Clinical Documentation Manager

UC Title: CLIN DOC MGR 1

Position Number: (phone number removed)

Reports to: Director

Working Title: Clinical Documentation Mgr 1

FLSA: Exempt

Hours: 40

Shift: Not Applicable

FTE: 1

Position Summary:

The incumbent is responsible for the leadership and management of the Clinical Documentation Improvement (CDI) Program. The incumbent is accountable for budgeting, planning, and monitoring budget variances, etc. Ensures standards of unit operations are in compliance with all state and federal healthcare regulatory agencies ACDIS & AHIMA guidelines for compliant query, as well as hospital policies and procedures. The incumbent facilitates the improvement in the overall quality, completeness, and accuracy of medical record documentation through comprehensive review and evaluation of the medical record. Proactively seeks clarification from physicians and other healthcare providers when further specificity is needed to ensure. The CDI Manager educates senior leaders and physicians on documentation guidelines on an ongoing basis.

Salary Range

Annual Rate Minimum $(phone number removed) Midpoint $(phone number removed) Maximum $(phone number removed)

Required Qualifications:

Previous lead or supervisory experience

Ability to influence and work collaboratively with physicians and all levels of staff

Familiarity with Utilization Review criteria

Ability to establish and maintain effective working relationships across the Health System

Ability to maintain a work pace appropriate to the workload

Must demonstrate customer service skills appropriate to the job

Complete understanding of acuity levels for specific patient populations

Excellent written and verbal communication skills in English

Knowledge of CMS, Joint Commission, CADP, and other regulatory and compliance requirements

Critical thinking skills to problem solve and communicate with physicians on clinical issues

CDI Credential (CCDS, CDIP)

Electronic Health Record experience 3M, Epic

Minimum 7 years clinical RN experience and 5 years experience as a CDI Specialist

Must possess the skill, knowledge, and ability essential to the successful performance of assigned duties

Knowledge of ICD-10 CM and CPT coding

MSN Degree

Strong clinical knowledge with the ability to interpret clinical documentation

Preferred Qualifications:

Previous experience with comprehensive chart/record review

Master's degree with an emphasis in healthcare-related fields (nursing, epidemiology, etc.)

Knowledge of patient safety strategies

CCS or CPC Coding Credential

Knowledge of quality improvement methodologies

Knowledge of University and medical center organizations, policies, procedures, and forms

Conditions of Employment:

The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:

Background Check and Live Scan

Legal Right to Work in the United States

Vaccination Policies

Smoking and Tobacco Policy

Drug-Free Environment

The following additional conditions may apply, some of which are dependent upon business unit or job-specific requirements.

California Child Abuse and Neglect Reporting Act

E-Verify

Pre-Placement Health Evaluation