Documentation Manager jobs in Pennsylvania

Primary Function:

Directly manage all aspects of the Clinical Documentation Improvement Program at Jefferson Hospital Einstein including the Clinical Documentation Specialist staff at all Einstein Acute Care Campuses, under the direction of the Assistant Vice President of Health Information Management (HIM).

Responsible for ensuring optimum coverage for all inpatient cases under review as well as accurate and compliant queries to the medical staff.

Responsible for training of the medical staff on documentation improvement opportunities.

Responsible for training new CDI staff as well as providing ongoing education of existing CDI staff. Works with HIM Management Team on special projects and with IS on CDI tracking system enhancements and assists in resolving CDI tracking system technical issues.

Coordinates and conducts education regarding changing DRG requirements and the CDI processes. Through extensive interaction with physicians and multidisciplinary team members, the CDI manager will be responsible for facilitating ongoing evaluation and program improvements to ensure the overall quality and completeness of medical record documentation. This will support the appropriate clinical picture/level of severity of the patient while providing accurate and complete information that is utilized in the medical record abstraction and coding process.

Education/Training/Experience:

Minimum of three yearsrsquo; experience as an inpatient/acute care Clinical Documentation Improvement Specialist in a large academic medical center, health system required.

Strong working knowledge and experience in clinical record reviews required.

Expert level working knowledge of ICD-10-CM/PCS coding conventions and SOI/ROM and DRG system required.

Excellent interpersonal and communication skills with previous experience working collaboratively within Teams required. Ability to work remotely and manage participation in multiple committees.

Prior data analytic skills and understanding CMI and DRG/APR system required. Strong working knowledge of Microsoft Office (Outlook, Word, Excel, PowerPoint) required.

Excellent written and verbal communication skills with the ability to write and speak concisely and professionally when communicating with providers and hospital leadership.

Self-motivated with strong critical thinking and problem-solving skills. Must possess the ability to create and deliver clinical education programs on CDI to the CDI staff, medical and hospital staff.

Prior supervisory/management skills are preferred. Familiarity with 3M encoder coding system, 3M360 Encompass and Cerner is preferred.

Jefferson Health delivers state of the art healthcare services to patients throughout the Delaware Valley and southern New Jersey. Jefferson (Philadelphia University Thomas Jefferson University) provides more than 8,400 students from nearly 40 states and 40 countries with 21st century professional education. Combined, we have over 30,000 employees.

Jefferson Health, with 14 hospitals (seven are Magnet designated by the ANCC for nursing excellence) and 40 outpatient and urgent care locations, offers a broad range of primary and complex, highly specialized care that touches the lives of more than four million patients annually. U.S. News amp; World Report has ranked Thomas Jefferson University Hospital among the nationrsquo;s best in eight specialties. Jefferson Health also includes the NCI designated Sidney Kimmel Cancer Center; it is one of only 70 such centers in the nation.

Thomas Jefferson University has ten colleges and three schools that offer more than 160 undergraduate and graduate programs. Our University is dedicated to inter-professional and transdisciplinary approaches to learning that offer a vibrant and expandable platform for professional education. Through this unique model, we are preparing our students for current and yet to be imagined careers.

As an employer, Jeffersonmaintains a commitment to provide equal access to employment. Jefferson values diversity and encourages applications from women, members of minority groups, LGBTQ individuals, disabled individuals, and veterans.