Program Manager - Ambulatory Clinical Documentation Improvement (CDI) and Coding Details

Program Manager - Ambulatory Clinical Documentation Improvement (CDI) and Coding

Christiana Care Health Systems - Wilmington, DE

Employment Type : Full-Time

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Christiana Care Medical Group is looking for a Program Manager for its Ambulatory Clinical Documentation Improvement (CDI) and Coding Team.

The Program Manager would be responsible for reviewing the overall quality and completeness of provider clinical documentation, professional billing and risk adjustment code selection utilized to support reimbursement for both the professional and technical components. Assist clinical practices and providers by developing and providing education and support to better understand the relationship of documentation and the level of service assigned, as well as the risk adjustment of the patient population, analyze trends, and identifying potential issues and their root causes. Oversees accurate and timely assignment of ICD 10 CM/PCS, payment group classification assignment and data abstraction for reimbursement purposes and statistical information reporting on ambulatory health records.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• Coding Certification: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC)

• Bachelor's degree in Nursing, Health Information Technology, or related field required; Master's degree preferred

• Minimum of 5 years recent experience in inpatient or ambulatory clinical documentation integrity and/or coding and/or auditing

• Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist Outpatient (CCDS-O) Certification or Certified Risk Adjustment Coder (CRC) preferred