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Hours Full-time, Part-time
Location NEWTOWN SQUARE, PA
NEWTOWN SQUARE, Pennsylvania

About this job


Talk about meaningful work.  Talk about an important role.  Let's talk about your next career move. If you want to achieve more in your mission of health care, you have to be really smart about the business of health care. Challenge yourself, your peers and our industry by shaping what health care looks like and doing your life's best work. (sm)

 

The Director, Physician Documentation Improvement will oversee the concurrent review processes of complex patients of different ages and development in acute and chronic disease states. The successful candidate works to improve client quality scores through treating physician documentation of patient reviews.

 

S/he will collaborate with interdisciplinary teams including, but not limited to, physicians, nurses, PA's, and Coders.  S/he will provide guidance and feedback to internal physicians on supporting continued company growth and successful performance. S/he will promote effective and efficient review of physician documentation for appropriate assignation of DRG's and develop action plans for improvement. 

 

Specific responsibilities:


  • The role manages the day-to-day operations of the PDI Department team.

  • This includes managing the staffing and training needs for the entire departments

  • Create report, monitor and track consistency/improvement over time, as well as track trends and program compliance.

  • Build relationships with internal medical staff department for achieving clinical and operational excellence in relation to Physician Documentation Improvement efforts.

  • Provide direction and education of all phases of the Clinical Documentation process and will be held accountable to work in a collegial manner with physicians and staff.  

  • Assume responsibility for professional development by participating in workshops, conferences, and/or in-services and maintains appropriate records of participation. 

  • Product development and continuous quality improvement

  • Relationship building in a highly matrix organization

  • Interpret, adapt, and apply guidelines and procedures

  • Analyze complex clinical scenarios and apply critical thinking

Requirements


  • Must have a Registered Nurse license (RN), OR be a certified Coder in one of the following: Registered Health Information Administrator certification (RHIA), Registered Health Information Technician certification (RHIT), Certified Coding Specialist certification (CCS) is required.

  • Subject matter expertise in clinical documentation improvement

  • Advanced clinical expertise and extensive knowledge of complex disease processes with broad based clinical experience in an inpatient setting. 

  • 10+ years acute care experience

  • 3+ recent management or supervisory experience; Managed multiple coding/CDI departments across hospitals or both CDI and coding departments in one hospital.

  • Remote/Telecommute work situation possible

 

Qualified candidates will be self-motivated and capable of working with limited supervision, and structure. The candidate must be a results oriented professional and ability to accomplish key objectives; sets the bar at the highest standard of excellence and is able to work well with members of the team.

 

Skill Sets


  • MS Excel advanced level proficiency required

  • Financial acumen to report on program successes and opportunities

  • Demonstrated outstanding communication skills, at all levels, in a timely fashion

  • Extensive knowledge of reimbursement systems

  • Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation and coding

  • Extensive knowledge of treatment methodology, patient care assessment, data collection techniques and coding classification systems is necessary

 

Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world?s large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.SM

Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.

 

 

Key words: Clinical, RN, RHIA, RHIT, CCS, CCS-P, CPC, CPC-H,  ICD-9 CM, ICD-9 PCM, ICD-10, CDI, CCDS, CDIP, ACDIS, DRG, inpatient, medical coder, coder, chart review, hospital, hospital medical coder, Executive Health Resources, Philadelphia