Clinical Documentation Improvement Supervisor - RUHS - Medical Records

County Of Riverside - Riverside, CA

Full-time - Manager

Remote - Riverside, CA

251-500 employees

Repair and Maintenance

About the position

The Clinical Documentation Improvement Supervisor at Riverside University Health System-Medical Center is responsible for overseeing the operations of the Clinical Document Improvement (CDI) department. This role involves ensuring compliance, conducting research and analytical studies, and making recommendations for departmental improvements. The supervisor will coordinate CDI for both inpatient and outpatient services, facilitate physician documentation, and collaborate with healthcare team members to enhance documentation accuracy and comprehensiveness.

Responsibilities

• Plan, assign and direct the work of a unit of Clinical Documentation Improvement Specialists.
• Develop and deliver training and education to clinical, CDI and coding professionals regarding CDI practices, coding and documentation requirements.
• Actively communicate with providers to clarify information and communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality.
• Develop and recommend policies and procedures; develop written procedures to clarify or describe standard practices.

Requirements

• Significant experience in Clinical Documentation Improvement (CDI).
• Familiarity with EPIC and 3M Clinical Documentation Integrity Services.
• At least one certification as a Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) issued by the American Health Information Management Association.