Clinical Documentation Improvement Manager - People Leader
Apply NowCompany: BJC Healthcare
Location: Saint Louis, MO 63129
Description:
Additional Information About the Role
Join the BJC Health in a system wide Clinical Documentation Improvement Manager role. This role directly affects the financial impact of the system by ensuring claims data are correct through clinical validation inquires requesting clarification from medical providers.
Ideal experience
Master's prepared Registered Nurse (RN)
ICU prepared, Emergency prepared, and case management
5 years of Leadership/Supervisor experience
2 years of clinical documentation improvement experience
Locations
Community South - Memorial (Belleville/Shiloh), Missouri Baptist Medical Center, Missouri Baptist Sullivan, Parkland Health Center
Some crossover with other hospitals in the system.
#LI-TP1
Overview
BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC's patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children's Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
Preferred Qualifications
Role Purpose
The Clinical Documentation Improvement Manager oversees the clinical documentation improvement (CDI) program, identifying and focusing on areas of improvement through analysis and interpretation of operational, financial, compliance & quality rating reports. This position manages various operational matters, to include the appropriate scheduling and coverage of reviews, query development and auditing, educating providers, monitoring the program, and refining processes to clarify record documentation. The CDI Manager serves as a resource to provider and administration regarding issues related to the appropriateness of inpatient DRG assignment. Additionally, this position works collaboratively with the CDI team to facilitate documentation within the medical record that supports patient's severity of illness and risk of mortality utilizing strong communication skills with providers, case manager, utilization reviewer, nurse or other healthcare professionals, utilizing appropriate querying tools to capture needed documentation.
Responsibilities
Hire, train, assign work, manage & evaluate performance, conduct professional development plans; ensure that the productivity and actions of that group meet/support the overall operational goals of the department as established by department leadership Develops and adheres to departmental staffing, revenue and/or expense budgets. Responds to changes in the business which may affect the ability to achieve the budget goals. Assures policies and procedures support best practices for CDI program and clinical documentation staff; ensures all compliance and regulatory standards are met. Manages provider engagement; collaborates with the CMO office, physician leaders/liaisons and other resources to clarify and/or otherwise improve documentation in order to accurately support diagnosis and quality indicators for care rendered to patients. Develops and implements clinical documentation program to improve the accuracy of the medical record and the quality of patient care reported; coordinates the development of multi-disciplinary teams in setting clinical documentation standards; provides guidance to Case Management, physicians, and hospital staff regarding documentation for correct coding and compliance necessary for increased Case Management Index (CMI), decreased Length of Stay (LOS), and optimal resource utilization. Develops department and organization projects related to documentation improvement; collaborates with enterprise CDI for standards in content, process, and technologies.
Minimum Requirements
Education
Bachelor's Degree - Nursing
Experience
5-10 years
Supervisor Experience
2-5 years
Licenses & Certifications
RN
Preferred Requirements
Education
Master's Degree - Nursing
Experience
10+ years
Supervisor Experience
5-10 years
Licenses & Certifications
Cert Clinical Documentation Certified Coding Spec Cert Doc Improve Practitioner Certified Rev Cycle Rep
Benefits and Legal Statement
BJC Total Rewards
At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
To learn more, go to www.bjctotalrewards.com/Benefits
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
Join the BJC Health in a system wide Clinical Documentation Improvement Manager role. This role directly affects the financial impact of the system by ensuring claims data are correct through clinical validation inquires requesting clarification from medical providers.
Ideal experience
Master's prepared Registered Nurse (RN)
ICU prepared, Emergency prepared, and case management
5 years of Leadership/Supervisor experience
2 years of clinical documentation improvement experience
Locations
Community South - Memorial (Belleville/Shiloh), Missouri Baptist Medical Center, Missouri Baptist Sullivan, Parkland Health Center
Some crossover with other hospitals in the system.
#LI-TP1
Overview
BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.
BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.
BJC's patients have access to the latest advances in medical science and technology through a formal affiliation between Barnes-Jewish Hospital and St. Louis Children's Hospital with the renowned Washington University School of Medicine, which consistently ranks among the top medical schools in the country.
Preferred Qualifications
Role Purpose
The Clinical Documentation Improvement Manager oversees the clinical documentation improvement (CDI) program, identifying and focusing on areas of improvement through analysis and interpretation of operational, financial, compliance & quality rating reports. This position manages various operational matters, to include the appropriate scheduling and coverage of reviews, query development and auditing, educating providers, monitoring the program, and refining processes to clarify record documentation. The CDI Manager serves as a resource to provider and administration regarding issues related to the appropriateness of inpatient DRG assignment. Additionally, this position works collaboratively with the CDI team to facilitate documentation within the medical record that supports patient's severity of illness and risk of mortality utilizing strong communication skills with providers, case manager, utilization reviewer, nurse or other healthcare professionals, utilizing appropriate querying tools to capture needed documentation.
Responsibilities
Minimum Requirements
Education
Experience
Supervisor Experience
Licenses & Certifications
Preferred Requirements
Education
Experience
Supervisor Experience
Licenses & Certifications
Benefits and Legal Statement
BJC Total Rewards
At BJC we're committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
- Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
- Disability insurance* paid for by BJC
- Pension Plan*/403(b) Plan funded by BJC
- 401(k) plan with BJC match
- Tuition Assistance available on first day
- BJC Institute for Learning and Development
- Health Care and Dependent Care Flexible Spending Accounts
- Paid Time Off benefit combines vacation, sick days, holidays and personal time
- Adoption assistance
To learn more, go to www.bjctotalrewards.com/Benefits
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer