Regional Manager CDI (FT-Days) Consolidated

EL PASO BEHAVIORAL HEALTH in Las Vegas, NV

  • Type: Full Time
position filled

Job Description

:
Directs the VHS Physician & Clinical Documentation Improvement Program. Assumes direct responsibility for the PDI/CDI staff including staffing, scheduling, performance reviews, employee performance management. This position is also responsible for providing clinically based concurrent and retrospective review of inpatient medical records to evaluate the utilization and documentation of acute care services. The goal of concurrent review includes facilitation of appropriate physician documentation of care delivered to accurately reflect patient severity of illness and risk of mortality. Specific reviews are both determined internally and by requirements/requests of external payers or regulatory agencies and play a significant role in reporting quality of care outcomes and in obtaining accurate and compliant reimbursement for acute care services. Job Requirements

Job Requirements:

Education:
Bachelor's Degree in Nursing or Graduate of International Medical School.

Experience:
Knowledge of Medicare/Medicaid IPPS-OPPS Payment System; MS-DRGs; ICD-9-CM and ICD-10 CM & PCS coding systems. Recommended knowledge of 3M 360 and ARMS software applications. Knowledge of Microsoft Office to include Word, Excel, Access, and Power Point.

Technical Skills:
Computer proficiency to include word processing, databases, spreadsheets. Knowledge of medical terminology, anatomy and physiology required. Previous exposure and proficiency in utilizing an Electronic Medical Record (EMR) required.

Other:
Knowledge of age-specific needs and elements of disease processes and related procedures required. Strong broad-based clinical knowledge and understanding of pathology/physiology of disease processes. Working knowledge of inpatient admission criteria, Medicare reimbursement system and coding systems preferred, but not required. Must possess excellent written and verbal communication skills and critical thinking skills. Ability to work independently in a time oriented environment is essential.

License:
Current RN license in the State of Nevada; Preferred certifications: CDIP, CCDS, CCS and/or ICD-10 Certification or Trainer designation.
Note:
Documented AHIMA Approved ICD-10 CM & PCS Trainer; Ability to travel between multiple facilities.


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