Manager, Clinical Documentation Integrity

🕒 il y a 19 jours

🇺🇸 États-Unis – Télétravail

💵 $115 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

🏥📝 Rédacteur Médical

👻 Score fantôme 0%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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TGH Senior Center Powered by Greenbrook Medical

Site WebLinkedInTous les Emplois

2 - 10 employés

Fondée en 2024

🏥 Santé

⚕️ Assurance santé

👥 B2C

Healthcare • Healthcare Insurance • B2C

TGH Senior Center, propulsé par Greenbrook Medical, est un groupe de soins primaires dédié aux adultes de 65 ans et plus, lancé en partenariat avec Tampa General Hospital et propulsé par Greenbrook Medical. La pratique offre des soins primaires axés sur les seniors, basés sur la relation, avec des visites plus longues, des temps d'attente réduits et un accès 24/7 à l'équipe de soins. Elle propose des services sur site tels que des services de laboratoire, des tests ECG et de circulation, des tests de fonction pulmonaire (PFT), des injections articulaires, et des biopsies cutanées. Les affections courantes traitées incluent l'arthrite, le diabète, l'hypertension artérielle, l'hypercholestérolémie, les maladies cardiaques et la BPCO. Les emplacements incluent Brandon, Riverview et Spring Hill, et le centre accepte les plans Medicare, y compris UnitedHealthcare MA.

Description

• Lead day-to-day operations of prospective and concurrent CDI review processes • Set and enforce quality, productivity, and turnaround-time standards • Monitor work queues and workflow, identifying bottlenecks • Lead team huddles, 1:1s, coaching conversations, and performance discussions • Manage schedules, coverage, timecards, and time-off requests • Serve as the escalation point for coding questions and challenges • Own onboarding, training plans, resources, workflows, and readiness assessments for new CDI specialists • Coach team members on technical knowledge, quality, productivity, and professional growth • Track accuracy, quality, production, turnaround time, and other CDI metrics • Identify trends, root causes, and improvement opportunities • Partner on audits, scoring methodology, follow-up reviews, and quality improvement • Build and improve SOPs, workflows, job aids, documentation standards, coding best practices, and internal guidance • Partner with physician leadership, clinical teams, Medical Records, retrieval, billing, claims, and operational teams • Translate complex coding and documentation requirements into practical guidance • Ensure alignment with ICD-10-CM guidelines, CMS-HCC risk-adjustment requirements, payer policies, and applicable regulations • Support audit readiness, including RADV and other regulatory or payer reviews

🎯 Exigences

• 5+ years of experience in clinical documentation integrity, risk adjustment, or HCC coding, including experience supporting Medicare Advantage populations • Experience leading, coaching, or supervising others and holding a team accountable to clear performance standards • Deep knowledge of ICD-10-CM and CMS-HCC risk-adjustment methodology, including V24 and V28 • Strong experience working alongside physicians and clinical teams on documentation quality • Active coding credential such as CRC, CPC, CCS, RHIT, or RHIA • Associate's or Bachelor's degree in Health Information Management, nursing, or a related field, or equivalent relevant experience • Experience working with EHRs and CDI, coding, or risk-adjustment platforms • Strong judgment when navigating complex compliance, quality, and performance issues • CRC certification, with CDIP or CCDS considered a plus • Experience building training programs, provider education, SOPs, or workflows • Ability to coach technical teams without micromanaging • Comfort using data and performance metrics to identify problems and drive improvement • Ability to explain complex coding and documentation requirements clearly to coders, physicians, and non-technical stakeholders • Ability to take ownership and solve problems • Ability to thrive in a structured, deadline-driven environment where details matter • Collaborative, supportive leadership style • Judgment and discretion to handle sensitive performance and compliance matters

🏖️ Avantages

• Generous annual performance bonus (add commission if applicable) • Health, dental, and vision insurance • Paid time off • 401(k) with company match • Opportunities to grow skills and take on new challenges • Reasonable accommodations during the recruitment process