Clinical Documentation Integrity Manager RN

All the benefits and perks you need for you and your family : + Benefits and Paid Days Off from Day One + Paid Parental Leave + Debt-free Education (Certifications and Degrees without out-of-pocket tuition expense) + Student Loan Repayment Program + Whole Person Well-being and Mental Health Resources Our promise to you : Joining AdventHealth is about being part of something bigger.

It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.

AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.

Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule : Full-time, Exempt Shift : Days Location : AdventHealth Daytona Beach 301 Memorial Medical Parkway, Daytona Beach, 32117 The role you’ll contribute : The Clinical Documentation Manager / Educator serves the AdventHealth Clinical Documentation Integrity (CDI) department for the region.

This role will oversee the review processes of complex patients that vary in age and have different developments in the acute and chronic disease states.

Must have proven leadership and management skills that will promote effective and efficient review of physician documentation that supports the patient’s level of care and develop action plans for improvement.

Must have knowledge and job experience in management of processes, system implementations, and project management. The Regional Clinical Documentation Manager / Educator will report directly to the Regional Clinical Documentation Director and will work extensively with CDI teams, physicians, Chief Medical Officers and Chief Nursing Officers of the current 7 hospitals in the North Florida Division in a matrix relationship to coordinate the efficient review and documentation capture of the underlying conditions that are supported by the physicians’ secondary review of the patient record, upon request of the clinical documentation team members.

The Regional Manager / Educator will collaborate with interdisciplinary teams including the physicians, midlevels, Quality Assurance, Revenue Integrity, Coding, Data Quality, Case Management, and HIM and all AdventHealth System corporate departments, including but not limited to, Office of Clinical Effectiveness, and Information Technology.

Develops, assesses, plans, implements, and evaluates procedures and processes for the system, offers continuing education, process improvement, and change management.

Is actively involved in future planning and strategic development for system CDI needs, to include policy development, program development, ongoing audits for the system level and campus level, and quality improvement efforts.

Works under general supervision and utilizes critical thinking skills. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

The value you’ll bring to the team : + Maintains knowledge of all federal, state, and local documentation guidelines and communicates changes to all CDI staff;

extensive knowledge of I10 and coding guidelines. + Develops, produces, and delivers training for CDI on an ongoing basis.

This includes monthly New Hire CDI training, CDI Preceptor Program, and on an as needed basis for current employees in the CDI Department.

Responsible for the hiring process for CDI departments. Completes performance evaluations timely and is involved in employee counseling, coaching and termination per policy.

Provides orientation for new employees and ensures compliance with department policy and procedure. Maintains high levels of employee engagement and job performance by providing recognition and opportunities for learning.

Ability to appropriately handle stress and interact with others. + Audits new CDI members during their 90 day probationary period.

Presents written and verbal updates to the CDI Managers and the CDI Director. Provides additional education based on results of audit and provides input for the 90 Day Evaluation.

• Audits 10% of reconciled cases for each campus on a monthly basis for the following scorecards : CDI Campus, CDI System, and AHS-Corporate.
• Supports the hospitals’ quality operating systems by generating and analyzing data and reports to identify opportunities for continuous growth and improvement;
• provides feedback to site-based teams and administrators, develops and implements action plans when appropriate. + Develops and monitors implementation of market departmental goals / objectives;

oversees the performance improvement process for all acute care facilities within the west FL division. + Monitors CDI computer applications and performs quarterly testing updates as needed (Iodine).

• Maintains CDI website by reviewing and updating content on a regular basis. This includes but is not limited to CDI regulatory information.
• Reviews and revises CDI Policies and Job Descriptions annually, or as needed. + Identifies resources in the community and coordinates education opportunities for CDI staff including webinars and continuing education.
• Acts as the SME (Subject Matter Expert) for Clinical Documentation for Revenue Cycle related projects. + Meets regularly with the acute care site and regional based Physician Advisor designee.
• Assist with regional budgets and operates within the budgetary targets; develops and implements site facility work plans;

collaborates with all members of the health care team to ensure CDI success. + Acts as a liaison between CDI leadership, staff members of the Revenue Cycle, other interdisciplinary team members at all applicable levels of leadership, and external partners.

Communicates appropriately and effectively with all involved parties. The expertise and experiences you’ll need to succeed : Minimum qualifications : + Bachelor’s degree in Nursing (BSN) + Current valid State of Florida or multi state license as a Registered Nurse + Five years of acute clinical experience + Experience in Clinical Documentation Improvement and Acute Care + Broad knowledge of health care regulations.

The ability to interpret reports and provide education based on results. + Extensive knowledge of reimbursement systems;

federal, state and payer-specific regulations and policies pertaining to documentation and coding. + Knowledge of medical record investigative review Preferred qualifications : + Master’s degree in Nursing Education or related health care related field + Experience educating in a healthcare or Clinical Documentation Improvement setting + Certified Clinical Documentation Specialist (CCDS) accredited by HCPRO or Association of Clinical Documentation Improvement Specialist + Knowledge of specific AdventHealth computer-based programs (such as Clintegrity, Iodine, and Cerner) + Familiarity with Center for Medicare and Medicaid Services Programs + Ability to read, interpret, and strategize future projects, bringing future state to reality This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

The salary range reflects the anticipated base pay range for this position. Individual compensation is determined based on skills, experience and other relevant factors within this pay range.

The minimums and maximums for each position may vary based on geographical location. Category : Case Management Organization : AdventHealth Daytona Beach Schedule : Full-time Shift : 1 - Day Req ID : 24038035 We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability / handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.