CDI Optimization Specialist

🕒 il y a 29 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Sage Clinical RCM, LLC

Sage Clinical RCM, LLC

51 - 200 employés

Fondée en 2024

🏥 Santé

☁️ SaaS

🤝 B2B

Healthcare • SaaS • B2B

Sage Clinical RCM est une entreprise de gestion du cycle de revenus de la santé qui allie technologie propriétaire à une expertise clinique et financière pour offrir des solutions RCM de bout en bout, de l'accès des patients à la clôture financière. La société propose des services de conseil, des opérations de gestion du cycle de revenus, l'adoption de technologies (y compris l'amélioration de la documentation clinique et la codification autonome), l'augmentation de la main-d'œuvre (codification, documentation, RCM, conseils aux médecins) et des plateformes pilotées par les analyses (Sage IQ : Validity et VERO) qui utilisent l'automatisation et l'IA pour unifier la codification, la documentation, la performance des fournisseurs, la conformité et le reporting financier pour les organisations de santé.

Description

• Lead the workforce, productivity and regional operations workstream for a large enterprise CDI transformation • Inventory staffing, schedules, vacancies, organizational structure and work distribution across corporate, regional and local CDI teams • Analyze review volumes, productivity, coverage, backlog and case complexity; reconcile variation before recommending targets • Build demand-based staffing models and coverage scenarios • Identify duplication, avoidable handoffs and opportunities for regional load balancing • Redesign review sequencing and prioritization with clinical and workflow specialists • Implement productivity scorecards, coaching thresholds and escalation routines • Train managers to use operational tools consistently • Support regional coverage changes while monitoring physician query burden and downstream effects on coding and pre-bill teams • Maintain evidence supporting executive staffing decisions • Recommend corrective action when quality, coverage or workload stability is at risk • May support related Sage client work as capacity allows

🎯 Exigences

• Active RN license or another relevant clinical license • At least three years of clinical documentation integrity experience • CCDS, CDIP or CCS credential • Demonstrated skill in Excel analysis, CDI workqueue interpretation and workflow improvement • Ability to explain staffing assumptions clearly and coach operational leaders through change • Preferred: Multi-facility CDI management experience • Preferred: Epic reporting or workflow experience

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