Providence Director, Clinical Documentation Integrity in Montana
Providence is calling a current caregiver to develop his or her career with this new opportunity: Director, Clinical Documentation Integrity at Revenue Cycle Business Services .
This opportunity is available exclusively to current caregivers. We aspire to know you, care for you, and ease your way through your career journey with Providence.
The Director of CDI, will work in conjunction with the Executive Director of CDI to further develop and build upon the current CDI program. This position will work closely with peers and internal customers to design then implement enterprise standards and drive enterprise-wide adherence to those standards and supporting policies. This position will continually provide direction and monitor data analytics, offer guidance on strategic opportunities, and developing project timelines to meet key deliverables. Primary duties include the development, improvement, maintenance, and implementation efforts to support the CDI and physician workflows and partnerships across the inpatient setting.
The Director will provide operational and strategic oversight across one of the designated service areas within CDI and work in a highly collaborative fashion with peer directors within CDI, coding, quality and various clinical partners. Duties are to be performed independently under the direction of the Executive Director of CDI. The Director will establish and measure goals and metrics to ensure service levels, productivity and quality metrics are met and provide leadership, consultation and education related to the CDI program on matters of high complexity. The Director will be responsible for managing relationships with peers in other business functions, vendors and other key stakeholders. The CDI Director will be responsible to ensure the CDI team has the tools necessary to be successful in their daily concurrent record review, which includes technical support through advanced clinical documentation software selection, implementation, and use. The Director will assist in month-end client reporting and analyses to track performance and trends, as well as escalate problematic issues, as necessary. The CDI Director will work collaboratively with peers within CDI, Coding, Quality and various clinical partners at the facility and system-level. Improvement efforts will include up-stream and down-stream impacts and collaboration with all stakeholders.
In this position you will have the following responsibilities:
Coordinate all operations of staff in CDI in alignment with system and department mission, vision, and objectives.
Facilitate large-scale project management to include: financial and quality analysis, problem solving, and team collaboration while leading a multidisciplinary team.
Serve as a key member of the CDI leadership team with a primary focus on planning and implementation of policies and systems.
Regulate staffing in accordance with fluctuating workload and shifting departmental priorities.
Able to breakdown raw information and undefined problems into specific workable components that in-turn clearly identifies the issues at hand. Makes logical conclusions, anticipates obstacles and considers different approaches that are relevant to the decision making process.
Identify and acts upon opportunities. Motivates others during times of organizational stress, ambiguity, and change. Creates an environment that encourages prudent risk-taking, sharing of best practices, and alerting groups to alternative approaches.
Consistently display awareness and sensitivity to the needs of internal and/or external clients. Proactively ensures these needs are met or exceeded.
Communicate ideas or positions in a persuasive manner that builds support, agreement, or commitment. Takes actions that directly or indirectly influence others to create buy-in, gain trust, and motivate actions in others or win concessions without damaging relationships.
Voluntarily take the first steps to identify and address existing and potential obstacles, issues, and opportunities.
Improve organizational performance though the application of original thinking to existing and emerging methods, processes, products and services. Employs sound judgment in determining how innovations will be deployed to produce return on investment.
Anticipate, identify and define problems. Seeks root causes. Develops and implements practical and timely solutions.
Set and accomplish challenging goals. Defines standards in terms of doing what is appropriate.
Foster an environment of collaboration in pursuit of common goals. Inspires, motivates and guides others. Develops leadership skills in others by directing, coaching, mentoring, and reinforcing. Encourages and facilitates cooperation within the organization and with client groups; fosters commitment, team spirit, pride and trust.
Has enterprise-wide understanding of business functions and the corresponding technical strategies, benefits, risks, and costs that impact the business. Examples business functions include: marketing, sales, finance, HR, and clinical.
Maintain clear communication with clients regarding mutual expectations. Anticipates clients' needs by seeking information about the apparent, as well as underlying, requirements. Matches requirements to new or existing products and services. Makes concrete attempts to add value and enhance clients' ability to achieve their business goals.
Express technical and business concepts, ideas, feelings, opinions, and conclusions so that others understand or are persuaded to act. Creates an environment that encourages and values the opinions of others, and promotes sharing of information and ideas.
Understand financial and accounting principles and is able to apply them to analyze financial results, track budgets, set pricing and rates, and report financials.
Maintain and apply up-to date knowledge of current clinical documentation practices to ensure the medical record accurately reflects patient care and ensures proper coding including MS-DRG, APR-DRG, and ICD-10.
Knowledge and support of performance metrics for compliance and workflow optimization across revenue cycle operations. Embraces achieving best practices efficiently.
Identify risks and obstacles to plans. Defines scarcity and conflicts of resource needs, and potential constraints. Investigates risks within various organizational elements, assesses impact, and develops contingency plans to address major risks.
Understand the broader impact of work efforts across the revenue cycle function, critical business processes, and applications. Conceptualizes impact of changes upon workflow and best practices.
Required qualifications for this position include:
Bachelor's Degree in Nursing or a Bachelor of Science degree in healthcare or other related field (Foreign Medical Graduate)
Ten (10) years Nursing, CDI, or HIM/Coding experience in healthcare setting
Three (3) years Revenue Cycle Management (RCM) operations
Five (5) years knowledge-based of current technological trends and developments in healthcare
Able to lead/manage others
Develop and deliver effective presentations
Excellent collaboration and team building skills
Possess flexibility to work in a fast paced, dynamic environment
Effective conflict management skills
Preferred qualifications for this position include:
Master's Degree in Business Administration, Health Administration or related area of study
Ability to travel at least quarterly
One of the following:
Licensed Registered Nurse
Certified Coding Specialist (CCS)
Certified Clinical Documentation Specialist (CCDS) or;
License applicable to functional role
About the department you will serve.
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Non-Clinical Lead/Supervisor/Manager
Other Location(s): Montana, California, Washington, Oregon, Alaska
Req ID: 269855