As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Manages activities of the Clinical Documentation Improvement department. Locally and/or across other Coniferï¿½s CDI departments. Lead the monitoring of performance, collection and analysis of data to report on the effectiveness of process improvement. Collects and analyzes data to provide reports for company and hospital wide use and to make recommendations as appropriate. Will participate in the planning, development and implementation, and ongoing success of the Clinical Documentation Management Program. Educates members of the patient care team regarding documentation guidelines, including attending physicians, nursing, and other interdisciplinary team members.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Monitoring and Building CDI Team
Oversee and act as resource for Clinical Documentation Improvement departments across Conifer Health including monitoring daily activity and completion of performance and metric reports.
Test, interview, hire and retain CDI staff.
Lead meetings with team leads and CDI l staff Account for timekeeping in all systems for all initiatives
Development of team goals and plans ensuring alignment with national goals and yearly evaluations
Improve Medical CMI throughout Conifer.
Responsible for the supervision and coordination of CDI process including implementation and adherence to best practices and principles.
Educates department and facility staff as needed.
Develops of facility specific Policy &Procedure, process flow maps, communication and education plans in line with national directives
Lead meetings and educate within Systems and Individual facility leaders including Presidents, CMO, CFO, Facility Physician Service Line Heads, Physicians and other leaders.
Communicates/Completes Clinical Documentation Improvement (CDI) activities and coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution.
Develops a collaborative CDI and Coding team.
Performs analysis, identifies trends, validation of compliance as related to the clarity of documentation which impact revenue.
Market analysis and interpretation of regional and facility-specific data and CDI audits.
Implement and develop new CDI programs across the markets.
Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-9-CM. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-9-CM and CPT updates) for inpatient.
Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls as well as any required CDI education.
CDI leader for ICD 10 impact ï¿½ ICD10 Core team and education leader of CDI staff
This position carries out supervisory responsibilities in accordance with guidelines, policies and procedures and applicable laws. Supervisory responsibilities include interviewing, hiring, and training employees; planning, assigning and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
No. Direct Reports (incl. titles): CDI Supervisor and CDI Lead
No. Indirect Reports (incl. titles): CDI Lead and CDI Specialist
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
CDI Subject Matter Expert
Knowledge of Medicare Part A and familiar with Medicare Part B
Knowledge of disease pathophysiology and drug utilization
Knowledge of MS-DRG classification and reimbursement structures
PC/Systems literate including the Internet and MS office skills
Ability to apply coding conventions, official guidelines, and Coding Clinic advice to health record documentation
Management of multiple priorities ï¿½ effective time management skills
Leadership and organizational skills along with critical, deductive reasoning and problem solving skills
Effective written and verbal communication skills including report writing and presentation skills
Capacity to work independently in a virtual office setting or at facility setting if required to travel for assignment.
Understand and communicate documentation strategies
Recognize opportunities for documentation improvement
Formulate clinically, compliant credible queries
Ability to maintain an auditing and monitoring program as a means to measure query process
Report writing with management review
Skilled in performing quality assessment/analysis
Overall knowledge and ability to drive operational metrics.
Overall knowledge of the flow of the revenue cycle
Detail oriented and analytical skills
Assess, coach, train and develop talent
Possesses the ability to motivate and maintain effective working relationships with staff and all stakeholders.
Demonstrates strength in both performance management and leadership development
Manage change while minimizing interruption at an operational and service level
EDUCATION / EXPERIENCE
Include minimum education, technical training, and/or experience required to perform the job.
Three (3) or more yearsï¿½ experience in CDI
Preferred: Graduate from a Nursing program, BSN or graduate of Health Information Management RHIT, RHIA
Preferred: Minimum: Two (2) years supervisory experience
CERTIFICATES, LICENSES, REGISTRATIONS
Preferred: Active state Registered Nurse license or Certified Coding Specialist credential
Preferred: CCDS or CDIP
Preferred: RN, RHIT, RHIA, and CCS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Ability to sit for extended periods of time
Must be able to efficiently use computer keyboard and mouse
Good Visual acuity
The ideal candidate will have clinical documentation experience in an acute care facility
Must be able to travel
Job: Conifer Health Solutions
Primary Location: Frisco, Texas
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 1905033777
About Conifer Health Solutions
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.