Manager, Ambulatory Clinical Documentation Integrity
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Job Description
Manager overseeing Ambulatory Clinical Documentation Integrity programs for Trinity Health. Leading strategic oversight and ensuring coding compliance for effective healthcare documentation.
Responsibilities:
- Accountable for leading, guiding & directing the functional responsibilities within an area of assignment.
- Enable ministry-level or enterprise-wide functional strategy to address internal or external business & regulatory issues.
- Provide functional expertise & ensure fulfillment of performance & service standards.
- Responsible for measuring & reporting KPIs / metrics &value delivery.
- Providing advice, guidance & leadership for the colleague life cycle.
- Knowledge of Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.
- Collaborates with Services Areas, Regions & Health Ministries to ensure consistency & integration of strategy & operations while maintaining awareness of new industry developments & standards.
Requirements:
- Bachelor’s degree in Business Administration, Healthcare Administration, Nursing or related field, or equivalent combination of education & experience
- Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting experience, with progressive responsibility in management or leadership experiences in clinical documentation integrity, coding, healthcare quality or equivalent
- Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist – Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience
- Ambulatory or outpatient experience with Medicare, Medicaid & other third-party billing rules & regulations
Benefits:
- Maintains a Working Knowledge of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.
- Assists in the development of software applications in assigned areas while identifying & resolving trends with process gaps causing errors in documentation.
- Develops & sustains working relationships with providers, advanced practice providers & administrators to promote success of the Clinical Documentation Integrity program.
- Ensures educational materials & programs are available to staff & providers around complete & compliant documentation.
- Oversee Vendor / Contract Labor Management including centralizing strategy & optimizing spend.
- Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives.
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