Manager - Clinical Documentation Integrity, Clinical Licensure

Job Summary

Leads the reviews of applicable cases of medical/health records and manages the scheduling and coverage of medical/health record reviews to promote the accuracy and completeness of clinical documentation, and mentors team members on resolving coding issues to facilitate the accurate capture of diagnoses in medical codes and diagnostic-related groups. Manages the improvement of the clinical documentation improvement/integrity (CDI) program by conducting data and root cause analyses and reviewing reports to identify improvement opportunities in CDI processes.

Oversees regulatory compliance by performing audits of clinical documentation to facilitate compliance with coding guidelines and federal regulations, and collaborating with the team and leaders to address cases of non-compliance. Monitors staff training and education by identifying opportunities, developing, and/or leading trainings for medical staff on CDI (e.g., medical review and coding, quality standards, documentation requirements for diagnosis capture).

Primary

Location:

Oregon, Portland, Kaiser Permanente Building (mostly remote)
Scheduled Weekly

Hours:

40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri
Working Hours Start: 08:00 AM
Working Hours End: 04:30 PM
Job Schedule: Full-time
Job Type: Standard
Worker

Location:

Flexible (mostly remote)
Employee Status: Regular
Employee Group/Union Affiliation: NUE-NW-01|NUE|Non Union Employee
Job Level: Manager with Direct Reports
Department: Kaiser Permanente Building - Clinical Doc lmprov Codng Svc - 1008
Pay Range: $131400 - $169950 / year
Kaiser Permanente strives to offer a market competitive total rewards package and is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not reflect the full value of our total rewards package. Actual base pay determined at offer will be based on labor market data, internal alignment, and a candidate's years of relevant work experience, education, certifications, skills, and geographic location.
Travel: Yes, (up to) 10 % of the Time
Flexible: Work location is on-site at a KP location, with the flexibility to work from home.
Worker location must align with Kaiser Permanente's Authorized States policy:
Must live in Oregon or SW Washington State (in or below Longview)
Equal Opportunity Statement Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

Provides developmental opportunities for others; builds collaborative, cross-functional relationships. Solicits and acts on performance feedback; works closely with employees to set goals and provide open feedback and coaching to drive performance improvement. Pursues professional growth; develops and provides training and development to talent for growth opportunities; supports execution of performance management guidelines and expectations. Leads, adapts, implements, and stays up to date with organizational change, challenges, feedback, best practices, processes, and industry trends.

Fosters open dialogue amongst team members, engages, motivates, and promotes collaboration within and across teams. Delegates tasks and decisions as appropriate; provides appropriate support, guidance, and scope; encourages development and consideration of options in decision making.
Manages designated work unit or team by translating business plans into tactical action items; oversees the completion of work assignments and identifies opportunities for improvement; ensures all policies and procedures are followed. Aligns team efforts; builds accountability for and measuring progress in achieving results; determines and ensures processes and methodologies are implemented; resolves escalated issues as appropriate; sets standards and measures progress.

Fosters the development of work plans to meet business priorities and deadlines; obtains and distributes resources. Removes obstacles that impact…