Director of Clinical Documentation Improvement
1st Solution USA - Reno, NV

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1st Solution has been engaged by one of the largest integrated health networks and nationally recognized healthcare leader located in Nevada to recruit candidates for their open Director of Clinical Documentation Improvement position. In this role you will have overall responsibility for facilitating the development, implementation, growth and maintenance of the CDI program through the network. You will direct the processes and personnel responsible for concurrent review of physician and ancillary documentation to identify opportunities for improved documentation. In addition you will provide leadership and physician education and consultation to improve the accuracy of documentation within inpatient records as well as develop documentation and query tools in cooperation with HIM and medical care teams. Along with Decision Support, you will also develop database work-lists and reports to support the initiative.

ADDITIONAL RESPONSIBILITIES
• Provide leadership of the CDI Department
• Provide CDI training and ongoing education based upon audit findings and changes in coding requirements. Facilitate joint continuing education to staff and physicians as needed.
• Along with HIM, develop mechanism for auditing quality of CDI queries on an ongoing basis. Develop work plans for the retro query audits with HIM. Provide leadership to the retro query process including scheduling, communication and other strategies.
• Develop, implement, and evaluate documentation and query tools. Conduct annual review of tool content based upon changes in ICD-9 codes and revise or develop new tools as needed.
• Work with IT to place appropriate tools and documentation references on the facility Intranet for access by medical teams, HIM coders and auditors.
• Ensure collaboration between Health Information Management (HIM), Revenue Cycle, and CDI Team for knowledge sharing and educational purposes on all CDI matters.
• Along with Decision Support, develop plans for database reports to support the CDI initiative and work lists to streamline work while directing the data harvesting and report writing. Develop distribution plan for service specific CDI reports. Provides and interprets CDI reports as needed in administrative or clinical forums.
• Consult on clinical data interpretation for facility wide quality improvement, database and compliance issues as requested.

Qualifications:
• Bachelors degree highly preferred. However, 10 years experience in acute hospital billing leadership will be considered in lieu of the degree.
• Direct patient care experience with current nursing license.
• Must have 5 years of experience working with documentation to meet quality, financial and regulatory requirements is required, including the development and interpretation of reports.
• Prior supervisory / leadership experience is required.
• Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel and Word
• Experience developing online learning manuals preferred
• Ability to obtain and maintain a State of Nevada Registered Nurse license.
• Certified Clinical Documentation Specialist (CCDS) is required within one year of hire.

Relocation assistance will be provided for this opportunity.

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