Region Manager Revenue Cycle CDI-Central

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Job Summary / Purpose

This position provides oversight of CDI teams holding them accountable to performance. Develops strategic plans to achieve CommonSpirit Health (CSH) enterprise KPIs. Plays a critical role in the overall accuracy and compliance for all CDI functions.  Analyzes data and generates monthly KPI performance reports/dashboard to share with executive leadership. Acts as a liaison between physicians, coding, and clinical quality, etc. to ensure collaborative relationships resulting in accuracy and integrity of the inpatient medical record
 

Essential Functions
Essential Function

• Oversees CDI team, ensuring optimal performance and adherence to compliant CDI practices and regulatory requirements. Ensures CDI team meets   productivity for daily initial/follow up reviews, compliant query generation, and accuracy standards; develop action plans for sustained improvement.  Adhere to the ethical standards of coding as established by AAPC, AHIMA and/or ACDIS
• Ability to identify and determine resolution of complex issues.  Ability to communicate effectively, stay organized, and demonstrate effective leadership skills
• Assist CSH director in strategic planning. Assists with the development of combined Coding and CDI steering committee presentations
• Participate on patient care teams/committees to advance education of documentation guidelines to support clinical coding and DRG assignment
• Oversee orientation and education of new providers to the organizations CDI program
• Assist with preparation and presentation of CDI monitoring/trending reports for physician and hospital leadership.  Strong oral communication skills and the ability to deliver presentations to large groups
• Ability to identify and interpret strategic and operational training/development needs.  Collaborates with physicians, clinical quality, coding team, and safety net vendors to discuss results, education and develop action plans for sustained improvement
• Lead CDI department meetings and ensure collaborative environment.  Develop and execute CDI process improvement projects.   Actively seeks to promote and helps to maintain a professional, team-oriented, service-conscious environment, which contributes to the goals of the team and reflects the values of the enterprise
• Ensures managers have tools and resources to hold teams accountable
• Ability to troubleshoot computer issues in a timely fashion while working remotely

Required 

Associate of Nursing with 4-6 years
Associate's degree HIM or related field, Current RN license and/or certification from AHIMA (CDIP) or ACDIS (CCDS) to be maintained

5 years of recent management of hospital-based CDI teams (hospital, large multi-facility organization, etc.)
Previous experience effectively managing remote teams
Experience with various encoder and EMR systems (Optum eCAC, Solventum, EPIC, Cerner, Meditech)

Preferred

Bachelors Of Science in Nursing (BSN)
Bachelors Other or Bachelor’s degree in HIM  

Licenses/Certifications - Required 
Registered Nurse:XX (RN:XX)
Clinical Documentation Improvement Professional (CDIP)