Logo
job logo

Director - Clinical Documentation Integrity - Remote - 2337275

UnitedHealth Group, Latrobe, Pennsylvania, United States

Save Job

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start

Caring. Connecting. Growing together.

The Service Area Director, Clinical Documentation Integrity directs the activities of the Clinical Documentation Integrity (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 Insight client (Dignity Health) patients at multiple hospitals across the Dignity Central Coast and Central Valley regions. 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 initiatives 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 physicians & new staff and new initiatives or identified areas of knowledge deficit. Tracks and trends program compliance to determine areas of focus for educational opportunities.

You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.

Primary Responsibilities

Operations, business, financial, and human resource needs of the CDI department

Plan daily operations of the department in conjunction with the AVP of CDI 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 and/or CMO 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, quality, 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 providers & new staff and new initiatives or identified areas of knowledge deficit. Track and trend program compliance to determine areas of focus for educational opportunities

This position will require frequent interaction with hospital leadership, clinical teams, Quality, Care Coordination, and other departments across multiple facilities and multiple client accounts

Manage multiple projects simultaneously, manage cross-functional teams, and drive strategic initiatives

Design and implements education programs which provide education for CDI staff

Develop and conduct ongoing CDI education for new staff

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, 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

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications

Graduate of a state approved RN program, BSN required (for nurse applicants)

Nurse (RN, NP), Physician (MD, DO, FMG), Physician Assistant (PA)

CCDS or CDIP certification

4+ years of CDI experience in an acute inpatient setting

3+ years of Excel experience

2+ years of direct people management experience, with demonstrated leadership of people and projects

Proven solid Analytical skills (with CDI metric related focus)

Proven solid written and spoken communication abilities

Willingness to travel up to 40%

Preferred Qualifications

CCS Certification

Proven solid MS office skills

Proven solid ability to influence key stake holders

Located in EST or CST

All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

#J-18808-Ljbffr