Supv Clinical Documentation / HIM Clinical Document Mgmt
Clinical Laboratory Partners
Work where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryThe Clinical Documentation Integrity Supervisor provides a key role in facilitating long term success of Clinical Documentation Integrity CDI by providing day to day oversight of the program They also represent and support CDI at the regional facility levels as assignedThe Clinical Documentation Supervisor will work in collaboration with the clinical documentation specialists CDS coding professionals physicians nursing staff and other patient care givers to ensure accurate and timely clinical documentation in the medical record This role supports attaining appropriate DRGs quality outcomes and accurate coding based on sound clinical entries in the medical record The Clinical Documentation Supervisor will provide education support and mentoring of the Clinical Documentation Specialists and ensure correct standard work policies procedures and guidelines are followedPosition ResponsibilitiesKey Areas of ResponsibilityProgram Oversightmiddot Accountability for program and regional success achievement of annual improvement priorities and key performance indicatorsmiddot Day to day oversight and resource to the clinical documentation programmiddot Develop a collaborative and effective clinical documentation team middot Responsible for regionalfacility accurate Case Mix Index CMI mortality observed to expected ratio OE capture of appropriate severity of illness SOI and risk of mortality ROM risk adjustment and hierarchal condition capture HCC codes and other high quality documentation outcome measuresmiddot Management of CDI standard work workflows policies and guidelines consistent with System best practicesmiddot Assist with CDI Coding meetings and facilitate HW work group meetings and activities as neededmiddot Provide CDS team CDI and Revenue Cycle Leadership physician leaders all providers quality management team and coding teams ongoing feedbackmiddot Create relevant reports from Iodine Iodine Optum CAC CDI Epic and facility data Analyze data and recommend action planning to meet organizational and team goals middot Disseminate reports and facility data to leadership teamsmiddot Provide necessary feedback and conflict resolution to clinical documentation teammiddot Track program successes and ongoing opportunities create and initiate action plans as indicated report trends and concerns to CDI ManagerOther Managementmiddot Contributes to the efficient operation of the CDI department by establishing priorities eliminating obstacles and resolving problemsmiddot Provides ongoing feedback coaching and mentoring and assists in recruiting developing and retaining Clinical Documentation Specialists CDS Ensures CDSrsquo continuing education and that requirements for job role are maintained licensing certification other requirements middot Oversees and manages orientation activities for new CDS in collaboration with CDI Quality and Education Specialistmiddot Establishes and maintains performance expectations of their employees and evaluates performance in a timely manner to enable employees to be successful in their roles middot Develops and implements HHC Performance Improvement activities as neededmiddot Conducts timely written Performance Evaluation and discussions under the direction of CDI ManagerDirectormiddot Provides CDI subject matter expert guidance to CDS team coding physician leadership quality management utilization management all providers and others as required middot Assists in developing clinical documentation standard work policies procedures workflows and guidelines and educates staffmiddot Facilitates CDI HW work group as neededmiddot Assists manager with other tasks as necessary provides coverage and back up when manager is absentDocumentation Reviewmiddot Day to day clinical documentation reviews and second level reviews as needed initiate and complete compliant queries and follow up reviews Coaches and mentors CDS on CDI opportunities and compliant queries assists in evaluation and development of query templates and smartphrases middot Inputs review workflows accurate data and CDI query impact into Iodine and EPIC Understands CDI query impact methodology and is able to identify discrepancies and coach CDI team to make needed corrections for query impactmiddot Collaborates with coding leadership to determine appropriate Medicare Severity Diagnosis Related Group MS DRG APR DRGs etc assignment for compliance and reimbursement purposesWork where every moment mattersEvery day more than Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole rather than a single member organizationWith the creation of our new umbrella organization we now have our own identity with a unique payroll benefits performance management system service recognition programs and other common practices across the systemPosition SummaryThe Clinical Documentation Integrity Supervisor provides a key role in facilitating long term success of Clinical Documentation Integrity CDI by providing day to day oversight of the program They also represent and support CDI at the regional facility levels as assignedThe Clinical Documentation Supervisor will work in collaboration with the clinical documentation specialists CDS coding professionals physicians nursing staff and other patient care givers to ensure accurate and timely clinical documentation in the medical record This role supports attaining appropriate DRGs quality outcomes and accurate coding based on sound clinical entries in the medical record The Clinical Documentation Supervisor will provide education support and mentoring of the Clinical Documentation Specialists and ensure correct standard work policies procedures and guidelines are followedPosition ResponsibilitiesKey Areas of ResponsibilityProgram Oversightmiddot Accountability for program and regional success achievement of annual improvement priorities and key performance indicatorsmiddot Day to day oversight and resource to the clinical documentation programmiddot Develop a collaborative and effective clinical documentation team middot Responsible for regionalfacility accurate Case Mix Index CMI mortality observed to expected ratio OE capture of appropriate severity of illness SOI and risk of mortality ROM risk adjustment and hierarchal condition capture HCC codes and other high quality documentation outcome measuresmiddot Management of CDI standard work workflows policies and guidelines consistent with System best practicesmiddot Assist with CDI Coding meetings and facilitate HW work group meetings and activities as neededmiddot Provide CDS team CDI and Revenue Cycle Leadership physician leaders all providers quality management team and coding teams ongoing feedbackmiddot Create relevant reports from Iodine Iodine Optum CAC CDI Epic and facility data Analyze data and recommend action planning to meet organizational and team goals middot Disseminate reports and facility data to leadership teamsmiddot Provide necessary feedback and conflict resolution to clinical documentation teammiddot Track program successes and ongoing opportunities create and initiate action plans as indicated report trends and concerns to CDI ManagerOther Managementmiddot Contributes to the efficient operation of the CDI department by establishing priorities eliminating obstacles and resolving problemsmiddot Provides ongoing feedback coaching and mentoring and assists in recruiting developing and retaining Clinical Documentation Specialists CDS Ensures CDSrsquo continuing education and that requirements for job role are maintained licensing certification other requirements middot Oversees and manages orientation activities for new CDS in collaboration with CDI Quality and Education Specialistmiddot Establishes and maintains performance expectations of their employees and evaluates performance in a timely manner to enable employees to be successful in their roles middot Develops and implements HHC Performance Improvement activities as neededmiddot Conducts timely written Performance Evaluation and discussions under the direction of CDI ManagerDirectormiddot Provides CDI subject matter expert guidance to CDS team coding physician leadership quality management utilization management all providers and others as required middot Assists in developing clinical documentation standard work policies procedures workflows and guidelines and educates staffmiddot Facilitates CDI HW work group as neededmiddot Assists manager with other tasks as necessary provides coverage and back up when manager is absentDocumentation Reviewmiddot Day to day clinical documentation reviews and second level reviews as needed initiate and complete compliant queries and follow up reviews Coaches and mentors CDS on CDI opportunities and compliant queries assists in evaluation and development of query templates and smartphrases middot Inputs review workflows accurate data and CDI query impact into Iodine and EPIC Understands CDI query impact methodology and is able to identify discrepancies and coach CDI team to make needed corrections for query impactmiddot Collaborates with coding leadership to determine appropriate Medicare Severity Diagnosis Related Group MS DRG APR DRGs etc assignment for compliance and reimbursement purposesEducationmiddot Bachelor degree or equivalent experience Experiencemiddot Minimum Registered Nurse RN with years CDS experiencemiddot Preferred o RN with years CDS experience o Previous management experience preferredLicensure Certification Registrationmiddot RN andor Certified Coding Specialist CCSAndmiddot Certified Clinical Documentation Specialist CCDS certification or Certified Clinical Documentation Professional CDIP within year of hireLanguage Skillsmiddot Strong written and verbal communication skillsmiddot Solid analytical capabilitiesmiddot Good organizational skillsmiddot Critical thinking problem solving and deductive reasoning skillsKnowledge Skills and Ability Requirementsmiddot Excellent organizational writing and interpersonal skillsmiddot Understanding and support of clinical documentation integrity and strategies for improvementmiddot Knowledge of Pathophysiology and Disease Processmiddot Working knowledge of clinical information middot Extensive ability to understand and communicate the impact of CCMCCrsquos and other variables on the assignment of the various DRG methodologiesmiddot Specialized understanding and knowledge of ICD CM diagnosis and ICD PCS procedure codesmiddot Strong analytical capabilitiesmiddot Excellent organizational skills strong critical thinking problem solving and deductive reasoning skillsmiddot Strong electronic medical record encoder CDI software andor Computer Assistant Coding CAC skillsStrong ability tomiddot Function independentlymiddot Handle multiple priorities and increasing responsibilitymiddot Able to travel between facilities and regions as neededmiddot Listen and acknowledge ideas and expressions of others attentivelymiddot Converse clearly using appropriate verbal and body languagemiddot Collaborate with others to achieve a common goal through mutual cooperationmiddot Influence others for positive and productive outcomesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour momentEducationmiddot Bachelor degree or equivalent experience Experiencemiddot Minimum Registered Nurse RN with years CDS experiencemiddot Preferred o RN with years CDS experience o Previous management experience preferredLicensure Certification Registrationmiddot RN andor Certified Coding Specialist CCSAndmiddot Certified Clinical Documentation Specialist CCDS certification or Certified Clinical Documentation Professional CDIP within year of hireLanguage Skillsmiddot Strong written and verbal communication skillsmiddot Solid analytical capabilitiesmiddot Good organizational skillsmiddot Critical thinking problem solving and deductive reasoning skillsKnowledge Skills and Ability Requirementsmiddot Excellent organizational writing and interpersonal skillsmiddot Understanding and support of clinical documentation integrity and strategies for improvementmiddot Knowledge of Pathophysiology and Disease Processmiddot Working knowledge of clinical information middot Extensive ability to understand and communicate the impact of CCMCCrsquos and other variables on the assignment of the various DRG methodologiesmiddot Specialized understanding and knowledge of ICD CM diagnosis and ICD PCS procedure codesmiddot Strong analytical capabilitiesmiddot Excellent organizational skills strong critical thinking problem solving and deductive reasoning skillsmiddot Strong electronic medical record encoder CDI software andor Computer Assistant Coding CAC skillsStrong ability tomiddot Function independentlymiddot Handle multiple priorities and increasing responsibilitymiddot Able to travel between facilities and regions as neededmiddot Listen and acknowledge ideas and expressions of others attentivelymiddot Converse clearly using appropriate verbal and body languagemiddot Collaborate with others to achieve a common goal through mutual cooperationmiddot Influence others for positive and productive outcomesWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving employees we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this isyour moment
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