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 designated region.

• Manage the daily operations of the CDI program.

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

• Track CDS productivity, accuracy, compliance, dashboards, and reports.

• Create and execute action plans aimed at enhancing program performance.

• Provide training and educational support to clinical documentation specialists and documenting providers.

• Analyze data to pinpoint educational opportunities.

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

• Develop the CDS team through recruitment, scheduling, workload management, performance assessments, mentoring, and coaching.

• Ensure clinical validation, adherence to coding guidelines, and compliance with regulatory requirements.

• Utilize 3M/360 for CDI data entry and abstraction.

• Educate physicians and healthcare teams on clinical documentation and oversee participation.

• Work with coding leaders to address documentation discrepancies.

• Maintain up-to-date knowledge of relevant laws, regulations, and Trinity Health policies.

⛳️ Requirements

• Bachelor's degree in Health Information Management, a healthcare-related discipline, 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.

• A minimum of five years of progressively responsible operational or management experience, including experience in hospital clinical documentation integrity.

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

• Experience in project management and/or system implementation.

• Strong analytical capabilities.

• Solid understanding of IT applications and technology.

• Intermediate computer skills and familiarity with MS Word, Excel, Outlook, Teams, and PowerPoint.

• Valid driver's license and the ability to travel to Trinity Health locations and the System Office.

• Capability to work in a collaborative, shared leadership environment.

• Ability to adhere to enterprise policies and procedures.

🏝️ Benefits

• Remote work position.

• Day shift.

• Equal opportunity employment.