Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant's professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant's practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.
Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today's healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.
The **Clinical Documentation Improvement Manager** is responsible for assisting the CDI Director with new client implementations /engagement, work collaboratively with the facility CDI team to meet contractual obligations, and achieve best practice CDI metrics. The CDI Manager will assist in developing or updating CDI policies and procedures, ensure efficient utilization of CDI technology, assist with client month end reporting and development of CDI education material for both CDI and physicians. The CDI Manager will be responsible to ensure the CDI team has the tools necessary to be successful in their daily, concurrent record reviews query initation and query compliance reivews. The CDI Manager will escalate issues as necessary to the appropriate management team members.The CDI Manager will work collaboratively with facility team members and departments as required.
+ Expert knowledge/experience in directing all aspects of a Clinical Documentation Improvement Solution.
+ Ability to assess and identify potential health system opportunities in regards to contractual and best practice CDI metrics.
+ Assist in the development of processes and initiatives designed to improve clinical documentation performance.
+ Strong project management skills.
+ Demonstrate effective communication skills and collaborates with medical staff, clinical departments and key facility leadership team members as needed.
+ Effectively utilizes reporting technology to analyze and drive continual improvement for the client and employee engagement.
+ Maintains and demonstrates expert knowledge of CDI and coding process best practices.
+ Drives optimal use of the CDI technology tool and reporting capabilities.
+ Manages and holds onsite CDI team to key performance indicators.
+ Leads by example, promoting teamwork by fostering positive, transparent and focused working environment to achieve maximum results.
+ Cultivates exceptional relationships among facility leadership team (HIM Director, Coding team, Case Management, Quality and Medical staff) resulting in support and participation in initiatives which advance business objectives.
+ Assist in daily CDI program oversight to include productivity, quality, education and training, auditing, report management, performance improvement initiatives and developing standardized practices, processes as well as policies and procedures.
+ Become an advocate for facilitating the best practice model for CDI, linking the most accurate capture of documented bedside care to the most accurate numeric reporting codes thereby, conversion into correct reporting, facility and physician profiling and acuity capture.
+ Assist in monitoring the performance of each CDI program to ensure alignment and support department and organizational goals as well as compliance in coding and query practices with regulatory requirements.
+ The Manager will assist in month end client reporting and analyses to track performance and trends, and escalate issues as necessary.
+ Assist with CDI technology implementation as required.
+ Maintain a clear working knowledge of the CDI technology tool regarding data entry, report generation and tracking methods to ensure the most efficient use of the tool.
+ Establish a working understanding of each client, their facility, their internal structure, potential needs and clinical staff/physician/HIM relationship regarding current documentation/coding and severity of illness.
+ Seek to build knowledge and understanding in the ever-changing arenas of coding guidelines, DRG payer groups, case management/utilization review functions, clinical documentation trends, JCAHO/core measure guidelines and clinical quality of care issues.
+ Assist with in-service training of staff, query compliance quality reviews and physicians as needed.
+ Clearly communicate and/or escalate program updates, risks or needs in a timely manner to the CDI Director and actively work to resolve and mitigate risk.
+ Build trustworthy and strong relationships with client staff, physician base and Navigant Cymetrix staff.
**Client Service/ Business Development:**
+ Demonstrates a comprehensive understanding of CDI and Revenue Cycle service offerings as well as Navigant Cymetrix service offerings.
+ Perceived by the client as a lead person for the CDI Solution.
+ May assist with the development of proposals.
+ Actively participates in the recruiting process.
+ Provides regular status updates to VP Operations, CDI Director and department Directors.
+ Demonstrates solid facilitation skills.
+ Actively leads meetings with CDI team and other internal and client personnel at various levels as needed.
+ Demonstrates the ability to determine the most appropriate format and scope for client deliverables including the ability to create deliverables suitable for senior-level client and internal audiences.
+ Demonstrates effective listening skills.
+ Ability to identify and articulate project obstacles/ issues and determine potential solutions while working collaboratively.
+ Expresses self in a confident manner in individual and group settings.
+ At least one of the following: RHIA, RHIT, CCS, MD or MD Equivalent, RN.
+ Must maintain credential while employed.
+ Requires at least 5 years acute care hospital CDI experience.
+ Requires at least 3 years prior management experience.
+ Familiarity with encoder and DRG assignment (MS and APR).
+ Strong _clinical understanding of disease process._
+ Maintains current working knowledge of Coding Clinic Guidelines and federal updates to DRG system (MS, APR, AP etc).
+ Knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes.
+ Excellent communication skills, employing tact and effectiveness.
+ Ability to converse with physicians in sometimes difficult scenarios.
+ Ability to conduct presentations to facility physicians and leadership.
+ Some travel required (estimated at 20-30%).
+ Flexibility in schedule to meet the client's needs.
+ Strong conceptual, as well as quantitative and qualitative analytical skills
+ Work as a member of a team as well as be a self-motivator with ability to work independently
+ Constantly operates a computer and other office equipment to coordinate work
+ Frequently travels by airplane, train or car as necessary to perform work at another location
+ Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data
+ Generally works in an office environment
**Navigant** **Cymetrix** is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information or any other basis protected by law, ordinance, or regulation.
Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.