Sr. Manager - Clinical Documentation Integrity

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview
This position facilitates the vision and CDI program strategy, as determined in partnership and as identified by the CDI director. Focusing on operational performance, projects, innovations and process improvement opportunities. Manages daily operational management of the CDI program and members within the designated team. This position evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that CDI processes and practices lead to appropriate execution of regulatory requirements and guidelines related to Hospital Billing and/or Professional Billing coding and CDI practices, including federal and state compliance standards.

This position plays a key role in leading the initiative for reporting quality of care outcomes and in obtaining complete, accurate and compliant documentation for appropriate reimbursement of services provided and capture of clinical outcome measures.

Uses clinical, coding, and CDI expertise to analyze, interpret and optimize CDI, coding, and outcomes performance through initiatives at the service line level, in very close partnership with quality, coding and IT.

Manages, and is a key participant in, multidisciplinary and high-profile projects related to CDI, documentation, and outcomes performance, at the departmental and organizational levels.

Leads and coordinates team efforts in clinical documentation integrity programs and outcomes optimization, relationship development and management, optimization of educational strategy.

This position plays a key role in leading the initiative for reporting quality of care outcomes, operational and organizational process improvement, technology optimization through CDI departmental initiatives and industry leading practices.

Locations
Stanford Health Care

What you will do

• Team Oversight:

• Manages Documentation Specialists, Supervisor and/or CDI Leads including activities such as goal setting, annual Performance Appraisal, coordinating scheduled time-off, allocating resources to cover the program throughout the hospital.

• CDI Quality:

• Manages the CDI accuracy/quality program , including the analysis of the findings, related performance improvement and optimization mitigation plans focused on continuous improvement to meet strategic goals and KPIs.

• Management of CDI audit programs and analysis of the findings, related to documentation and coding, to build physician engagement and multidisciplinary partnerships, identifying areas of individual and team opportunity, and facilitate short and long-term resolutions.

• Program Development:

• Coordinates the development of clinical documentation programs to improve the accuracy of documentation and the quality of patient care reported.

• Leads multidisciplinary and multi-departmental documentation initiatives to achieve strategic goals and objectives.

• Optimizes medical-center-wide clinical documentation integrity program teams, with guidance from CDI director

• Subject Matter Expert:

• Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations and conducts risk assessments of potential and detected compliance deficiencies, as well as documentation improvement opportunities.

• Acts as a consultant to quality managers, coding leadership, management team, medical staff and health care staff regarding outcome and code-related data performance and clinical documentation opportunities

• Acts as expert in the areas of ambiguous or conflicting information in the medical record, CDI practices, CDI innovation, coding, outcome performance impact and optimal resource utilization

• Developing Partnerships:

• Manages relationships with key organizational and industry partners, including quality, compliance, coding, case management, clinical providers, other multidisciplinary teams.

• Coordinates the development of working sessions of multi-disciplinary teams in goal setting and problem solving.

• Responsibility for management and optimization of the positive relationships between CDI and business partners and customers across a variety of teams and roles.

• Analytics & Process Improvement:

• Coordinates data