The Clinical Documentation Improvement Program (CDI) is designed to improve the physician's documentation in the patient's medical record supporting the appropriate severity of illness, expected risk of mortality and complexity of care of the patient. The role of the Clinical Documentation Improvement Manager and Educator is to plan, manage and coordinate CDI practices to ensure consistency, meet corporate compliance guidelines, and to ensure appropriate and effective reimbursement in cooperation with key departments. Provides education to physician, physician service lines as needed to support hospital operations ensuring accurate and complete medical record. Works with Medical Staff as needed. Educates clinical documentation nurses by providing one-on-one and classroom clinical documentation and coding education to Clinical Documentation Improvement Specialists on issues related to the government mandated Inpatient Perspective Payment Program (MS-DRGs) and works collaboratively with the coding Supervisors, medical staff, mid-level providers, and other healthcare staff members. Collaborates and works closely with CDI Director and Leads from various platforms to identify specific areas and providers in need of education.
Self-directed with ability to manage multiple areas through collaboration. Manages and acts as a resource to the personnel assigned as direct reports.
Develops clinical data reporting and uses analytical assessment of data, data manipulation, and professionally articulate data outcomes to improve operations and report to various committees, including but not limited to the Utilization Management and Revenue Cycle committees.
Plans, directs, educates, and assists with supervision of the CDI staff to ensure timely, accurate and complete processing of rendered services.
Assumes responsibility for hiring, training and retention of employees.
Establishes and monitors employee workflows, productivity, and quality. Evaluates staff performance.
Develop and monitor internal key indicator metrics associated with CDI as it related to the revenue cycle and quality outcomes.
Assists in setting annual department and individual performance goals for the upcoming year. Proactively review clinical documentation.
Initiates recommendations for changes in classification, salary action, promotion, demotion, transfer, and termination.
Assist with Interviews, selection and hiring of personnel.
Effectively manages and oversees program performance regarding pertinent aspects of Revenue Cycle activity.
Monitors and maintains an effective quality assurance and process improvement plan for clinical documentation processes. Plans and develops policies and procedures for system-wide CDI practices to meet Corporate Compliance guidelines and to ensure appropriate and effective reimbursement.
Ensures overall integrity and exceptional performance of CDI staff through developed performance metric reporting.
Ensures program knowledge and operational implementation of all related compliance, coding and documentation standards.
Ensures program knowledge and operational implementation of teaching physician compliance guidelines and documentation standards as indicated by CMS and other contracts adopting these regulations.
Develops and provides education on documentation opportunities and service line specific areas for improvement.
Ensures quarterly periodic performance audits of staff to ensure compliance with all department policies and procedures.
Work is typically performed in a clinical environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. Additional competencies and skills outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.
Flexible, day shift schedule, independent role with support and direction
8 hour days
Potential travel across system - less than 10% of the time
CDI experience and advanced degree preferred
CDI certification or obtained within 6 months of hire
We're proud to offer competitive salaries and a comprehensive benefits package that includes:
Medical, prescription drug, vision and dental coverage
Family Support (Fertility and Adoption Support)
Employer contribution to your retirement plan
Tuition assistance (part time and full time roles only)
Generous paid time off packages that allows you to take the time you need to travel, rest, and care for and reconnect with friends and family.
Professional opportunities for growth and advancement
Support and mentorship from a full range of dedicated and experienced nursing leaders
Paid Military Leave
Community Involvement through our Employee Resources Groups
Graduate from Specialty Training Program- (Required), Bachelor's Degree-Nursing (Preferred)
Minimum of 2 years-Managerial/Supervisory (Required), Minimum of 8 years-Nursing (Required)
Certification(s) and License(s)
Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13... hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.