Job Description
Note: The job is a remote job and is open to candidates in USA. City of Hope is a transformative organization dedicated to changing lives in the fight against cancer and other life-threatening illnesses. The System Director of Clinical Documentation Improvement (CDI) and Coding is responsible for strategic leadership and oversight of CDI, Coding, and Data Quality functions, ensuring accurate documentation and coding to support optimal patient care and clinical outcomes.
- Responsibilities
- Leads system-wide strategic initiatives to ensure accurate, complete, and compliant clinical documentation, coding, and data quality to support regulatory compliance, revenue integrity, and improved patient care outcomes
- Acts as a liaison between Health Information Management, CDI professionals, coding teams and providers to ensure accurate and complete documentation that supports accurate coding, data abstraction, capture of clinical acuity, severity of illness, risk of mortality, and appropriate DRG assignment
- Designs and delivers targeted, ongoing education for the CDI and coding teams, as well as providers, to bridge the gap between clinical language and documentation requirements ā ensuring accurate, compliant, and meaningful documentation
- Participates in key committees and workgroups ā including Case Management/Utilization Management, Sepsis, Quality Assurance & Improvement, Complication/PSI Coding, CDI workgroup, CDI Governance, Alliance of Dedicated Cancer Centers (ADCC) Medical Record Documentation Committee and Denial Management to support documentation integrity, compliance and quality initiatives
- Conducts second-level and quality reviews on cases escalated to include cases referred by CDI and coding query processes, HIM Leadership and other healthcare professionals to ensure regulatory compliance in accordance with the hospital objectives for quality patient care and effective, efficient utilization of services
- Skills
- Bachelor's degree in health-related field (Nursing, Health Information Management)
- 7 years of management experience in CDI, Health Information Management and/or inpatient coding
- Clinical Documentation Improvement Training
- Currently licensed as a Registered Nurse, RHIA, CCS, CDIP or CCDS
- CDI and/or Coding Management experience
- Demonstrated leadership, people management, and team building skills
- Ability to develop and implement strategic plans
- Excellent oral and written communication skills
- A broad knowledge base of health care delivery and case management within a managed care environment
- Comprehensive knowledge of CDI/Coding
- Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities
- Ability to interact effectively with internal and external constituents using collaboration and customer service skills that promote excellence
- Excellent negotiation skills
- Customer service oriented
- Demonstrated confidence, initiative, and integrity in work practices
- Goal-directed and well organized
- EPIC
- Solventum
- CDI/Coding software
- Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS preferred
- Company Overview
- City of Hope is a cancer research and treatment non-profit organization specializing in diabetes and other life-threatening illnesses. It was founded in 1913, and is headquartered in Duarte, California, USA, with a workforce of 10001+ employees. Its website is http://www.cityofhope.org.
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