Clinical Documentation Improvement Supervisor

$89,898 - $132,600/Yr

Adecco - Phoenix, AZ

Full-time - Mid Level

Phoenix, AZ

Administrative and Support Services

About the position

The Clinical Documentation Improvement (CDI) Supervisor will oversee the daily activities of Clinical Documentation Specialists (CDS) within a large medical group in Phoenix, AZ. This role is crucial for ensuring the quality and completeness of clinical documentation, promoting best practices, and fostering collaboration among medical staff. The supervisor will also be responsible for training, auditing, and maintaining compliance with regulatory standards.

Responsibilities

• Monitor and direct the daily activities of the Clinical Documentation Specialists (CDS).
• Assist with hiring & onboarding personnel based on department staffing plans.
• Promote organizational climate of decision-making, autonomy and accountability.
• Promote an environment that supports excellence in clinical documentation improvement concepts by leading a collaborative process.
• Foster collaborative partnerships with coding, Physician Advisors, medical staff and members of the organization.
• Monitor CDS personnel for proficiency in clinical documentation concepts and standards.
• Oversee the workload with an emphasis on efficiency, timeliness and appropriate judgement for the defined scope of the CDI area.
• Ensure that Human Resource Department policies are followed including behavioral standards, staff competency, license and certification verifications, and Employee Health requirements are met.
• Coordinate daily activities of the CDI staff to ensure overall quality and completeness of clinical documentation.
• Ensure medical records are reviewed concurrently and retrospectively to preserve the integrity of the medical record to reflect the clinical picture of the patient stay.
• Ensure mortality reviews are completed to accurately represent severity of illness (SOI) and risk of mortality (ROM).
• Review Diagnostic Related Group (DRG) downgrade accounts for clinical validation and works with the denials team for appeals.
• Monitor clinical quality measures for timely processing i.e. PSIs, HACs and core measures. Collect data on CDI metrics as needed.
• Monitor the competence of the CDS staff for quality and proficiency.
• Develop, maintain and update CDS training program.
• Perform audit reviews of CDS performance and provide feedback/ training as necessary.
• Maintain current working knowledge of CDI best practices and regulatory changes. Ensures organization is ready for accreditation and state surveys.

Requirements

• Registered Nurse licensure in state of AZ, active and clear.
• Certification as Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Professional (CDIP).
• Minimum 5 years experience in clinical documentation related role.
• Prior supervisory experience, direct or indirect.
• Previous EMR experience.

Nice-to-haves

• Associate Degree in Nursing, Bachelors Degree in Nursing preferred.
• Will accept equivalent combination of training and progressive experience in field.
• Coding certification preferred (CCS/CCS-P/CIC/COC).
• Prior experience in classroom and/or on-site training.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Life insurance
• Short-term disability
• Additional voluntary benefits
• EAP program
• Commuter benefits
• 401K plan
• Paid Sick Leave
• Holiday pay