CDI Manager (Taguig)

A CDI Manager, which stands for "Clinical Documentation Improvement Manager," is responsible for overseeing a team of clinical documentation specialists, ensuring accurate and compliant medical record documentation by collaborating with healthcare providers to improve the quality of clinical documentation, aligning diagnoses with the severity of illness, and ultimately impacting patient care and financial reimbursement within a healthcare organization; this role requires in-depth knowledge of medical coding guidelines, clinical practice, and healthcare regulations, while leading initiatives to educate clinicians on best practices for documentation.
Key responsibilities of a CDI Manager:
Team Leadership:
Manage and supervise a team of CDI specialists, including hiring, training, performance evaluations, and professional development.
Operational Oversight:
Manage the day-to-day operations of the CDI department, including workflow processes, data analysis, quality monitoring, and reporting.
Clinical Documentation Review:
Conduct comprehensive reviews of medical records to identify areas where documentation needs improvement, ensuring accurate diagnosis coding and capturing the appropriate level of severity of illness.
Clinician Outreach:
Collaborate with physicians, nurses, and other healthcare providers to educate them on proper documentation practices, address concerns, and clarify coding guidelines through query processes.
Quality Improvement Initiatives:
Develop and implement strategies to improve CDI performance metrics, such as capture rates, denial rates, and compliance with coding guidelines.
Compliance Management:
Stay updated on healthcare regulations and ensure the CDI team adheres to coding and documentation compliance standards.
Data Analysis and Reporting:
Analyze CDI data to identify trends, identify areas for improvement, and generate reports to leadership regarding the effectiveness of CDI initiatives.
Required Skills and Qualifications:
Clinical Expertise: Strong understanding of medical terminology, disease processes, and clinical practice guidelines.
Coding Knowledge: Comprehensive knowledge of ICD-10, CPT, and DRG coding systems.
Leadership Skills: Proven ability to lead and motivate a team, manage conflict, and foster collaboration.
Communication Skills: Excellent verbal and written communication skills to effectively interact with clinicians, coding staff, and leadership.
Analytical Skills: Ability to analyze data, identify trends, and interpret findings to inform decision-making.
Healthcare Regulatory Awareness: Knowledge of relevant healthcare regulations and compliance standards.