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Providence Supervisor, Clinical Documentation Integrity in Irvine, California

Description:

Providence is calling a current caregiver to develop his or her career with this new opportunity: Supervisor, 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 Supervisor of CDI, will provide day-to-day oversight of operations within their service area under the direction of their manager or director. The Supervisor is responsible for leading frontline staff and to support the manager with administrative duties. The Supervisor will have expertise to enable them to provide leadership, consultation, and education related to the CDI program on matters of low to medium complexity. This position is a "working" leader meaning that there will be times where they will need to work in the capacity of our CDS staff based on business needs. In collaboration with CDI leadership, provides leadership in order to assess, plan, implement and evaluate delivery of team processes. In collaboration with leadership, is responsible to monitor program productivity, as well as analyzing and disseminating team data.

This position facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation. Obtains appropriate clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and Health Information Services coding staff to ensure that clinical documentation reflects the level of service rendered to patients is complete and accurate.

In this position you will have the following responsibilities:

  • Support leadership by providing day-to-day staff oversight while splitting time between managerial duties and frontline responsibilities.

  • Assess the technical accuracy, specificity and completeness of clinical documentation and ensures documentation explicitly identify findings and conditions present at the time of service.

  • Partner with educators to regularly report the CDI program performance, gaps, opportunities, and progress.

  • 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 displays 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 takes the first steps to identify and address existing and potential obstacles, issues, and opportunities.

  • Improves 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.

  • An 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, 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.

Qualifications:

Required qualifications for this position include:

  • Five (5) years Nursing, CDI, or HIM/Coding experience in healthcare setting

  • Two (2) years ICD-10 experience and/or understanding

  • Two (2) years understanding of MS-DRG and APR-DRG assignment and fundamentals of establishing a DRG

  • Two (2) years Revenue Cycle Management (RCM) operations

  • Able to lead/manage others

  • Instill commitment to organizational goals

  • Excellent collaboration and team building skills

  • Demonstrated customer service skills

  • Effective conflict management skills

Preferred 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).

  • Two (2) years experience with EPIC, Meditech, Iodine, JATA Guide, 3M 360 or similar applications.

  • One of the following:

  • Licensed Registered NurseCertified 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:

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

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.

About Us

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.

Schedule: Full-time

Shift: Day

Job Category: Non-Clinical Lead/Supervisor/Manager

Location: California-Irvine

Other Location(s): Montana, California, Washington, Oregon, Alaska

Req ID: 269853

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