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Service Area Director - Clinical Documentation Improvement - Bay area

UnitedHealth Group

San Francisco, CA
Job Code:
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Job Details

Service Area Director - Clinical Documentation Improvement - Bay area(Job Number:711776)

The Service Area Director, Clinical Documentation Improvement directs the activities of the Clinical Documentation Improvement (CDI) department. The selected candidate is responsible for providing CDI program oversight and day-to-day implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 client (Dignity Health) patients.  This includes, but is not limited to, overall responsibility for the planning, administration, control and quality management of the CDI Department activities in addition to regular reporting of department progress and initiative to hospital leadership.
This position collaborates with providers and other healthcare team members to make improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, decisions, and diagnoses for the patient.  This position utilizes clinical expertise and clinical documentation improvement practices and facility specific tools for best practice and compliance with the mission/philosophy, standards, goals and core values of Optum 360.  The Service Area Director of CDI does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care.
 The CDI Service Area Director is involved in the education of all phases of the Clinical Documentation Improvement process across a service area.   Provides ongoing Clinical Documentation Improvement education for new staff and new initiatives or identified areas of knowledge deficit.  Tracks and trends program compliance to determine areas of focus for educational opportunities.
*** This position will support the San Francisco Bay/Central California Service Area***
**Permanent location needs to be in the Bay Area**
Primary Responsibilities:
  • Responsible for the operations, business, financial and human resource needs of the CDI department
  • Plan daily operations of the department in conjunction with the Senior Director and participates in development of objectives to meet KPI’s
  • Direct and maintains adequate staffing and workflow to meet CDI needs
  • Monitor various reports and productivity to ensure that production standards and objectives are met in areas of responsibility
  • Lead the CDI program as demonstrated by assuming accountability for the ongoing success of the Clinical Documentation Program. Monitors CDI program and communicates with appropriate facility leadership regarding CDI key performance indicators (KPIs), and identifies and implements process changes to maintain and improve KPIs
  • Engage and consult with Physician Advisor when needed to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process
  • Serves as a resource to Physicians / Case Managers and other key professional staff in matters relating to clinical documentation improvement & ICD-10
  • Works with medical records, finance and physician groups to develop systems to facilitate complete documentation for data reporting purposes
  • Develops and monitors strategic operating goals, objectives and budget; and reports operational performance, justification and/or corrective action
  • Develops and manages direct reports; and oversees the development and management of indirect reports
  • Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations
  • Oversees compliance with government and agency regulations
  • Performs related duties, as required
  • Provide ongoing Clinical Documentation Improvement education for new staff and new initiatives or identified areas of knowledge deficit.  Track and trend program compliance to determine areas of focus for educational opportunities
  • Design and implements education programs which provide education for CDIP staff
    • Develop and conduct ongoing CDIP education for new staff, including new CDI specialists and coders.
    • Participate in ongoing education of staff
  • Communicate information effectively
    • Monthly reporting of CDI program progress/operations to hospital leadership
    • Responding to questions, concerns and requests promptly.
    • Serving as a resource regarding, policies/procedures/practices.
  • Identify areas of improvement/education through data collection, analysis and reports.  Participate on committees and conduct studies as necessary to demonstrate improvement in clinical documentation processes
  • Interview, hire, fire and provide leadership, counseling, training for employees in areas of responsibility
  • Ensure new employees are oriented and trained in all job functions
  • Perform counseling both verbal and written for employees requiring additional assistance as evidenced by communication in the personnel file
  • Provide consultation to providers and other clinical professionals, and leads implementation of changes that result in improvements in the patient care team’s ability to provide appropriate and timely treatment, communication regarding the patient’s condition, patient’s response to treatment, severity of illness, risk of mortality and treatment complexity

Job Med & Clin Ops-General Mgmt
Primary Location US-CA-San Francisco
Other Location 
Organization O360 Dignity Health Middle Ops
Schedule Full-time
Number of Openings 1
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UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

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