Quality & Risk Manager

🔥 0 minutes ago

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🎲 Risk

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St. Tammany Health System

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1001 - 5000 employees

A full-service acute care facility delivering world-class healthcare and the latest technology, St. Tammany Health System provides today’s life-improving procedures with the utmost care and emphasis on wellness, prevention and disease management. STHS is a self-supporting not-for-profit community health system that receives no tax funding. At STHS, we believe it’s easy to care when you love your job, and it’s easy to love your job when you’re respected, appreciated and consulted.

📋 Description

• Provides strategic and operational leadership for clinical documentation programs • Supports quality reporting, severity of illness and risk of mortality (SOI/ROM), value-based reimbursement, and risk-adjusted outcomes • Oversees CDI/CDE staff and conducts documentation audits • Ensures compliance with regulatory and risk‑based reimbursement requirements • Identifies documentation gaps and trends and drives continuous improvement initiatives • Promotes operational efficiency and documentation excellence across the organization • Collaborates closely with physicians, coding teams, and CDI/CDE advisors to enhance documentation quality • Develops and delivers targeted education on documentation best practices

🎯 Requirements

• Graduate of an accredited School of Nursing • 5 years of clinical experience in an acute or ambulatory care setting • 3-5 years of leading/managing a clinical documentation team • Current State Registered Nurse License • Excellent written, verbal, and interpersonal communication skills • Demonstrated leadership and team-building abilities • Strong analytical and critical-thinking skills • In-depth knowledge of clinical documentation requirements, ICD‑10‑CM coding guidelines, and risk‑adjustment methodologies • Ability to maintain current knowledge of regulatory requirements, industry trends, and emerging risk‑adjustment and documentation programs • Experience managing departmental operations • Strong organizational, planning, and time‑management skills • Proficiency with Microsoft Office applications and clinical documentation and coding tools

🏖️ Benefits

• Competitive salary • Professional development opportunities • Flexible working arrangements