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CLINICAL DOCUMENTATION MANAGER

Registry Ally, Inc.

Clinical Documentation ManagerOn Site Clinical Documentation Manager for a large healthcare system in Orange, CA Full Time Permanent Position Highly Competitive Salary Excellent BenefitsJob Summary:The Clinical Documentation Manager is responsible for the leadership and management of the Clinical Documentation Improvement (CDI) Program. This position is accountable for budgeting, planning and monitoring budget variances, etc. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies ACDIS & AHIMA guidelines for compliant query, as well as hospital policies and procedures. Incumbent facilitates the improvement in the overall quality, completeness, and accuracy of medical record documentation through comprehensive review and evaluation of the medical record. Proactively seeks clarification from physicians and other healthcare providers when further specificity is needed to ensure. The CDI Manager educates senior leaders and physicians on documentation guidelines on an ongoing basis.Requirements:Active and unrestricted California RN or Nurse Practitioner LicenseMaster's Degree in Nursing or other healthcare related fieldMinimum 7 years of clinical RN experience5 years' experience as a CDI SpecialistPrevious lead or supervisory experienceFamiliarity with Utilization Review criteriaKnowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirementsCDI Credential (CCDS, CDIP)Electronic Health Record experience 3M, EpicKnowledge of ICD-10 CM and CPT codingAbility to establish and maintain effective working relationships across the Health SystemAbility to maintain a work pace appropriate to the workloadMust demonstrate customer service skills appropriate to the jobComplete understanding of acuity levels for specific patient populationsExcellent written and verbal communication skills in EnglishStrong clinical knowledge with ability to interpret clinical documentationPreferred Qualifications:Previous experience with comprehensive chart / record reviewKnowledge of patient safety strategiesCCS or CPC Coding CredentialKnowledge of quality improvement methodologiesKnowledge of University and medical center organizations, policies, procedures and forms

Vacancy posted 3 days ago
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