Clinical Documentation -Division Leader

  • Company: Hospital Corporation of America
  • Location: Kansas City, Missouri
  • Posted: August 28, 2017
  • Reference ID: 10215-22308
HCA, a Fortune 100 company, is one of the nation's leading providers of healthcare services, operating over 170 locally managed hospitals and over 100 freestanding surgery centers in 20 states and the United Kingdom. With its founding in 1968, HCA created a new model for hospital care in the United States, using combined resources to strengthen hospitals, deliver patient-focused care and improve the practice of medicine. HCA is a learning healthcare system that uses more than 27 million annual patient encounters to advance science, improve patient care and save lives. HCA has been named one of the world's most ethical companies for eight years in a row. At HCA, we are driven by a single goal: the care and improvement of human life.

Responsible for the management of the Division facilities' CDI functions. Plans, organizes, and leads the facility CDI teams. Directs the concurrent, comprehensive reviews of clinical documentation within the medical record to achieve accurate and detailed documentation. Appropriate provider documentation for clinically indicated conditions or procedures support accurate assignment of severity of illness, expected risk or mortality, intensity of service and resource consumption, which in turn accurately portrays the facility's quality outcomes ratings, reduces compliance risks, and captures appropriate reimbursement. Represents CDI through participation in Division multi-disciplinary strategy development and operations initiatives
. • Serve as the Division's Subject Matter Expert (SME) for topics related to provider documentation

• Demonstrate knowledge of Official Coding Guidelines and the DRG Classification System to insure compliance with such regulations as they related to the CDI function
• Direct/manage Division's facility CDI teams:
o Oversee new employee CDI orientation and training, including use of systems such as: Midas, HPF, eRequest, Electronic Health Record Systems, 3M Encoder, etc.
o Assignment of daily work load, when necessary
o Quality monitor the facility CDI staff's appropriateness of use of query forms, correctness of query creation, and timeliness of query responses
o Lead facility CDI teams to improved operating metrics
o Monitor to assure assigned education is completed by all facility CDI staff members
o May undertake all human resource and payroll functions of facility CDI staff members
• Based on CDI strategic initiatives, work with Division leadership to identify Division-specific CDI goals
• Establish Division and Facility action plans, monitor progress, and report progress to Division CFO and AVP CDI
• Successful in working within matrix reporting relationship with Division CFO and corporate AVP CDI
• Identify documentation improvement opportunities through use of trended data and auditing
• Prepare and present CDI program metrics to Facility, Division, and Group leaders
• Maintain positive relationships with Facility and Division leadership
• Work closely and foster positive relationships with practicing physicians and physician leaders
• Collaborate with HSCs to assure accurate DRG assignment and billing and successfully resolve operational issues
• Demonstrate proficiency in current and emerging technologies
  • 7 years experience
  • Bachelors degree required
  • Current RN license with Critical Care, OR, ER experience preferred
  • Current RHIA or RHIT or CPC (Certified Professional Coder) or CCS (Certified Coding Specialist)

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