Navient Clinical Documentation Improvement Manager in Chicago, Illinois

Xtend Healthcare is located just 20 miles north of Nashville, Tennessee; Xtend provides entirely revenue cycle-based projects which range from complete business office outsourcing to A/R legacy cleanup, self-pay and third-party CBO safety net engagements as well as coding and consulting engagements.

We serve clients of all types and sizes in all 50 states -- from critical-access hospitals to those with more than 2,000 patient beds, and from individual facilities to multi-hospital, university-affiliated health systems.

In 2015, Xtend was acquired by Navient which is the nation's leading loan management, servicing and asset recovery company. By joining forces with Navient, the Xtend team will be bolstered by the strength, stability and resources of an industry leader, and leverage the parent company's large scale business process outsourcing capabilities.

This position is located in Chicago, Illinois.

Xtend Healthcare is looking for a Clinical Documentation Improvement Manager. This position supervises activities of the Clinical Documentation Improvement (CDI) functions and CDI specialists by:

  • Leading the monitoring of performance, collection and analysis of data to report on the effectiveness of process improvement.

  • Collecting and analyzing data to provide reports for HIM Department and hospital wide use and to make recommendations as appropriate.

  • Assisting in the planning, development and implementation, and ongoing success of the CDI Program.

  • Educating HIM CDI specialists, HIM coders, and members of the patient care team regarding documentation guidelines, including attending physicians, nursing, and other interdisciplinary team members.

The CDI Supervisor must exhibit expertise in all aspects of health information management with knowledge and expertise in coding (ICD-10-CM & PCS, CPT, MS-DRGS, APRG-DRGs, HCCs) for acute care hospitals, skill nursing facilities, swing beds, hospice, and inpatient rehab facilities. A high level of knowledge of physician specialty medical practices is also a plus. Understanding and communicating differences between Medicare Part A and Part B guidelines and how they impact MS-DRGs and APR-DRGs is required.

  1. Personnel and Program Management:
  • Hiring, orientation, and training CDI personnel.

  • Leading and monitoring performance of CDI personnel.

  • Evaluating performance and carrying out improvement activities.

  • Educating internal staff, physicians, nursing, other interdisciplinary team members.

  • Assists with initial & extended stay reviews as needed.

  • Work closely with Physician Advisor, physicians, CM, and other related Hospital personnel.

  1. Collects and analyzes data to provide reports for HIM Dept and Hosp-wide use:
  • Reports and discusses weekly/monthly performance.

  • Conducts regularly scheduled staff meetings, and others as appropriate.

  • Identifies trends and reports to HIM Director.

  • Develop and coordinate education training programs regarding trends identified.

  1. Assists in the planning, development and implementation, and ongoing success of the CDI Program.

  2. Educates HIM CDI specialists, HIM coders, physicians, and other hospital staff prn.

Decision-Making:

  • Leads People. Implements and adapts managerial and staffing plans focused on the selection, retention, accountability and development of people so as to achieve Hospital and departmental goals and objectives.

  • Operates the Business.Personally, and in collaboration with the departmental management team, directs the day-to-day activities of the CDI program and Hospital through policies, procedures, protocols, processes, goals, and objectives. Such activities shall result in:

  • Effective CDI program.

  • Compliance with regulatory requirements.

  • Changes. Innovates, improves, and problem solves to further the goals of the department and Hospital.

  • Strategically Supports. Analyzes operational and financial events and develops sound, workable solutions in response to Hospital needs. Uses communication and teaching skills, to improve the operational and financial condition and to enhance the financial understanding of others throughout the organization. Collaborates with others on projects and objectives.

  • Knowledge. Maintains current base of knowledge as applicable to area of responsibility.

Bachelor's Degree or specialised HIM degree (RHIA or RHIT) or Nursing degree.

RN, and/or CCDS and/or CCDIS a plus.

MUST HAVE:

  • Five years hands-on experience in the healthcare industry is required -- both in CDI services and healthcare services management.

  • Two (2) + years' experience in a leadership role in the healthcare industry.

  • Credentialed through AHIMA and/or ACDIS.

  • Working knowledge of ICD10 CM & PCS, CPT, MS-DRGs, APR-DRGs; Electronic health record (EHR) expertise, including knowledge of a variety of vendors.

OTHER HELPFUL EDUCATION OR EXPERIENCE:

  • An understanding of healthcare billing practices and compliant claims preparation for both governmental and commercial payers.

  • Graduate from a Nursing program, BSN or graduate of Health Information Management RHIT, RHIA knowledge of HCC's.

  • Experience with Case Management, Utilization Review.

  • Experience with encoders; experience with CAC software.

  • Experience with auditing.

  • Experience with denials management and writing appeals.

KNOWLEDGE, SKILLS and ABILITIES:

  • Working knowledge of CDI "best practices."

Able to interact positively with physicians and staff, and understand their needs in the respective areas of healthcare.

All offers of employment are contingent on standard background checks. Navient and certain of its affiliated companies are federal, state and/or local government contractors. Should this position support a federal government contract, now or in the future, the successful candidate will be subject to a background check conducted by the U.S. Government to determine eligibility and suitability for federal contract employment for public trust or sensitive positions. Positions that support state and/or local contracts also may require additional background checks to determine eligibility and suitability.

EOE Minority/Female/Disability/Protected Vet/Sexual Orientation/Gender Identity.

Navient Corporation and its subsidiaries are not sponsored by or agencies of the United States of America.

Navient is a drug free workplace.