Supervisor, Clinical Documentation Integrity (CDI) (Remote)

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POSITION PURPOSE                        

At the direction of the Regional Manager, Clinical Documentation Integrity (CDI), this position supervises daily operations of the CDI program for the Health Ministries (HMs) within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. 

Working with the Regional Manager, Clinical Documentation Integrity, is directly responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. Ensures that defined goals are accomplished utilizing timely and compliant processes within the region and in concert with the Trinity Health System Office CDI program standards, policies, procedures and workflows. 

Assists with policy and education development on the use of guidelines and proper documentation requirements as it relates to reimbursement and other clinical data quality management for colleague training. Provides quality and productivity monitoring; coordinates and participates in performance improvement initiatives. Provides training and education to clinical documentation specialists (CDS) to enhance clinical and coding skill sets and optimal utilization of the 3M CDI software. Responsible for scheduling and work assignments for colleagues. 

Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports the patient’s severity of illness, risk of mortality, clinical validity and proper DRG assignment.

ESSENTIAL FUNCTIONS

Knows, understands, incorporates, and demonstrates the mission, vision, and values of the Ministry in leadership behaviors, practices, and decisions.

Directly supervises the daily operations for the CDI team who work onsite and remotely. 

Communicates effectively with staff to ensure defined regional and/or system goals are met.

Maintains current knowledge of the MS-DRG system, CCs/MCCs, impact on quality, risk of mortality, severity of illness and CMI as well as ICD-10 coding systems and the guidelines related to Clinical Documentation Integrity.

Facilitates appropriate clinical documentation to ensure that the severity of illness, risk of mortality and level of services provided are accurately reflected in the health record. 

Assists in overall quality, timeliness and completeness of the quality health record to ensure appropriate data, provider communication and quality outcomes. Serves as a resource for appropriate clinical documentation.   

Responsible for scheduling and staffing assignments for the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator positions, facilitating management of personal time off and schedule change requests, assuring adequate staffing is in place. Monitors time and attendance system along with maintaining attendance records. Coordinates the work of external resources when used.

Along with the Clinical Documentation …