CLINICAL DOCUMENTATION MANAGER

UC Title: CLIN DOC MGR 1

Position Number: 40321743

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 $103,100.00 Midpoint $157,200.00 Maximum $211,300.00

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