The Manager of Clinical Document Coding Integrity serves as an on-site team leader and facilitator for the Clinical Documentation and Coding Integrity program (CDCI). This role also functions as a Clinical Nurse Auditor for patients with DRG- and insurance-based payers.
Key responsibilities include assessing the appropriateness and medical necessity of admissions and continued stays, improving the quality, completeness, and accuracy of medical record documentation, and collaborating with physicians, coding staff, and other disciplines to support accurate clinical documentation and reporting.
Requirements & Qualifications
Qualifications
- Bachelor's degree or higher from an accredited school of nursing
- Current Wyoming RN license, enhanced Nurse Licensure (eNLC), or two or more years of acute care nursing experience
- Within two years of start date, one of the following certifications is required:
- AHIMA Certified Coding Specialist (CCS)
- AAPC Certified Professional Coder (CPC or CPC-A)
Nice to Have
- AHIMA RHIA, RHIT, or CCS certification, or equivalent from AAPC
- Experience with Epic systems
- Two or more years of coding experience
- Three or more years of Clinical Document Integrity (CDI) experience
- CCDS certification through the Association of Clinical Documentation Integrity Specialists (ACDIS)
Desired Skills
- Strong knowledge of clinical practices and patient populations
- Working knowledge of Epic EHR
- Strong knowledge of disease definitions and natural history
- Ability to assess and interpret data reflecting patient clinical status
- Strong communication, organizational, and critical thinking skills
- Ability to work independently and as part of a multidisciplinary team
Benefits & Perks
Benefits and Perks
- Employer-sponsored medical, dental, and vision plans
- 403(b) and 457(b) retirement options with 4% employer match
- Life insurance
- Short-term and long-term disability insurance
- Employer-sponsored wellness program
- Employee assistance program
- ANCC Magnet Hospital
- 21 PTO days per year, increasing with tenure
- Tuition reimbursement program
- Dedicated loan forgiveness advisory service
Location
Wyoming, US
Employment Type
Full-time
Experience Level
Manager
Remote work allowed
No
Posted
1 month ago
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