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Garnet Health Medical Center · 2 months ago

Clinical Documentation Integrity Manager- Remote

United States

Full-time

Remote

Senior Level

$80K/yr - $100K/yr

5+ years exp

Garnet Health Medical Center is the Hudson Valley’s leading integrated health system, focused on patient-centric care. The Clinical Documentation Integrity Manager is responsible for overseeing the CDI department, ensuring the quality and accuracy of medical documentation, and managing the appeals process for DRG denials.

EducationHealth CareMedicalNon ProfitWellness

Responsibilities

Under the direction of The Administrator, Coding & Clinical Documentation Improvement and Patient Access, the Manager of Clinical Documentation Integrity (CDI) and DRG Denials is responsible for the day to day operation of the CDI department and DRG Denials appeals process

The Manager will develop, implement and evaluate processes, policies and procedures related to clinical documentation improvement for all Garnet Health hospitals

The Manager is responsible for leading CDI functions and overseeing the day to day work in the department

The Manager ensures that reviews of the patient’s medical data are conducted to assess appropriateness and medical necessity for admission, and continued stay

The Manager facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation

The Manager will evaluate denials and work closely with the outcomes manager and coding denial coordinator to oversee and write compelling, factual arguments when warranted to the third-parties denying claim

Qualification

ICD 10 codingCPT codingDRG reimbursementClinical Documentation ImprovementCertified Clinical Documentation SpecialistRegistered Nurse licenseAnalytical skillsMulti-taskingCommunication skillsCritical thinkingFlexibility