SOI), risk of mortality (ROM), and improves overall data integrity to reflect, complexity of care, accurate reporting of quality metrics, reimbursement, and hospital outcomes. This position involves extensive collaboration with physicians, advanced practice providers, coding, and other healthcare professionals.
Responsibilities
Strategic Leadership: Develop, implement, and maintain system-wide Clinical Documentation Integrity (CDI) strategies, policies, and procedures that align with organizational goals and regulatory requirements.
Operational Management, and Reporting: Oversee day-to-day operations of the CDI team across all facilities, ensuring efficiency, productivity, and adherence to established metrics. Monitor and analyze CDI performance data, identify areas for improvement, and implement corrective actions to ensure compliance with coding guidelines, official coding advice, and regulatory standards. Prepare and present regular reports on CDI performance, achievements, and challenges to senior leadership.
Technology and Innovation: Evaluate and implement CDI software and tools to enhance workflow efficiency and data analytics capabilities. This includes staying abreast of industry trends and technological advancements.
Team Development, Collaboration and Communication: Recruit, train, mentor, and evaluate CDI specialists and managers, fostering a culture of continuous learning and professional growth within the CDI department. Partner with physicians, coding professionals, physician advisors, utilization management, quality, and other stakeholders to promote accurate and complete clinical documentation. Provide ongoing, formal and informal education to providers and healthcare teams on documentation best practices, coding guidelines, regulatory requirements, and the impact of documentation on quality measures and reimbursement.
Quality and Compliance: Maintain adherence to all official coding guidelines, regulatory requirements, and ethical standards.
Financial Stewardship: Contribute to the financial health of the organization by ensuring accurate documentation that supports appropriate reimbursement and minimizes compliance risks.
Qualifications
Required: Bachelor's degree in Nursing (BSN) with a current license in the state of Arkansas OR Bachelor's degree in Health Information Management with a Certified Coding Specialist (CCS) certification and extensive coding work history. A minimum of 5 years of relevant work experience in a hospital setting and 3 years of supervisory experience is required.
Preferred: Master's degree in a relevant field is preferred. Current Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP), or willingness to obtain within first 2 yrs of employment.
Knowledge, Skills, & Abilities Needed
Comprehensive knowledge of anatomy, physiology, pathophysiology, pharmacology, medical terminology and clinical disease processes. - Strong understanding of MS-DRGs, APR-DRGs and ICD-10-CM/PCS coding guidelines.
Excellent communicator with ability to effectively communicate with physicians and executive leadership.
Strong analytical and problem solving skills.
Good organization and time management skills.
