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Supervisor, Clinical Documentation Improvement - $5K Sign On Bonus - San Francisco, Redwood City or Santa Cruz, CA

UnitedHealth Group


Location:
San Francisco, CA
Date:
09/05/2017
2017-09-052017-10-04
Job Code:
1781639
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Job Details


Supervisor, Clinical Documentation Improvement - $5K Sign On Bonus - San Francisco, Redwood City or Santa Cruz, CA(Job Number:728634)
Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us and help people live healthier lives while doing your life's best work.(sm)

 

The Clinical Document Improvement Specialist Supervisor -  is responsible for providing CDI program oversight and day to day CDI implementation of processes related to the concurrent review of the clinical documentation in the inpatient medical record of Optum 360 clients’ patients.  The goal of the Supervisor oversight and practice is to support the CDI Director function by providing staff oversight, assisting with monthly reporting and auditing, as well as, mentoring and orientation of new staff and attending client meetings. The Supervisor will   assure via assessment, and teaching staff and providers the technical accuracy, specificity, and completeness of provider clinical documentation, and to ensure that the documentation explicitly identifies all clinical findings and conditions present at the time of service.  

 

This position collaborates with: the CDI Director, 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.  The CDS utilizes clinical expertise and clinical documentation improvement practices as well as facility specific tools for best practice and compliance with the mission/philosophy, standards, goals and core values of Optum 360.  This position does not have patient care duties, does not have direct patient interactions, and has no role relative to patient care. 

 

This is an onsite position located one of the Dignity Health hospitals that you would be supporting:

St. Mary/Saint Francis in San Francisco, CA

Sequoia in Redwood City, CA

Dominican in Santa Cruz, CA

 

Travel required between Dignity Health facilities in order to attend meetings Monday-Friday, daytime hours

 

Primary Responsibilities: 

  • Assists CDI Director with chart audits, quality audit and KPI audits
  • Assists CDI Director with running reports, attends on site meetings as directed
  • Oversees CDI staff training and orientation
  • Oversees and leads workflow for CDI staff
  • Ensures adequate staffing for the workload, and steps in to assist teams when workload is in excess of what the team can complete
  • Develops physician teaching and on site presentations
  • Assist CDI Director with projects or tasks as needed
  • Time card approval
  • Coaching
  • Evaluations
  • Communicates performance expectation of leadership to staff level CDI staff
  • Oversees that CDI staff are providing expert level review of inpatient clinical records within 24-48 hours of admit; identifies gaps in clinical documentation that need clarification for accurate code assignment to ensure the documentation accurately reflects the severity of the patient condition and acuity of care provided
  • Ensures and oversees daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity
  • Provides expert level leadership for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendations
  • Actively communicates with providers at all levels, to clarify information and to communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality
  • Provides face-to-face educational opportunities with physicians.
  • Provides complete follow through on all requests for clarification or recommendations for improvement
  • Leads the development and execution of physician education strategies resulting in improved clinical documentation
  • Ensures  timely feedback to providers regarding clinical documentation opportunities for improvement and successes
  • Ensures effective utilization of the CAC / Midas Clinical Documentation Improvement Focus Study, ensuring documentation of  all verbal, written, electronic clarification activity
  • Utilizes only the Optum360 approved forms, whether paper or electronic
  • Proactively develops a reciprocal relationship with the HIM Coding Professionals
  • Coordinate and conducts regular meeting with HIM Coding Professionals to monitor retrospective query rate and address issues
  • Engages and consults with Physician Advisor when needed, per the escalation process, to resolve provider issues regarding answering clarifications and participation in the clinical documentation improvement process
  • Actively engages with Care Coordination and the Quality Management teams to continually evaluate and spearhead clinical documentation improvement opportunities
  • Other duties as assigned


Job Med & Clin Ops-General Mgmt
Primary Location US-CA-San Francisco
Other Location US-CA-SANTA CRUZ, US-CA-Redwood City
Organization O360 Dignity Health Middle Ops
Schedule Full-time
Number of Openings 1
Apply on the Company Site

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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