Keck Medicine of USC
Keck Medicine of USC is one of only two university-based medical systems in the Los Angeles area. Its internationally renowned physicians and scientists provide world-class patient care at Keck Hospital of USC, USC Norris Cancer Hospital, USC Verdugo Hills Hospital and more than 80 outpatient clinics in Los Angeles, Orange, Kern, Tulare and Ventura counties.
Keck Medical Center was ranked No. 16 on U.S. News & World Report’s 2019-20 Best Hospital Honor Roll and among the top 3 hospitals in Los Angeles and top 5 in California. The hospital also ranked in the top 4 in urology (tie); top 10 in geriatrics; top 15 in ophthalmology, cardiology & heart surgery, gastroenterology & GI surgery and nephrology; top 20 in neurology & neurosurgery; top 25 in cancer; and top 35 in pulmonology & lung surgery.
Director, Clinical Documentation Improvement - HIM - Full Time 8 Hour Days (Exempt) (Non-Union)Apply Keck Hospital Hospital Los Angeles, California
The Clinical Documentation Improvement Director uses clinical, coding and CDI expertise to perform daily operational management of the CDI program and CDI Staff. This position evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that CDI processes and practices lead to appropriate execution of regulatory requirements and guidelines related to facility coding and CDI practices, including federal and state compliance standards.
This position plays a key role in leading the initiative for reporting quality of care outcomes and in obtaining complete, accurate and compliant documentation for appropriate reimbursement of services provided and capture of clinical outcome measures. Manages clinical validation denial management of both inpatient and outpatient cases.
This position will work in concert with physician leadership, Health Information Management coders and leadership, Quality and Compliance leadership to support timely, accurate and complete documentation of clinical information and the success of the CDI Program Department and Revenue Cycle (Patient Financial Services) to respond to denials related to clinical validation Assists with the management of monthly, weekly and ad hoc reporting for CDI program performance, including that of CDI staff and providers. Assists in the performance of quality audits and analyzes the findings of performance audit information to build staff education, identify areas of individual and team performance opportunity and resolve as needed. Serve as a subject matter expert and authoritative resource on interpretation and application of CDI practices, coding rules and regulations and conducts risk assessments of potential and detected compliance deficiencies, as well as documentation improvement opportunities. This position will draft and manage CDI Program Department policies and processes. The CDI Manager will work with the Director of HIM and Coding Manager to implement CDI program strategy and collaboration with Quality, compliance to coordinate provider documentation best practice.
Minimum Education: • Graduate of an accredited school of registered nursing and/or foreign medical graduate, Minimum Experience/Knowledge: • Minimum of three years’ clinical experience in an acute care setting. • Minimum of three years managing a clinical documentation team/program. • Advanced clinical expertise and extensive knowledge of complex disease processes with broad based clinical experience in an inpatient setting. • Knowledge of care delivery documentation systems and related medical record documentation. • Strong broad based clinical knowledge and understanding of pathology/physiology of disease processes. • Expertise in MSDRGs, ICD coding and CDI practices required • Expertise in CDI practices and knowledge distribution to multidisciplinary teams • Proficiency with Microsoft Applications, including word processing, spreadsheets and presentation software • Extensive knowledge and experience in reporting software and electronic medical record systems • Demonstrated leadership ability • Maintains working knowledge of Medicare/Medicaid rules and regulations regarding CDI, POA (present on admission), basic coding, as well as current trends and developments in the area of Clinical Documentation Improvement (CDI) • Ability to work with senior management, physicians, and medical center staff with various levels of education and experience • Ability to develop and maintain strong, collaborative and supportive working relationships with CDI peers, physicians and other clinical professionals • Must have demonstrated interpersonal, verbal and written communication skills in dealing with multidisciplinary teams and variety of ongoing activities • Knowledge of computer systems and software used in functional area • Knowledge of project management processes and systems • Knowledge of statistical analysis and reporting practices pertaining to quality improvement and program evaluation • Demonstrated organizational, project management skills • Ability to be creative and innovative in a high volume work environment • Ability to communicate effectively, both orally and in writing • Ability to lead teams and produce project results within schedule and budget • Ability to plan, organize, motivate, mentor, direct and evaluate the work of others • Ability to provide leadership and influence others • Ability to work effectively with individuals at all levels of the organization • Ability to work independently • Skilled and experienced in data analysis and qualitative reporting of results • Skill in developing and delivering training and education to clinical, CDI and coding professionals regarding CDI practices, coding and documentation requirements • Demonstrated organizational and critical thinking skills, ability to assess, evaluate and teach • Skilled in adaptability and self-motivation in staying abreast of CDI practices, coding changes and clinical practices • Demonstrated judgment and independent decision making Required License/Certification: • Valid Registered Nurse license or foreign medical graduate. CCS or ACDIS certification • Fire and Safety Certification. If no card upon hire, one must be obtained within 30 days of hire, and maintained by renewal before expiration date.
REQ20095924 Posted Date: 01/06/2021 Apply