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ID# 001888

VP of Clinical Documentation Improvement

All Med Search
Providence, RI .
United States
858-229-5939 (Main Phone)
Industry
Acute Care
Manages Others
Yes
Experience Required
Yes
Degree Required
Yes
Employment Type
Employee

Job Description

Regional VP of Clinical Documentation Improvement CDI
All Med Search – Providence, RI
Regional VP of Clinical Documentation Improvement CDI

Regional VP of Clinical Documentation Improvement: MUST HAVE ACUTE CARE HOSPITAL EXPERIENCE

The Regional VP of CDI will:

 Provide remote and onsite support and education to coders, physicians, case managers and administration to ensure improved documentation reflecting the quality of care provided

Ensure overall improvement of quality and completeness of clinical documentation and directly manages activities related to improving clinical documentation that is consistent with the mission of the organization and the values critical to the future of the organization

Promote accurate concurrent documentation from all disciplines (physicians, case managers, nurses, dietitians, wound care specialists etc.) to capture best practice documentation for specific diagnoses

Be responsible for supervising CDS and implementing clinical documentation improvement strategies at the various facilities

Institute strategies that will facilitate effective collaboration between the Director/Manager of Health Information Management, Director/Manager of Utilization Review/Case Manager, Administration and other applicable departments as it relates to clinical documentation improvement

Be responsible for coordinating documentation improvement & coding audits, providing physician documentation improvement education and providing CFO/Administrators orientation on documentation improvement activities. This individual will be required to make independent decisions regarding documentation for accurate ICD-9-CM/ICD-10-CM-PCS code assignment

Will be accountable for CDI successes as demonstrated through various indices which include but not limited to accurate Severity of Illness (SOI) / Risk of Mortality (ROM) capture rates, Complicating or Comorbid Condition (CC) / Major Complicating or Comorbid Condition (MCC) capture rates, Case Mix Index (CMI) analysis, physician query- response rates, and tracking financial variances

Review data/metrics with providers at Medical staff meetings as well as on an individual basis with a focus on strategies that will drive improvement as it relates to documentation improvement and denials management

Utilize historic and current data to monitor and track performance and trends, and escalate issues in order to advance improvements

Teach and mentor other CDS on CDI principles and concepts, serving as a resource person to key stakeholders across the organization

Work closely with Physician Advisor(s)/Chief Medical Officer(s) on escalated cases to ensure that the appropriate documentation is added to the medical record, collaborating with the inpatient Coding team and Clinical Informatics team and their leadership to ensure adherence to established processes, and providing second level reviews when necessary.

Evaluate regulatory changes and educate staff appropriately

Have regular, reliable, predictable attendance in the performance of essential functions whiles meeting or exceeding expected timelines on performance level as it relates to personnel, budgeting and reporting responsibilities.

Perform other departmental duties as listed in position description or and as assigned by supervisor(s)

Play an active role in denials management through the formulation of strategies to minimize clinical denials and drafting credible appeals when necessary

This is a regional role that is responsible for multiple facilities

For more information, please apply to this job and send your resume in a word doc to nadia@allmedsearch.com