Navigant Director, Clinical Documentation Improvement - Navigant Cymetrix - Remote Location in BOSTON, Massachusetts
Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.
Navigant Cymetrix unites the strengths of four category-leading companies to address the complexities of today’s healthcare system. We design, develop and implement integrated, patient-centered solutions for sustained improvements in performance and profitability, working collaboratively across a spectrum of customers that encompasses hospitals, health systems, physician practice groups and payers.
The Clinical Documentation Improvement Director is responsible for providing strategic direction and leadership for the clinical documentation improvement solutions from a corporate level to all CDI clients. The Director will be responsible for new client CDI implementation/engagement, working collaboratively with the facility CDI team to meet contractual obligations, and achieve best practice CDI metrics. The CDI Director will ensure standardization of CDI policies and procedures, use of technology software, and strategies to improve the CDI. The CDI Director will be responsible to ensure the CDI team has the tools necessary to be successful in their daily, concurrent record reviews. The Director will assist in month end client reporting and analyses to track performance and trends, and escalate issues as necessary to advance improvements. The CDI Director will work collaboratively with facility departments as required.
Essential Job Functions
Expert knowledge/experience in directing all aspects of a Clinical Documentation Improvement Solution
Ability to assess and identify potential health system opportunities in regards to contractual and best practice CDI metrics
Provide oversight for the development of processes and initiatives designed to improve clinical documentation performance
Strong project management skills
Demonstrate effective communication skills and collaborates with medical staff, clinical departments and key facility leadership team members as needed
Effectively utilizes reporting technology to analyze and drive continual improvement for the client and employee engagement
Maintains and demonstrates expert knowledge of CDI and coding process best practices
Drives optimal use of the CDI technology tool and reporting capabilities.
Manages and holds onsite CDI team to key performance indicators
Duties and Responsibilities
Leads by example, promoting teamwork by fostering positive, transparent and focused working environment to achieve maximum results
Cultivates exceptional relationships among facility leadership team (HIM Director, Coding team, Case Management, Quality and Medical staff) resulting in support and participation in initiatives which advance business objectives
Responsible for CDI program to initiate, influence, direct and oversee the clinical documentation improvement program activities to include productivity, quality, education and training, auditing, report management, performance improvement initiatives and developing standardized practices, processes, policies and procedures.
Become an advocate for facilitating the best practice model for CDI, linking the most accurate capture of documented bedside care to the most accurate numeric reporting codes thereby, conversion into correct reporting, facility and physician profiling and acuity capture.
Monitors the performance of each CDI program to ensure alignment and support department and organizational goals as well as compliance in coding and query practices with regulatory requirements.
Leverages CDI technology and client relationships to gain support and participation in strategies and initiatives to drive repeatable processes across facilities, creating economies of scale and improving overall performance.
Provides complete, accurate and timely reporting of Clinical Documentation data metrics to leadership (internal and externally to clients).
Establish a working understanding of each client, their facility, their internal structure, potential needs and clinical staff/physician/HIM relationship regarding current documentation/coding and severity of illness.
Seek to build knowledge and understanding in the ever changing arenas of coding guidelines, DRG payer groups, case management/utilization review functions, clinical documentation trends, JCAHO/core measure guidelines and clinical quality of care issues.
Assist with in-service training of staff, quality reviews and physicians as needed.
Maintain a clear working knowledge of the CDI application regarding data entry, report generation and tracking methods.
Clearly communicate and/or escalate program updates, risks or needs in a timely manner to the VP of Operations and actively works to resolve and mitigate risk.
Build trustworthy and strong relationships with client staff, physician base and Navigant Cymetrix staff.
Client Service/ Business Development:
Demonstrates a comprehensive understanding of CDI and Revenue Cycle service offerings as well as Navigant Cymetrix service offerings.
Perceived by the client as a lead person for the CDI Solution.
Develops a network of personal and business contacts.
Routinely identifies add-on opportunities on current projects.
Assists with the development of proposals.
Actively participates in the recruiting process.
Provides regular status updates to VP Operations, Account Executives and department Directors.
Demonstrates solid facilitation skills.
Actively leads meetings with CDI onsite team and other internal and client personnel at various levels as needed.
Demonstrates the ability to determine the most appropriate format and scope for client deliverables including the ability to create deliverables suitable for senior-level client and internal audiences.
Demonstrates effective listening skills.
Ability to identify and articulate project obstacles/ issues and determine potential solutions while working collaboratively.
Expresses self in a confident manner in individual and group settings
At least one of the following: RHIA, RHIT, CCS, MD or MD Equivalent, RN.
Must maintain credential while employed.
Requires at least 5 years acute care hospital coding or CDI experience.
Requires at least 3 years prior management experience.
Familiarity with encoder and DRG assignment.
Strong clinical understanding of disease process.
Maintains current working knowledge of Coding Clinic Guidelines and federal updates to DRG system (MS, APR, AP etc)
Knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes.
Excellent communication skills, employing tact and effectiveness.
Ability to converse with physicians in sometimes difficult scenarios.
Ability to conduct presentations to facility physicians and leadership.
Some travel required (estimated at 15-20%)
Flexibility in schedule to meet the client’s needs
Strong conceptual, as well as quantitative and qualitative analytical skills
Work as a member of a team as well as be a self-motivator with ability to work independently
Constantly operates a computer and other office equipment to coordinate work
Frequently travels by airplane, train or car as necessary to perform work at another location
Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data
Generally works in an office environment
The company offers competitive compensation packages including an incentive compensation plan, comprehensive medical/dental/life insurance, 401(k) and employee stock purchase plans.
Navigant does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Navigant and Navigant will not be obligated to pay a placement fee.
Navigant is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.
Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.