Manager, Clinical Documentation

The Manager of Clinical Documentation reports to Director of Clinical Quality Improvement. This individual manages the daily activities of the Clinical Documentation Specialists group. Activities include oversight of functions, processes and procedures, staffing schedules, department education and reporting of the processes and outcomes to Quality Improvement leadership and other and committees. This is not an exhaustive statement of duties, responsibilities, or requirements. Employees will be required to perform any job, with related instruction given by their supervisor, subject to reasonable accommodation.

• Manages the CDI staff: Management of daily activities of the Clinical Documentation Specialist (CDS) team: schedules staff; provides work direction and training/mentoring; ensures timely completion of assignments and performance evaluations. (20%)
• Validates and improves quality of query activities; provides feedback to the director on operational concerns; provides feedback to Physician Advisors on provider response issues; assists with physician in-services as needed. (20%)
• Reviews and analyzes data and reports to evaluate progress and helps initiate process improvements. Reports updates and team progress to appropriate committees. (20%)
• Works closely with the Coding and CDI staff to resolve discrepancies between working and final DRGs, and coordinates efforts with coding/HIM/UR and other departments to ensure the coded record reflects the the acuity of patients and level of provider care. (20%)
• Develops and implements on-going CDI nurse and physician education and training programs to solve coding and documentation issues. (10%)
• Acts as leadership resource for the team; supporting, fostering and assuring the continued professional development of group/individual skill sets and comptencies. (5%)
• Assists with departmental budget annually as requested by QI Director (5%)

All job qualifications listed indicate the minimum level necessary to perform this job proficiently.

LEVEL OF EDUCATION

Minimum:

• Associate's Degree Nursing

Preferred:

• Bachelor?s Degree or highter in Nursing

CERTIFICATIONS, LICENSES, REGISTRATIONS

Minimum:

• Current RN License

Preferred:

• Current RN License and CCDS certification

TECHNICAL REQUIREMENTS

Minimum:

• Basic MS office skills; including Excel, Word, Outlook. Basic proficiency in computer applications.

Preferred:

• Intermediate MS Office skills, experience with 3M CDI software, Braod knowledge of Medicare guidelines

KNOWLEDGE, SKILLS, and ABILITIES
All knowledge, skills, and abilities listed indicate the minimum level deemed necessary to perform this job proficiently.

• Assertive personality traits to facilitate ongoing physician communication. Ability to work independently in a time-oriented environment.
• Excellent written and verbal communication skills; ability to write concisely and effectively when communicating with providers.
• Strong critical thinking and analytical skills. Ability to identify the trends and offer solutions.
• Ability to develop material and give presentaions to groups and committees as required

Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love.

Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices.  We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work.  Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommoda