The Sr. Administrative Manager of Clinical Documentation Improvement provides visionary leadership of inpatient and outpatient clinical documentation improvement activities and to assure that the clinical documentation within the medical record meets the Official Center of Medicare and Medicaid Services (CMS) Coding and Reporting Guidelines. Candidate will be instrumental in the co-creation of an outpatient CDI program.
Candidate must direct and coordinate all activities related to Clinical Documentation Improvement (CDI) operations within Health Information Management (HIM) including establishing policies, procedures, and guidelines for CDI operations. The Sr. Manager ensures there is appropriate and timely review, analysis, and resolution of CDI chart reviews and provider queries.
The Sr. Manager facilitates constructive relationships with clinical departments, executive leadership, Revenue Cycle, Quality Improvement, and other stakeholders to enable the success of the CDI program and correct inpatient facility reimbursement and quality scores and rankings for Michigan Medicine services.
The Sr. Manager must provide leadership regarding documentation and coding requirements in accordance to the Official Coding Guidelines, AHA Coding Clinic, and Michigan Medicine policy. Oversee CDI activities to ensure exemplary customer service is provided to clinical, administrative, and executive customers. Provide relevant data regarding unit activities.
Candidate will provide direction in the role as MiChart, the Michigan Medicine electronic health record (EHR), lead for HIM as it relates to CDI activities, work with assigned vendors and information technology representatives to develop workflows, build software, and coordinate security and training to ensure efficiency and compliance with Michigan Medicine policy and regulatory requirements.
Candidate will identify issues related to workflow and software build and work with key stakeholders to mitigate. Contribute to the leadership of, and provide critical input to, the development of strategic workflows in MiChart to support the organizational mission.
- Provide leadership for the personnel and operational activities of the support functions within the CDI unit of HIM.
- Provide leadership for CDI processes to ensure efficiency and quality in pursuit of appropriate reimbursement and quality scores.
- Provide leadership within the department and across the organization to ensure compliance with coding and documentation requirements.
- Provide leadership for process improvement and redesign to improve customer satisfaction, reduce costs, and/or meet departmental and institutional goals and objectives.
- Ensure all EHR workflow and system design in areas of responsibility are appropriate and in compliance with Michigan Medicine policy.
- Communicate with clinicians and leadership regarding medical record documentation and regulatory guidelines related to coding and CDI. Report CDI statistics to clinicians and leadership.
- Serve as an expert resource to staff to identify issues and find innovative ways to use various applications efficiently.
- Fosters an environment of support and teamwork for individuals and promotes a continuous learning environment where each member contributes to their learning and the learning of others.
- Demonstrate a commitment to learning and maintaining currency on regulatory requirements, industry best practices and is a resource for others within the organization.
- Provide leadership representation on institutional committees as it relates to assigned units.
- Provide leadership for and actively participate in departmental and institutional activities and programs.
- Identify and address change management issues related to the evolution of the health information environment.
PROCESS EXECUTION - OPERATIONS
- Educate clinical and HIM staff on CDI workflows within MiChart and trouble-shoot systems and processes.
- Oversee the capture and analysis of data regarding operational performance and quality control.
- Participate in departmental and institutional activities and programs.
- Interact with clinicians and other stakeholders regarding regulatory compliance issues.
- Conduct monthly staff meetings.
- Select and implement monitors of operational performance and quality control.
- Provide statistical data on unit functions and activities (such as reviews, queries) to leadership and the institution.
- Analyze compliance with regulatory requirements and institute corrective action plans as needed.
- Work within the department and across the organization to resolve documentation, compliance, and data integrity issues as they relate to CDI.
- Work closely with providers, Revenue Cycle, Health Information Technology and Services to solve problems.
- Monitor productivity and quality of CDI staff and collect statistical data from various systems, provide clarification and coaching on unit expectations.
- Plan and schedule work for the unit ensuring proper staffing and distribution of assignments to accomplish required tasks; plan and schedule meetings with staff to explain and implement new policies, procedures and practices.
- Provide on-going feedback to the director regarding the daily operations and issues of the unit.
- Create and implement unit policies and procedures.
- Act as a subject matter expert on CDI and associated administrative operations.
- Develop education for CDI Plan (inpatient and outpatient), develop, revise, and implement programs, policies, and procedures for assigned units.
- Analyze and design health information related processes, work, and information flows. Redesign unit workflows to improve patient and provider satisfaction, gain efficiency, decrease cost, and reduce waste.
- Identify user needs and user workflow modeling.
- Participate in and develop medical record policies and procedures.
- Oversee the capture and analysis of data regarding operational performance and quality improvement and control.
- Collect and report data for statistical analysis for assigned areas. Ensure a high degree of accuracy in all reporting. staff to support quality and productivity improvements and employee job satisfaction.
?PEOPLE AND PARTNERS
- Develop and maintain professional relationships with colleagues and staff within the HIM department and organization to promote mutual understanding and respect.
- Work within the department, across the organization, and with clinical and senior leadership to meet organizational goals.
- Design requirements, criteria, and metrics to meet the end users’ needs for analysis and interpretation of health information and statistics for data integrity, deficiency tracking and central transcription services.
- Demonstrate consistent use of Lean methodology for problem analysis and improvement.
- Think strategically and broadly when identifying issues and developing potential solutions.
- Anticipate potential areas of concern and initiate tracking procedures.
- Exercise independent judgment in determining the most efficient and effective way to achieve desired objectives and in recommending alternative options to situations without precedent.
- Participate in multidisciplinary process improvement initiatives focused on identifying root causes and correcting improper or ineffective processes, improving compliance and enhancing staff competency.
- A Bachelor’s degree in Health Information Management or an equivalent combination of education and experience.
- Four to five years of supervisory experience in health information management within a health care setting.
- Registration with the American Health Information Management Association as a RHIT, RHIA, or comparable combination of educational preparation and experience in managing health information and providing effective leadership.
- Current membership in AHIMA is required.
- Ability to work independently as well as with a diverse group of people in a diplomatic and effective manner.
- Strong customer focus and the knowledge and skill to identify, meet and evaluate customer expectations.
- Demonstrated customer focus and the knowledge and skill to identify, meet and evaluate customer expectations.
- Minimum five years of coding or nursing experience with three years of CDI experience.
- Executive presence and experience that begets respect.
- Exceptional ability to lead, manage, and mentor staff through complex work redesign efforts.
- Logical, analytical, and organized with the ability to reprioritize quickly and efficiently.
- Ability to work in a fast-paced environment under multiple pressures and deadlines.
- Excellent verbal and written communication skills up, down, and across the organization.
- Considerable experience with Windows computer environment and proficiency with Microsoft Office software.
- Excellent verbal and written communication skills.
- Bachelor’s degree in Nursing and Registered Nurse (RN) license in State of Michigan.
- A Master’s degree or equivalent combination of education and experience is desired.
- Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) credentials.
- Membership with Acdis
- Some knowledge of University and departmental policies and procedures is desired.
- Experience with benchmarking performance against identified criteria is desired.
- Experience with Epic EHR and 3M applications is desired.
This position may be underfilled at a lower classification depending on the qualifications of the selected candidate.
Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
Job openings are posted for a minimum of seven calendar days. This job may be removed from posting boards and filled anytime after the minimum posting period has ended.
U-M EEO/AA Statement
The University of Michigan is an equal opportunity/affirmative action employer.