Manager, Ambulatory Clinical Documentation Integrity; Remote

Position: Manager, Ambulatory Clinical Documentation Integrity (Remote)
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* Employment Type:

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* Full time

** Shift:*
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* Description:

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* ** Purpose*
* Accountable for leading, guiding & directing the functional responsibilities within an area of assignment. Enable ministry-level or enterprise-wide functional strategy to address internal or external business & regulatory issues. Provide functional expertise & ensure fulfillment of performance & service standards. Responsible for consistent operating performance & achieving financial goals. Identifies, defines & solves complex problems that impact the management & direction of the business.

Collaborates with Services Areas, Regions & Health Ministries to ensure consistency & integration of strategy & operations while maintaining awareness of new industry developments & standards. Provides decision support, operations & / or optimization leadership focus.

** Essential Functions*
* ** Our Trinity Health Culture:
** Knows, understands, incorporates & demonstrates our Trinity Health Mission, Values, Vision, Actions & Promise in behaviors, practices & decisions.

** Leadership:*
* Providing advice, guidance & leadership to RHM & Region leaders in developing strategies & in the achievement of performance goals.

Enable Collaboration across & within service area, RHM & Regions to ensure consistency & integration of strategy & operations

** Direction & Growth:*
* Providing advice, guidance & leadership to service area, functional area, RHM & Regions.

Leading standardization / systemness & optimization of policy, process, methodology, establishing a national community of practice.

Oversee Vendor / Contract Labor Management including centralizing strategy & optimizing spend.

** Strategic Support & Accountability:*
* Collaborates in system-wide strategy development & deployment of functional area priorities & initiatives.

Responsible for supporting regional efforts to comply with functional area priorities.

Accountable for the selection, evaluation & overall success of the functional leadership teams.

Organization-wide focal point for establishing functional strategies & governance over financials & staffing.

Accountable for communication between service area functional area, RHM & Region leaders.

** Operational Delivery*
* Responsible for measuring & reporting KPIs / metrics &value delivery.

Providing advice, guidance & leadership for the colleague life cycle.

** Maintains a Working Knowledge
** of applicable federal, state & local laws / regulations, Trinity Health Integrity & Compliance Program & Code of Conduct, as well as other policies, procedures & guidelines in order to ensure adherence in a manner that reflects honest, ethical & professional behavior & safe work practices.

** Functional Role (not inclusive of titles or advancement career progression)*
* + Provides leadership & strategic oversight of the Trinity Health Medical Group's (THMG) Ambulatory Clinical Documentation Integrity program.

+ Designs & builds structure, workflows & guidance of best practice documentation standards to ensure coding compliance & minimize audit liability.

+ Provides emphasis on adherence to CMS & other insurance carrier standards, optimizing revenues & the avoidance of monetary settlements from third party audits.

+ Works with providers & ambulatory practice leaders to develop accurate, effective, efficient & compliant documentation processes that ensure patient quality for all services provided & clinical documentation exists to support appropriate coding & billing.

+ Stays current with organizational alternate payment models & contracting to help prioritize work assignment for ambulatory clinical documentation integrity specialists. Develops & sustains working relationships with providers, advanced practice providers & administrators to promote success of the Clinical Documentation Integrity program.

+ Ensures educational materials & programs are available to staff & providers around complete & compliant documentation.

+ Assists in the development of software applications in assigned areas while identifying & resolving trends with process gaps causing errors in documentation.

** Minimum Qualifications*
* + Bachelor's degree in Business Administration, Healthcare Administration, Nursing or related field, or equivalent combination of education & experience

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Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi-facility, integrated health care delivery system, revenue cycle or consulting experience, with progressive responsibility in management or leadership experiences in clinical documentation integrity, coding, healthcare quality or equivalent

+ Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist - Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience

+ Ambulatory or outpatient experience with Medicare,…