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RN Clinical Document Sr Manager - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Phoenix, AZ Phoenix, Arizona |
About this job
Banner Health is looking for an RN Clinical Document Sr Manager to join their Clinical Documentation Improvement team. This team reviews the medical record to ensure the overall appropriateness, completeness, consistency, compliance, and specificity of the physician documentation. It helps to ensure accuracy and compliance with coding assignments, DRG assignments, Case Mix Index, LOS, SOI/ROM ratings, clarifies POA status, HAC's, quality of care, support for specific Hospital and System initiatives, and aids the Revenue Integrity dept. in achieving appropriate reimbursements for services provided.
The ideal candidate will have the below qualifications:
* BSN minimum; MSN preferred
* Leadership experience
* Experience as a Clinical Documentation Specialist
* 5 plus years of recent and relevant acute care experience
* Working knowledge of coding and DRG assignments
* Experience with presenting provider and staff education
This position also requires an RN licensure in the state of AZ
This position will have some remote capabilities after 6 months of training but the successful candidate will need to live in the Phoenix, AZ metropolitan area.
* --
About Banner Health Corporate
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to change the way care is provided. The many locations, career opportunities and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
* --
Job Summary
This position provides managerial support to the centralized system clinical documentation team and assists in providing effective operations and improvement of the clinical documentation program. This position understands data collection and analysis for system, facility and physician profiling and provide ongoing communication on documentation opportunities, coding and reimbursement issues and overall performance improvement methodologies.
Essential Functions
Assists in the planning, direction and monitoring of the system clinical documentation program in conjunction with organizational goals and objectives.
Participates in multidisciplinary process improvement activities, which may include steering committee oversight to attain optimal clinical, operational and financial outcomes. Participates in the development of system policy, procedures, and performance tools for program. Provides consultative expertise on coding process, DRGs and reimbursement methodologies to a multitude of organizational teams.
Provides assistance to multifunctional teams in the design and distribution of educational programs associated with clinical documentation for staff and physicians. Participates in the development and implementation of action plans based on meeting system initiatives and implements strategies to work with internal and external customers to ensure quality of the clinical documentation system.
Provides education, coaching, and mentoring to staff to promote system integrity throughout the organization. Compiles resource information that will extend the knowledge and enhance the interpretive skills of clinicians. Recognizes successes and identify ongoing opportunities by collaborating with clinicians and coding to improve program efficiencies.
Manages personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training and annual evaluations. This position also participates in the development of departmental goals and objectives in accordance with company standards.
Participates in the development and management of the department budget. Assists in managing the financial and capital resources for the clinical documentation program and developing and implementing new or revised programs and/or services.
Prepares, analyzes, presents and disseminates performance reports for activities associated with the clinical documentation program on an ongoing basis for system, facility and department comparison.
Maintains current knowledge on laws, regulatory changes and actual practices, which affect clinical documentation, DRG assignment and reimbursement methodologies.
Minimum Qualifications
Requires a level of education as normally obtained through the completion of a bachelors degree in nursing, healthcare information management or related field or equivalent experience.
Requires Registered Nurse (R.N.) license in state worked.
Requires a strong working knowledge of healthcare operations, clinical documentation and reimbursement methodologies as typically obtained through a minimum of 3 years relevant experience. Must have a working knowledge of hospital operations, medical/nursing staff procedures, hospital and community resources. A working knowledge of software applications related to encoders, groupers, and spreadsheets and word documents is required. Excellent organizational, human relations and communication skills are required to maintain good rapport and effective working relations with facility leaders, medical staff, nursing staff and other departmental personnel throughout the organization and external customers. Must also possess demonstrated skill in problem analysis, project management, contract negotiation, conflict resolution and oral/written presentation.
Preferred Qualifications
Certified Coding Specialist credential, Registered Health Information Administrator or Registered Health Information Technologist preferred.
Additional related education and/or experience preferred.
The ideal candidate will have the below qualifications:
* BSN minimum; MSN preferred
* Leadership experience
* Experience as a Clinical Documentation Specialist
* 5 plus years of recent and relevant acute care experience
* Working knowledge of coding and DRG assignments
* Experience with presenting provider and staff education
This position also requires an RN licensure in the state of AZ
This position will have some remote capabilities after 6 months of training but the successful candidate will need to live in the Phoenix, AZ metropolitan area.
* --
About Banner Health Corporate
Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.
About Banner Health
Banner Health is one of the largest, nonprofit health care systems in the country and the leading nonprofit provider of hospital services in all the communities we serve. Throughout our network of hospitals, primary care health centers, research centers, labs, physician practices and more, our skilled and compassionate professionals use the latest technology to change the way care is provided. The many locations, career opportunities and benefits offered at Banner Health help to make the Banner Journey unique and fulfilling for every employee.
* --
Job Summary
This position provides managerial support to the centralized system clinical documentation team and assists in providing effective operations and improvement of the clinical documentation program. This position understands data collection and analysis for system, facility and physician profiling and provide ongoing communication on documentation opportunities, coding and reimbursement issues and overall performance improvement methodologies.
Essential Functions
Assists in the planning, direction and monitoring of the system clinical documentation program in conjunction with organizational goals and objectives.
Participates in multidisciplinary process improvement activities, which may include steering committee oversight to attain optimal clinical, operational and financial outcomes. Participates in the development of system policy, procedures, and performance tools for program. Provides consultative expertise on coding process, DRGs and reimbursement methodologies to a multitude of organizational teams.
Provides assistance to multifunctional teams in the design and distribution of educational programs associated with clinical documentation for staff and physicians. Participates in the development and implementation of action plans based on meeting system initiatives and implements strategies to work with internal and external customers to ensure quality of the clinical documentation system.
Provides education, coaching, and mentoring to staff to promote system integrity throughout the organization. Compiles resource information that will extend the knowledge and enhance the interpretive skills of clinicians. Recognizes successes and identify ongoing opportunities by collaborating with clinicians and coding to improve program efficiencies.
Manages personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training and annual evaluations. This position also participates in the development of departmental goals and objectives in accordance with company standards.
Participates in the development and management of the department budget. Assists in managing the financial and capital resources for the clinical documentation program and developing and implementing new or revised programs and/or services.
Prepares, analyzes, presents and disseminates performance reports for activities associated with the clinical documentation program on an ongoing basis for system, facility and department comparison.
Maintains current knowledge on laws, regulatory changes and actual practices, which affect clinical documentation, DRG assignment and reimbursement methodologies.
Minimum Qualifications
Requires a level of education as normally obtained through the completion of a bachelors degree in nursing, healthcare information management or related field or equivalent experience.
Requires Registered Nurse (R.N.) license in state worked.
Requires a strong working knowledge of healthcare operations, clinical documentation and reimbursement methodologies as typically obtained through a minimum of 3 years relevant experience. Must have a working knowledge of hospital operations, medical/nursing staff procedures, hospital and community resources. A working knowledge of software applications related to encoders, groupers, and spreadsheets and word documents is required. Excellent organizational, human relations and communication skills are required to maintain good rapport and effective working relations with facility leaders, medical staff, nursing staff and other departmental personnel throughout the organization and external customers. Must also possess demonstrated skill in problem analysis, project management, contract negotiation, conflict resolution and oral/written presentation.
Preferred Qualifications
Certified Coding Specialist credential, Registered Health Information Administrator or Registered Health Information Technologist preferred.
Additional related education and/or experience preferred.
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