JOB OVERVIEW

We are seeking a dedicated and experienced Supervisor to oversee clinical documentation integrity activities within the inpatient setting. The ideal candidate will have a strong background in healthcare management, with expertise in various medical practices and systems. This role is crucial for overseeing daily operations, ensuring compliance with healthcare regulations, and maintaining high standards of patient care. The Supervisor will lead a team of CDI Specialists, ensuring high-quality clinical documentation and fostering an environment of collaboration and continuous improvement.

REQUIRED SKILLS

• Strong knowledge of clinical documentation standards, coding guidelines (ICD-10, CPT), and regulatory requirements.
• Excellent leadership and team management skills.
• Strong analytical and critical thinking abilities.
• Effective communication and interpersonal skills to engage with clinical staff and management.
• Proficiency in electronic health record (EHR) systems and CDI software.
• Ability to work collaboratively in a fast-paced healthcare environment.

QUALIFICATIONS

• Bachelor’s degree in nursing, Medical Graduate, or a related field
• Minimum of 3-5 years of experience in clinical documentation integrity, focusing on inpatient services in acute care hospital settings.
• Previous supervisory or leadership experience
• Certified Clinical Documentation Specialist (CCDS) or Certified Clinical Documentation Improvement Practitioner (CCDP).
• Familiarity with healthcare reimbursement methodologies and quality metrics.
• Knowledge of data analytics and reporting tools is advantageous.
• Ability to travel every quarter to provide education at the facility

PREFERRED QUALIFICATIONS

• Additional coding certifications (e.g., Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA)) are a plus.
• Master’s degree preferred.
  Job Type: Full-time
  Pay: $55.00 per hour
  Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Professional development assistance
• Vision insurance

Work Location: Remot

• Review and analyze clinical documentation to ensure accuracy, completeness, and compliance with regulatory standards.
• Collaborate with physicians, nursing staff, and other healthcare professionals to educate them on documentation best practices.
• Conduct regular audits of inpatient clinical documentation and provide constructive feedback to improve quality.
• Develop and implement CDI policies, procedures, and workflows specific to inpatient services.
• Monitor key performance indicators (KPIs) related to documentation quality and provide reports to management.
• Facilitate training sessions and workshops for clinical staff on documentation standards and coding guidelines.
• Stay current with changes in coding regulations, reimbursement methodologies, and industry best practices.
• Act as a liaison between the CDI team and other departments to resolve documentation-related issues.
• Supervise and lead a team of CDI specialists focused on inpatient documentation improvement.