Director Clinical Documentation Improvement Position Available In Palm Beach, Florida

Director Clinical Documentation Improvement OMH HealthEdge Holdings Boca Raton, FL Job Details Full-time Estimated:

$97.9K – $127K a year 7 hours ago Qualifications Microsoft PowerPoint Microsoft Word Revenue cycle management Nursing Microsoft Excel Oracle Microsoft Outlook Inpatient

RHIA CDIP AHIMA RHIT

Microsoft Office Master’s degree 8 years ICD-10 Bachelor’s degree Clinical Documentation Certification Certified Coding Specialist Mentoring Organizational skills Computer skills Acute care Health Information Management CCDS Senior level Leadership Medical terminology Documentation review Communication skills Nursing DRG Time management Full Job Description

JOB DESCRIPTION

Job Title Director of Clinical Documentation Improvement FLSA Exempt Reports to AVP Operations Grade V Location Remote Band 5B Summary/Objective Under general direction, will be responsible for defining the strategy, operational framework, and service delivery model for inpatient CDI offerings. This role requires a deep understanding of acute care clinical documentation, DRG methodologies, coding guidelines, and regulatory requirements.

Essential Job Functions Strategy Development & Execution:

Develop and implement a comprehensive strategic plan for the inpatient/acute care CDI division, aligning with the company’s overall growth objectives. Define the scope of services, target market, and competitive differentiation for our CDI offerings. Establish key performance indicators (KPIs) and metrics to measure the success and impact of the CDI division.

Operational Leadership & Team Building:

Lead the recruitment, onboarding, training, and development of a high-performing CDI team, including CDI specialists, managers, and potentially coding professionals across the US, India, and the Philippines. Establish clear roles, responsibilities, and performance expectations for team members in different locations. Implement effective communication strategies and collaboration tools to foster a cohesive and productive global team environment. Provide ongoing coaching, mentorship, and performance management to team members.

Service Delivery & Quality Assurance:

Define and implement best-practice CDI workflows and processes for inpatient/acute care settings, focusing on DRG reviews and accurate reimbursement. Ensure compliance with all relevant coding guidelines, regulatory requirements, and client-specific protocols. Develop and implement robust quality assurance programs to monitor the accuracy and effectiveness of CDI reviews. Collaborate with technology teams to identify and implement CDI software and tools to enhance efficiency and effectiveness.

Client Relationship Management:

Serve as a subject matter expert and point of escalation for client-related CDI inquiries and concerns. Build and maintain strong relationships with key client stakeholders, understanding their specific needs and challenges. Establish and customize key performance indicators (KPIs) and metrics to measure the success and impact of the CDI solution for each client. Participate in client presentations and business development activities as needed. Work closely with the sales and account management teams to support the growth of the CDI division.

Financial Performance & Reporting:

Manage the budget and financial performance of the CDI division, ensuring profitability and cost-effectiveness. Develop and analyze reports on key performance indicators, providing insights and recommendations for improvement. Monitor industry trends and changes in reimbursement methodologies to proactively adapt CDI strategies . Key Success Indicators/Attributes Ability to prioritize and multi-task in a fast paced, changing environment. Demonstrate strong organizational skills and be detail oriented. Ability to self-motivate and self-direct. Ability to achieve set goals and deadlines. Demonstrate strong time management skills. Demonstrate excellent leadership, mentoring, and interpersonal skills. Demonstrate the ability to analyze and problem solve. Demonstrate strong commitment to team environment. Proficient handling difficult situations and human relations issues with professionalism and respect. Ability to maintain professionalism when interacting with internal and external customers. Proficient personal computer skills with MS Office (Word, Excel, Power Point, Outlook). Excellent communication, interpersonal, and presentation skills, with the ability to effectively interact with physicians, hospital staff, and clients. Supervisory Responsibility Yes. Work Environment This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus. Position Type/Expected Hours of Work This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work. Travel Travel required; up to 20% Required Education and Experience Bachelor’s Degree in Nursing, Health Information Management, or a related healthcare field. A minimum of 5 years’ experience in leading and managing CDI teams, preferably with experience managing remote and international teams. AHIMA Certification (RHIA, RHIT or CCS) Professional certification in CDI (e.g. CCDS or CDIP) A minimum of 8 years’ of progressive experience in Clinical Document Improvement within the inpatient/acute care setting. Extensive knowledge of DRG methodologies (MS & APR), ICD-10 coding guidelines, and payer regulations. Proven ability to develop and implement successful CDI strategies and initiatives that result in measurable improvements in documentation accuracy and reimbursement. Strong understanding of clinical workflows, medical terminology, and healthcare documentation requirements. Proficiency in using CDI software and technology solutions. Preferred Education and Experience Master’s degree in a relevant field. Experience in a revenue cycle management company or consulting environment. Experience with performance improvement methodologies (e.g. Lean, Six Sigma). Additional Eligibility Qualifications None required Security Access In addition to the specific security access required by the employee’s client engagement, the employee will have access to the Omega systems set forth in the “Standard Manager” profile. Microsoft Office ADP Oracle Other E3- Supervisors, Managers, Office Employees Standard Manager Standard Other needs as required by the SVP Operations-US. AAP/EEO Statement Omega is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Employees may perform other duties as assigned.