Clinical Documentation Improvement Specialist Job at Insight Global, Phoenix, AZ

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  • Insight Global
  • Phoenix, AZ

Job Description

Job Description

Job Description

Under the direction of the CDI (Clinical Documentation Improvement) Manager, the CDI Supervisor oversees day-to- day operations of the Clinical Documentation Program. The responsibility of the CDI Supervisor is to implement the Inpatient and Outpatient CDI Program operations and outcomes, and ensures practices are followed throughout the entire system. The CDI Supervisor will support all department efforts. The CDI Supervisor will be knowledgeable regarding the Centers for Medicare and Medicaid Services (CMS) Quality Initiatives, Hospital & physician Value Based Purchasing, Inpatient/Outpatient Perspective Payment Systems, Hierarchical Conditions Categories (HCC), Risk adjustment methodology, Meaningful Use, and AHIMA Query Guidelines. Duties include oversight of CDI workflow, data collection, analysis and reporting to ensure ongoing compliance with all CDI practices. In addition, the supervisor will be responsible to act as a liaison with internal and external parties on matters related to CDI. This position is considered a hybrid position requiring some on-site and some remote work.

 

Requires knowledge of clinical documentation guidelines and compliance standards.
Requires intermediate computer skills including typing skills and use of Microsoft applications.
Prefer hands-on experience and knowledge of Encoder Software, Denial Software, EMR system and CDI chart review requirements, and other data base software.
Must have the ability to supervise and coordinate the work of subordinate personnel in a manner conducive to full performance and high morale.
Must be approachable, people oriented, and a good listener.
Must be able to communicate effectively and have excellent customer service skills.
Must be a change agent able to develop, implement and maintain policies and processes. Requires the ability to be a creative, independent thinker.
Must exhibit a high degree of professionalism, customer service, and enthusiasm. Must possess solid analytical and problem-solving skills.
Requires the ability to read, write and speak effectively in English.
Utilizes personal vehicle to routinely travel to assigned ambulatory clinic sites to provide formal and informal education to ambulatory clinic providers.

Education or equivalency:
Requires an associate degree in Nursing; or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work. A Bachelor’s Degree in Nursing or Health Information Management or related field is preferred.

Experience:
Must have a minimum of five (5) years of clinical documentation related experience that demonstrates a solid understanding of the required knowledge, skills, and abilities.
Prior experience must include direct or indirect supervisory experience. Electronic Health Record experience is required. Prefer experience in providing classroom and/or on-site training.

Specialized training:
Required experience with encoder software, EMR electronic system, & Microsoft office products. Prefer formal training on Physician Query process.

Certification/licensure:
Requires a current, valid AZ RN license or valid compact RN licensure for current state of practice. Requires a Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Professional (CDIP) certification must be obtained within twenty-four (24) months of hire.
Prefers a coding certification as a CCS/CCS-P/CIC/COC. Prefers a CRC certification.

 

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