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Manager, Clinical Documentation Integrity

$105.66k - $158.5k

Adventist HealthCare

If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Overview Adventist HealthCare Support Center seeks to hire an experienced Clinical Documentation Manager who will embrace our mission to extend God’s care through the ministry of physical, mental, and spiritual healing. Responsibilities Responsible for initiating, influencing, and overseeing the effectiveness of the CDI program across the AHC system, including productivity, quality, education, training, auditing, and performance improvement. Manage the full employee lifecycle with recruiting support, interviewing, selection, onboarding, orientation, competency validation, coaching, corrective action, and termination, and build a repeatable onboarding program with 30/60/90-day plans, checklists, EHR/CDI tool training, query quality standards and escalation training. Oversee daily operations of the CDI team, track and analyze program performance and team productivity, support internal/external audits and denial prevention strategies, and translate findings into training and workflow changes. Serve as a liaison between CDI, Coding, HIM, and clinical staff to facilitate collaboration, resolve issues, implement repeatable processes, ensure consistent application of documentation standards and policies, and advocate for CDI best practices. Act as a super-user for CDI operations with the ability to optimize CDI software, worklists, flags, templates, smart phrases, query formats, and reporting views; partner with IT/Clinical informatics to improve EHR workflows that impact documentation; maintain clean, auditable documentation for processes, training materials, policies and communications. Trend, track and communicate program performance using dashboards and structured reporting with productivity, query metrics, financial impact, quality outcomes and denials and clinical validation trends; present performance and action plans to leadership with clear narrative and next steps. Communicate program updates, risks, or needs, and actively resolve or mitigate risks; continuously develop expertise in CDI guidelines, documentation trends and steps to support front-line documentation review activities during staffing shortages or special projects. Qualifications Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), Registered Nurse (RN), Pharmacist, or Doctor of Physical Therapy. RHIA, RHIT, or related clinical/allied health degree. Minimum of 8-10 years inpatient clinical experience. 2+ years of clinical documentation, coding, case management, utilization review, or acute-care clinical experience. Experience interpreting physician documentation, lab results, imaging, and clinical indicators. Experience with ICD-10-CM/PCS, DRGs, SOI/ROM or HCC is a plus. Lean Six Sigma Green belt preferred. Minimum of 1 year; 2 years preferred for certain certifications. Required and active certification for CCDS (Certified Clinical Documentation Specialist), CDIP (Clinical Documentation Improvement Practitioner) or equivalent. Other preferred certifications: Certified Documentation Expert Inpatient (CDEI), Certified Coding Specialist (CCS). Maintains current working knowledge of Coding Clinic Guidelines and federal updates to the DRG system (MS, APR, AP, etc.). Knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes. Proficient in Microsoft Office and data analytics tools. Work Schedule Employment Type: Full-time Hours per Week: 40 hours Typical Daily Schedule: Monday through Friday Shift Type: Day Shift Weekend Requirements: No Weekends Competitive Performance Incentive: Eligible Pay Range

USD 105,664.42 - 158,496.00

Benefits Work life balance through nonrotating shifts Recognition and rewards for professional expertise Free Employee parking Medical, Prescription, Dental, and Vision coverage for employees and eligible dependents effective on hire date Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D (short‑term disability buy‑up available) Paid Time Off Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period Voluntary benefits including flexible spending accounts, legal plans, and life, pet, auto, home, long‑term care, and critical illness & accident insurance Subsidized childcare at participating childcare centers Tuition Reimbursement Employee Assistance Program (EAP) support Equal Employment Opportunity Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission‑centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law. Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization; however, it will endeavor to provide reasonable accommodations for applicants’ religious beliefs. COVID‑19 Vaccination Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID‑19 before commencing employment. Applicants may be required to furnish proof of vaccination. Tobacco and Drug Statement Tobacco use is a well‑recognized preventable cause of death in the United States and an important public health issue. To promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use. While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result. Adventist HealthCare will withdraw offers of employment to applicants who test positive for cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re‑apply in 90 days if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow‑up testing. Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office. #J-18808-Ljbffr Adventist HealthCare

Vacancy posted 3 days ago
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