Aya Healthcare has an exciting 26-Week Contract Opportunity in Phoenix, AZ!
Job Details:
JOB TITLE: CDI Manager
CONTRACT DURATION: 26 Weeks
SHIFT: (5 Days, 8 Hours): 8:00 a.m. – 5:00 p.m. PST, M-F
LOCATION: Phoenix, AZ
PAY: $78.50-$81.50/hr
ONBOARDING TIME: Expect 3-5 weeks from offer acceptance to start date.
APPLICATION REQUIREMENTS (due at time of phone screen with recruiter)
· Copy of diploma for highest level of completed education.
· Two manger/supervisor references who you have worked with in the last year (Name, Company, Phone Number, Email Address)
· Upcoming RTO for the duration of the contract.
· Interview availability for the next 7-10 days.
· Resume with last seven years of work history - all work history gaps of 90+ days must be explained.
DETAILS ABOUT THE POSITION:
· Five (5) years of experience in clinical documentation improvement including at least two (2)
years of supervisory/managerial level activity.
· Required: Minimum of ten (10) years direct clinical experience required.
· Required: Current licensure to practice as a Registered Nurse in the State of Arizona or compact state licensure
· Required: Valid driver’s license
· Required: Professional certification in Clinical Documentation (CCDS or CDIP)
· Required: Professional Certification (CRC) within 30 months
· Required: Hands on Experience with EPIC Electronic Health Record & 3M encoder and Microsoft office software
· Requires a Bachelor of Science in Nursing or a master’s degree in Medicine; or an equivalent combination of training and progressively responsible experience that will result in the required specialized knowledge and abilities to perform the assigned work.
JOB REQUIREMENTS:
Utilizing a hybrid work environment, under the direction of the HIM Director, the CDI Manager provides clinical and administrative leadership to the inpatient and outpatient CDI teams.
Responsible for staff management and development, quality, service excellence, workplace experience and financial outcomes. Partners with organizational leadership to achieve goals to improve provider documentation. Assumes accountability as delegated by the HIM Director.
· Plans, manages, and coordinates a highly trained inpatient and outpatient clinical documentation specialist team.
· Working collaboratively with providers and clinical partners to ensure consistency, accurate, complete, and compliant medical documentation according to the Official Center of Medicare and Medicaid Services (CMS) Coding and reporting Guidelines.
· This position must manage and coordinate all activities related to Inpatient and Outpatient (CDI) operations including establishing policies, procedures, and guidelines for CDI operations.
· The manager facilitates constructive relationships with clinical departments, executive leadership, Contract Management, Revenue Cycle,
· Case Management, Clinical Denials Team, Quality Management, Chief Medical Directors, CDI Physician Advisors,
· Physicians, Mid-levels, Ambulatory Office Managers, and Health Information Management. Develops policies and procedures to support CDI workflow and guidelines. Recruits, hires, and develops clinical documentation nurses to establish, maintain and keep current an effective training program for coding and clinical documentation.
· Meets budget requirements and participates in budget preparation. Provides education to physician, physician office staff as needed to support hospital operations ensuring accurate and complete medical record.
· Educates clinical documentation nurses on issues related to the government mandated Inpatient Perspective Payment Program (MS-DRGs), APR-DRG payors, HCC capture, Outpatient Clinical guidelines and works collaboratively with the coding Supervisors.
JOB SPECIFIC FUNCTIONS
· Uses clinical skills and leadership experience to manage multiple CDI areas through collaboration with the CDI Physician Advisors, HIM Coding Manager, and HIM Director and other various departments, including providers.
· Manages CDI personnel and operations to include personnel management, education, training, workflow analysis, productivity, quality, and report management to ensure achievement of CDI program goals and objectives.
· Monitors and/or performs the DRG Downgrade clinical review denial process and assist the CDI Physician Advisor in State Fair Hearing denial process.
· Co-leads with Coding the PSI Task Team.
· Facilitates appropriate clinical documentation reviews to support accurate assignment of diagnoses and procedure codes, severity of illness, risk of mortality, MCC/CC capture, appropriate POA assignment, PSI, HAC, APC & HCC coding, risk adjustment analysis and provider queries.
· In collaboration with the HIM Coding Manager, establishes and monitors employee workflows, productivity, and quality. Develop and monitor internal key indicator metrics established for the Inpatient & Outpatient CDI Programs.
· Maintain goals and executes action plans as appropriate.
· Conducts data and root cause analysis and communicates clinical documentation opportunities and/or concerns to key stakeholders in a timely and effective manner.
· Assists in creation of presentations of audit review findings and key indicator metrics for
CDI programs.
· Provides leadership to staff to ensure short- and long-term goals are met by the Clinical
Documentation Improvement team by taking responsibility for continuing education to develop best practices and maintain the highest level of clinical documentation improvement for the organization.
· Collaborates with Coding, Denials and Appeals Department in response to documentation denials/appeals on audited claims, documentation initiative, query policies, physician, and staff education.
· Facilitates resolution of conflicts, collaborates with Service Excellence to promote service recovery, and empowers staff in decision making.
· Stimulates the ongoing professional development of the staff.
· Demonstrates responsibility and accountability for personal development, by participating in continuing education offerings.
· Maintains competence related to HCC documentation requirements, ICD-10-CM code assignment and coding guidelines updates.
· Upholds the company’s Corporate Compliance Policy.
· Utilizes software systems to collect and ensure the effectiveness of the data.
· Maintains integrity of data collection by ensuring accurate data entry.
· Demonstrates competence in navigation of software.
· Utilizes software as a resource in ensuring accurate documentation.
· Communication done through software systems is completed in a professional and ethical manner.
· Identifies and reports areas of concern with respect to improper coding and documentation.
· Manages daily CDI program oversight to include productivity, quality, education and training, auditing, report management, performance improvement initiatives and developing standardized practices, processes as well as policies and procedures.
· Manages and reports risk adjusted Hierarchical Condition Category (HCC) capture rate and Risk Adjustment Factor (RAF) accuracy in alignment with managed care contracts, particularly Medicare Advantage plans.
· Tracks/ trend’s metrics and on occasion, presents CDI program compliance and progress related to capturing HCC diagnoses to the Physicians.
· Advocates for facilitating the best practice model for CDI, linking the most accurate capture of documented bedside care to the most accurate numeric reporting codes thereby, conversion into correct reporting, facility and physician profiling and acuity capture.
· Audit’s documentation quality to support accurate statistics and reimbursement for the inpatient and outpatient CDI program.
· Maintain a clear working knowledge of the CDI technology tool regarding data entry, report generation and tracking methods to ensure the most efficient use of the tool.
· Approves CDI timesheets, completes performance evaluations, develops team member performance improvement plans if necessary and monitors compliance learning module completion.
· Acts in a leadership capacity with key areas for initiatives such as: DRG Downgrade Denials, State Fair Hearing Appeals, PSI reporting, Physician education, ICD-10 preparedness, and implementation.
· Assists in development of policies and procedures for system-wide CDI practices to meet Corporate Compliance guidelines and to ensure appropriate and effective reimbursement.
Must have a high level of understanding of computer applications, Microsoft Office (Excel, Word, PowerPoint, and Outlook), Electronic Health Records, and encoder systems.
· Must be able to abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and AAPC.
· Must have the analytical ability necessary to interpret clinical data contained in records and to assign appropriate codes.
· Must have the ability to show initiative and utilize critical thinking skills to provide potential solutions to problems identified.
· Proficient in developing and presenting education programs
· Must be able to communicate effectively and have excellent customer service skills.
· Requires the ability to work well independently and demonstrate independent decision-making abilities.
· Ability to analyze and prioritize work efforts and organize and coordinate multiple functions and tasks.
· Requires the ability to read, write and speak effectively in English.
· Requires the ability to work both remotely and on-site in the ambulatory clinics and Inpatient Acute Hospital.
· Utilizes personal vehicle to routinely travel to assigned ambulatory clinic sites to provide formal and informal education to ambulatory clinic providers
AYA DELIVERS…
· Front-of-the-line access to exclusive jobs at thousands of healthcare facilities nationwide.
· A robust team to support you every step of the way to ensure you start on time, have accurate payroll and an exceptional experience.
· A credentialing specialist to streamline the entire compliance process.
· And of course, you get the usual benefits such as:
· Premium medical, dental, vision and life insurance beginning day one of your assignment.
· Paid sick time. Aya provides paid sick leave in accordance with all applicable state, federal, and local laws. Aya's general sick leave policy is that employees accrue one hour of paid sick leave for every 30 hours worked. However, to the extent any provisions of the statement above conflict with any applicable paid sick leave laws, the applicable paid sick leave laws are controlling.
· Generous 401k match.
· Certification and other reimbursements, when applicable.
· Pay listed above includes taxable wages and tax-free expense reimbursements, when applicable.
Aya Healthcare is an Equal Opportunity Employer and encourages all to apply!
Job Types: Full-time, Contract
Pay: $78.50 - $81.50 per hour
Expected hours: 40 per week
Benefits:
- Dental insurance
- Health insurance
- Vision insurance
Schedule:
Education:
Experience:
- Clinical Documentation Improvement: 5 years (Required)
- Manager (CDI): 2 years (Preferred)
- Epic: 1 year (Required)
- 3M: 1 year (Required)
License/Certification:
- CCDS (Preferred)
- CDIP (Preferred)
- CRC (Required)
Ability to Commute:
- Phoenix, AZ 85008 (Required)
Work Location: Hybrid remote in Phoenix, AZ 85008