The Clinical Documentation Improvement (CDI) Manager reports to a Director within a specific division of the organization. The manager has overall responsibility for the daily planning, work scheduling and coordination, and operational performance of the defined Clinical Documentation Improvement (CDI) program. The manager retains 24-hour responsibility, but may utilize supervisory staff to operationalize activities. Delegates, supervises personnel, solves problems, makes decisions and develops systems and processes for successful integration and implementation. Participates in interviewing, hiring, scheduling, training and evaluation of staff. Ensures the quality, consistency and timeliness of the facility coding and health record documentation comply with federal and state regulations. Independently carries out and is accountable for daily operations and other assigned activities. Seeks guidance from the Director and/or upper management for unusual or unanticipated circumstances that require deviation from policy/practice or allocation of funds to resolve. Performs other duties as assigned.
Experience, Education and Training Minimum: Bachelor's degree in nursing with current Virginia state license as a Registered Nurse or Registered Nurse holding a valid Compact State license required OR Bachelor's degree in Health Information Management through an AHIMA approved program with registration as a RHIA required. Certification as a CCDS or CDIP required. One year of hospital inpatient coding required. Three to five years of progressively more responsible hospital based coding and related activities including a minimum of one year of management experience required. Professional knowledge of DRG, APC and other reimbursement methodologies as well as official coding guidelines required. Knowledge of medical terminology, A&P, disease processes and pharmacology drug names required. Proficient in MS Office Suite. Must be able to plan, supervise and establish a professional working environment within areas of responsibility. Besides managerial activities, must possess the ability to identify problems and implement solutions for operational and organizational issues. Interpersonal and leadership skills necessary in order to direct and assign work to subordinates, explain hospital and department policies and procedures, and communicate effectively with other professionals.