Primary City/State:
Arizona, Arizona
Department Name:
CDMP Documentation Team-Corp
Work Shift:
Day
Job Category:
Revenue Cycle
You have a place in the health care industry. If you’re looking to leverage your abilities to make a real difference – and real change in the health care industry – you belong at Banner Health. Apply today.
The mission of the Clinical Documentation Specialist Improvement Department is to, “Facilitate concise clinical documentation to appropriately reflect patient acuity, risk of mortality, and resource utilization in order to properly reflect patient care given and optimize organizational goals.” This mission also supports the accurate translation of diagnoses into ICD-10 codes for patient billing and the capture of quality metrics.
As a successful Associate Director, Remote Clinical RN Documentation Specialist, you will have the chance to enhance and grow your career at Banner Health! You will have direct operational oversight of a team of 10-16 CDS reviewers. You will support key relationships with facility stakeholders (CMO, CFO, physician leads) and the CDI education team. You will also work closely with the quality and coding teams. We utilize Optum and Cerner. Proficiency with Excel, Power Point, and SharePoint is highly preferred
This position is 100% remote with the opportunity to work in any approved Banner operating state: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI & WY. This is with the understanding that we are headquartered out of Phoenix, AZ and all meetings occur within the Arizona Time Zone. Shifts will be Monday-Friday working within the Arizona Time Zone.
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you’ll find many options for contributing to our award-winning patient care.
POSITION SUMMARY
This position provides managerial support to the centralized system clinical documentation team and assists in providing effective operations and improvement of the clinical documentation program. This position understands data collection and analysis for system, facility and Provider profiling and give ongoing communication on documentation opportunities, coding and reimbursement issues and overall performance improvement methodologies.
CORE FUNCTIONS
1. Assists in the planning, direction and monitoring of the system clinical documentation program in conjunction with organizational goals and objectives.
2. Participates in multidisciplinary process improvement activities, which may include steering committee oversight to attain optimal clinical, operational and financial outcomes. Participates in the development of system policy, procedures, and performance tools for program. Provides consultative expertise on acute care coding process, DRG’s and reimbursement methodologies to a multitude of organizational teams.
3. Provides assistance to multifunctional teams in the design and distribution of educational programs associated with clinical documentation for staff and physicians. Participates in the development and implementation of action plans based on meeting system initiatives and implements strategies to work with internal and external customers to ensure quality of the clinical documentation system.
4. Provides education, coaching, and mentoring to staff to promote system integrity and achievement of department targets and goals. Compiles resource information that will extend the knowledge and enhance the interpretive skills of clinicians. Recognizes successes and identify ongoing opportunities by collaborating with clinicians and coding to improve program efficiencies.
5. Manages personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training and annual evaluations. This position also participates in the development of departmental goals and objectives in accordance with company standards.
6. Participates in the development and management of the department budget. Assists in managing the financial and capital resources for the clinical documentation program and developing and implementing new or revised programs and/or services.
7. Prepares, analyzes, presents and disseminates performance reports for activities associated with the clinical documentation program on an ongoing basis for system, facility and department comparison.
8. Maintains current knowledge on laws, regulatory changes and actual practices, which affect clinical documentation, DRG assignment and reimbursement methodologies.
9. Provides leadership, direction and support for the system clinical documentation program throughout the organization. Provides system-wide consultative expertise on coding process, DRG’s and reimbursement methodologies to a multitude of organizational teams. Internal customers include: Management and administrators at local, regional, and corporate levels; HIMS and Case Management staff, IT, Compliance, Finance, TSI/Decision Support, Care Management and Medical Staff. External customers include: Vendors and contracted services; staff from other health care agencies/providers and community/professional organizations and state, federal and community agencies regarding compliance with laws and regulations.
MINIMUM QUALIFICATIONS
Requires a level of education as normally obtained through the completion of a bachelor’s degree in nursing, healthcare information management or related field or equivalent experience.
Requires RN licensure in the state of practice or equivalent “clinical knowledge.” RNs must possess licensure. Exceptions: Verification of graduation from a foreign medical school (Doctor of Medicine degree). Requires a strong working knowledge of healthcare operations, clinical documentation and reimbursement methodologies as typically obtained through a minimum of 3 years relevant experience. Must have a working knowledge of hospital operations, medical/nursing staff procedures, hospital and community resources.
A working knowledge of software applications related to encoders, groupers, and spreadsheets and word documents is required. Excellent organizational, human relations and communication skills are required to maintain good rapport and effective working relations with facility leaders, medical staff, nursing staff and other departmental personnel throughout the organization and external customers. Must also possess demonstrated skill in problem analysis, project management, contract negotiation, conflict resolution and oral/written presentation.
PREFERRED QUALIFICATIONS
Certified Coding Specialist credential, Registered Health Information Administrator or Registered Health Information Technologist preferred.
Additional related education and/or experience preferred.
Experience with Optum and Cerner preferred
Proficiency with Excel, Power Point, and Share Point is highly preferred.
EEO Statement:
EEO/Female/Minority/Disability/Veterans
Our organization supports a drug-free work environment.
Privacy Policy:
Privacy Policy