Regional Manager, Clinical Documentation Integrity

This is a fully remote position, open to applicants in Michigan.

📋 Description

• Oversee Clinical Documentation Integrity (CDI) initiatives for Health Ministries within the specified region.

• Manage the daily operations of the CDI program.

• Ensure conformity with Trinity Health's CDI standards, policies, procedures, workflows, and software practices.

• Track CDS productivity, accuracy, compliance, dashboards, and reporting metrics.

• Create and execute action plans for performance that falls short of target benchmarks.

• Offer training and educational resources to clinical documentation specialists and documenting providers.

• Analyze data to uncover educational needs and opportunities for process improvements.

• Collaborate with physician champions, chief medical officers, executive leadership, clinical staff, coding teams, and denials teams.

• Facilitate accurate documentation regarding severity of illness, risk of mortality, clinical validity, and DRG assignment.

• Recruit, schedule, balance workloads, assess, mentor, and coach members of the CDS team.

• Support activities related to MS-DRG, CC/MCC, ICD-10, clinical validation, and CDI strategy.

• Input and abstract CDI performance data utilizing 3M/360.

• Educate physicians and healthcare teams while monitoring provider engagement.

• Partner with coding leaders to address documentation inconsistencies.

• Ensure compliance with relevant laws, regulations, and Trinity Health policies.

⛳️ Requirements

• Bachelor’s degree in Health Information Management, a healthcare-related field, or Nursing, or equivalent experience.

• Current RN license, RHIA, RHIT, CCS, PA/NP/APN licensure, or completion of medical school.

• CCDS or CDIP certification is preferred.

• At least five years of progressively responsible operational or management experience, including experience with hospital CDI programs.

• Previous experience at a corporate or enterprise level is desirable.

• Comprehensive understanding of CMS regulations, coding guidelines, and DRG reimbursement methodologies.

• Experience in project management and/or system implementation.

• Strong analytical skills related to revenue cycle and quality metrics.

• In-depth knowledge of IT applications and their effects on productivity and workflow.

• Intermediate proficiency in MS Word, Excel, Outlook, Teams, and PowerPoint.

• Capability to develop and implement healthcare and reimbursement strategies and processes.

• Valid driver’s license and willingness to travel to Trinity Health locations and System Office.

• Ability to function in a fast-paced, multi-customer environment with potentially varied or extended hours.

• Capacity to adhere to enterprise policies and procedures.

• Ability to work effectively in a collaborative, shared-leadership environment.

🏝️ Benefits

• Remote work position.

• Equal Opportunity Employer.

• Work-related travel to various Trinity Health locations and System Office.