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Billings Clinic Coordinator of Inpatient Documentation and Coding in Billings / Billings, Montana

Job Description: The Clinical Documentation Improvement Coordinator is responsible for the supervision of the staff and the daily operations of the Clinical Documentation Improvement Specialists and is responsible for personnel management, orientation, training and ongoing education. The IP Clinical Documentation Improvement Coordinator will work in association with the Clinical Documentation Specialists, coding team, physicians, and all members of the healthcare team to ensure accurate and timely clinical documentation in the medical record. Coordinator ensures compliance to governmental, departmental and other regulatory regulations, policies and procedures.

Essential Job Functions

• Supervises the Clinical Documentation Improvement Specialist to include directing and coordinating the day-to-day activities, establishing priorities and ensuring workload and schedules are appropriate per department standards.
• Supervises the Clinical Documentation Improvement Specialist to include directing and coordinating the day-to-day activities, establishing priorities and ensuring workload and schedules are appropriate per department standards.
• Responsible for personnel management to include interviewing, hiring, orientation/training, performance appraisal, coaching/counseling and disciplinary action.
• Collaborate with interdisciplinary teams including, but not limited to, physicians, nurse practitioners, physician assistants, Senior Leadership and the department managers of, Coding Resources, Quality, Care Management, Patient Financial Services, and Health Information Management.
• Be involved in the direction and education of all phases of the Clinical Documentation Improvement .
• Provide ongoing program education for new staff, including new Clinical Documentation Specialists, physicians, nurse practitioners, physician assistants, nurses and allied health professionals.
• Tracks and trends program compliance to ensure adherence to all CMS regulations regarding inpatient coding and abstracting elements including POA,SOI/ROM, ICD10 CM, ICD10 PCS, DRG assignment, and HCC/risk adjusted coding.
• Assume responsibility for professional development through participation at workshops, conferences, and/or in-services and maintains appropriate records of participation
• Understand and disseminate reports to appropriate administrative personnel indicating productivity and success of the CDI program.

Knowledge, Skills, and Abilities

KNOWLEDGE OF:

• Billings Clinic policy and procedures, both organizational and departmental
• Billings Clinic Code of Business Conduct
• Billings Clinic Corporate Compliance Program
• Customer service techniques and Personal Service Excellence (PSE) skills
• Personal computers, hardware and software
• HIPAA and confidentiality requirements
• Patient's/resident's rights
• Quality and process improvement principles and tools
• NCQA, OSHA, FDA and human resource management regulations and requirements
• Resources for required federal, state and local laws applicable to the health care environment
• Leadership and management principles
• Change management theories and principles
• Third party and government payer requirements
• Coding guidelines and billing practices

SKILL IN:

• Professional communication skills, both verbal and written
• Project management
• Time management, organization, and prioritization
• Developed computer skills and skill in using Microsoft Office programs (i.e. Windows, Outlook, Word, Excel and PowerPoint)
• Utilization of performance and process improvement techniques
• Group facilitation
• Facilitating change management
• Conflict resolution

ABILITY TO:

• Incorporate population specific needs into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric
• Communicate clearly and effectively, both verbal and written
• Establish and maintain collaborative relationships
• Work effectively in a team environment
• Work independently with minimal supervision
• Work with frequent interruptions and competing priorities
• Respond calmly and effectively in emergent or difficult situations
• Respond verbally and/or in writing to immediate requests and project a personal demeanor that conveys integrity, confidence, sincerity and competency. Listen and appropriately respond to complaints, concerns and occasional inappropriate behavior in an effective, timely, ethical and polite manner
• Maintain flexibility to adapt to a variety of workload assignments
• Process meaningful reports that reflect best use of data, statistical analysis and trending
• Interpret guidelines and regulatory requirements; identify non-compliance and take appropriate corrective action
• Facilitate group dynamics, create enthusiasm and encourage teamwork among diverse members of a group
• Provide visionary thinking and processes which may be outside the traditional methods and standards

COMPLEXITY & DIFFICULTY:

• Position requires the ability to demonstrate high integrity, good judgment, assertiveness and an approachable demeanor, while eliciting the respect and trust of employees.
• Coordinator acts independently with limited supervision and must be able to develop and direct systems to facilitate the organization's ability to be in compliance with regulatory, legal and accreditation requirements.
• Position communicates to employees of the organization on behalf of the mission, vision, values and strategic goals of the organization.

Minimum Qualifications

Education

• Graduate of an accredited school of nursing, Bachelors degree in nursing is preferred. Associate (or Diploma) RNs hired into this position must commit to completing their Bachelor of Nursing degree within 4 years after their hire date. Billings Clinic will help support the cost through financial assistance.

Experience

• 2 years clinical experience with recent management or supervisory experience, preferred.
• Knowledge of coding principles and guidelines.
• Knowledge of reimbursement systems (MS-DRG, APR-DRG), as well as federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing.
• Knowledge of risk adjusted payment model
• Experience with Cerner preferred.

Certifications and Licenses

• CCDS, CDIP and/or CCS preferred, or required to be obtained within two years
• Yellow Belt certification in Operational Excellence, or certification to be obtained within the timeframe as established by manager
• Current Montana state license as a registered nurse required

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