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Director, Clinical Documentation Integrity and Quality - Nashville, United States - Get It Recruit Healthcare
Description
As the Director of Clinical Documentation Integrity and Quality, you'll play a pivotal role in leading the coding and documentation oversight for pre-visit planning operations.
Your primary focus will be to analyze existing processes, refine infrastructure, and facilitate seamless collaboration between internal teams and external partners to ensure the delivery of top-tier clinical care.
This position offers an exciting opportunity to directly influence and engage with primary care delivery, both internally and externally.Key Responsibilities
Enhancing Pre-Visit Planning Processes:
Evaluate, refine, and implement pre-visit planning processes to enhance efficiency and accuracy. Oversee the production of pre-visit planning materials, ensuring their relevance and suitability for all partners.
Quality Assurance:
Develop and execute a robust quality audit process for pre-visit planning forms. Ensure timely distribution of these forms to partners and monitor their utilization, identifying areas for enhancement.
Expert Support:
Serve as the primary point of contact for partner coding inquiries, demonstrating expert knowledge and problem-solving skills. Act as a documentation subject matter expert (SME), particularly in areas such as HCCs and ICD10 coding.
Team Management:
Recruit, train, and manage a team of documentation coding supervisors and specialists. Foster a collaborative and supportive team environment.
Vendor Collaboration:
Collaborate with documentation vendors to ensure seamless integration and performance, as well as assist in the implementation and management of technology platforms supporting clinical documentation processes.
Performance Monitoring:
Develop and refine reporting mechanisms to monitor key performance indicators, identify trends, and make data-driven decisions. Work closely with stakeholders to implement workflow enhancements and new products.
Compliance and Regulatory Oversight:
Develop and continuously improve coding compliance policies and guidelines, ensuring adherence to organizational, federal, state, and third-party requirements. Work closely with legal and compliance teams to address regulatory matters.
Travel:
Travel may be required, up to 15% of the time.
Qualifications
Possession of coding credentials such as CPC, CCS, CCS-P, RHIT, or RHIA. Outpatient CDI credential from AAPC or ACDIS preferred.
Auditing credential from AAPC or AHIMA preferred.
Minimum 6 years of risk adjustment coding, auditing, and management experience in CDI.
Expertise in CMS risk adjustment coding and RADV compliance standards.
Strong public speaking and presentation skills with a customer service orientation.
Experience in a team-based service environment with well-developed interpersonal skills.
Ability to work independently and adapt to a fast-paced environment.
Genuine curiosity and willingness to learn on the job.
Excellent communication skills and the ability to address non-compliance issues confidently.
Proficiency in Microsoft Office Suite and familiarity with coding and documentation platforms and major EHR systems.
Support And Benefits
Competitive base pay with bonuses.
Generous paid time off starting at 4 weeks for full-time employees, pro-rated for part-time employees, and 12 paid holidays per year.
401k with match.
Health, dental, and vision insurance.
Family-friendly policies supporting paid parental leave and flexible work arrangements.
Robust commitment to training and development throughout your career with us.
Join us and collaborate with like-minded healthcare professionals dedicated to delivering high-quality, value-based care. We look forward to welcoming you to our team
Employment Type:
Full-Time
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