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Job ID: 89453
Location: Kinston, NC
Facility/Division: UNC Lenoir Health Care
Status: Full Time
Shift: Day Job
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
1. Manager Responsibilities: Provides leadership for staff with training, mentoring, appraising work performance, making personnel decisions, performs quality and compliance reviews, and provides regulatory guidance, work distribution and monitoring of issues for the hospital.
a. Manages CDI workflow for productivity, quality, and accuracy.
2. Financial Responsibility: Develops comprehensive budgets that reflect the needs of CDI based on external and internal environments and the application of cost-effective management. Monitors budget and reports variances in designated software. As needed, determines and develops (annually) a capital budget for administrative approval.
3. Documentation Improvement:
a. Concurrently reviews clinical documentation and facilitates modifications, as needed, to ensure that documentation accurately reflects the reason for admission, intensity of service rendered and medical necessity, risk of mortality, and conditions present on admission for all patients, in compliance with government and other regulations. Provides education to physicians on relevant coding guidelines which impact mortality and severity classifications.
b. Notifies the attending physician or other disciplines promptly of queries requiring clarification, with a preference for face-to-face communication when practical. Conducts follow-up reviews to ensure points of clarification have been addressed/recorded in the medical record.
c. Appropriately prioritizes and assigns work to ensure compliance with requirements.
d. Solicits clarification from physician on any areas within the record in which further specificity is needed in the documentation. Educates physicians on documentation requirements through coding tips, face to face conversations and educational sessions. Serves as resource to physicians and other members of the healthcare team in matters relating to published DRG, SOI/ROM, ICD-10 and PCS information.
e. Collaborate with care management to effect change in documentation.
4. Student Education:
5. Clinical Audit Activities: Coordinates organizational activities to ensure compliance with RAC and External Agency program initiatives.
Legal Employer: Lenoir Health
Entity: UNC Lenoir Health Care
Organization Unit: CDI
Work Type: Full Time
Standard Hours Per Week: 1.00
Work Schedule: Day Job
Location of Job: LENOIR MEM
Exempt From Overtime: Exempt: Yes
The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.
UNC Health is an equal opportunity and affirmative action employer.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
All interested applicants are invited to apply for career opportunities. Please refer to our Employment Application Accessibility page if you need a reasonable accommodation to search and/or to apply for a career opportunity.
To verify employment eligibility, UNC Health is committed to Form I-9 and the E-Verify process.