The Texas CDI Market Manager manages the Physician & Clinical Documentation Integrity (PDI/CDI) team for the Texas Market (STHS, DHL, FDRMC, NWT, TMC). Responsible for managing the day-to-day operations of PDI/CDI including staffing, scheduling, performance reviews and employee performance management. Attends and participates in hospital meetings and performance improvement initiatives to support the hospitals within the Texas Market. Oversee the compliance auditor, the clinical review process for concurrent and retrospective reviews of inpatient medical records, evaluating the utilization and documentation of acute care services. Works in collaboration with the Texas Market CDI Director to provide on-going physician education and CDI staff development. The goal of concurrent review includes facilitation of appropriate physician/provider documentation of care delivered to accurately reflect patients' intensity of care, Severity of Illness (SOI) and Risk of Mortality (ROM). Focus of specific reviews are both determined internally and external by requirements/requests of 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. Will serve as a backup to Market CDI director in his/her absence. This position will also provide monthly reports collaborating with Texas Market facility CFO's, collaborate with the Market Coding Director and all Texas Market facility HIM Directors to meet the goals and objectives of the facilities. Responsible and accountable for providing exceptional customer service.
Qualifications:
Education / Licensure:
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