Manager, Clinical Documentation Integrity

🕒 September 25

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $44 - $77 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 14%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 46 days.
• Jobs at this company usually fill in 21 days.

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Carle Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

⚕️ Healthcare Insurance

🏥 Healthcare

📚 Education

Healthcare Insurance • Healthcare • Education

Carle Health is a comprehensive healthcare provider dedicated to managing the health needs of its community. Offering a wide range of services, from general medical care to specialized treatments in oncology, cardiovascular, pediatrics, and women's health, Carle Health emphasizes quality patient care and community health initiatives. Additionally, it supports education and research through the Carle Illinois College of Medicine and engages in community health programs that aim to improve overall well-being.

📋 Description

• Oversee daily operations of the Carle Health Clinical Documentation Integrity program • Manage, hire, train, and evaluate the CDI team • Conduct professional development plans • Ensure productivity, accuracy, quality, timeliness, and compliance standards are met • Monitor and optimize case mix index, mortality, and severity of illness metrics • Collect, analyze, and present CDI, provider, query, and documentation data • Develop and execute CDI process improvement projects • Collaborate with HIM physician advisors, medical staff leaders, vendors, coding leadership, and Revenue Cycle leaders • Develop and implement education for providers, medical staff, coders, CDI staff, and other employees • Review and develop policies and procedures supporting compliant CDI workflows • Develop reports and communicate CDI metrics to internal and external teams • Work with software vendors and external consulting groups • Ensure software efficacy, data integrity, and vendor contractual compliance • Participate in and lead multidisciplinary teams developing Clinical Documentation Improvement best practices • Provide feedback on exceptional and substandard CDI performance • Present CDI metrics at department and external meetings • Evaluate ongoing requirements for coding and DRG assignment yearly with coding managers • Assist the HIM Director with CDI department budgeting

🎯 Requirements

• RHIA or CCS certification, or Licensed Registered Professional Nurse (RN) within 6 months if licensed in another state • Bachelor's Degree in Nursing or Health Information Administration • 3 years of healthcare management experience • 3 years of inpatient coding and/or clinical documentation experience • Well versed in Microsoft Office tools, especially Excel • Well versed in Epic • Up to date on all coding guidelines • Familiar with Medicare coding guidelines and rules • Excellent verbal and written communication skills

🏖️ Benefits

• Comprehensive benefits package • Equal Opportunity Employer • Potential for growth and life-long careers • Carle Experience and Carle Behavior Standards support and guidance

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