Clinical Documentation Regional Manager

Wellstar Medical Group - More jobs by this advertiser


At WellStar, we all share common goals. That’s what makes us so successful – and such an integral part of our communities. We want the same things, for our organization, for our patients, and for our colleagues. As the most integrated healthcare provider in Georgia, this means we pride ourselves on investing in the communities that we serve. We continue to provide innovative care models, focused on improving quality and access to healthcare.


The Clinical Documentation Improvement Regional Manager creates a support structure within the department for achieving clinical and operational excellence in relation to Clinical Documentation Improvement efforts. Is involved in the direction and education of all phases of the Clinical Documentation process and will be held accountable to work in a collegial manner with physicians, team, and consultants. Collaborates with interdisciplinary teams including, but not limited to, physicians, nurse practitioners, PA's, and the department managers for Revenue, Coding, Care Coordination and Health Information Management. Collaborates extensively with other members of the health care team to provide data and solution development processes. Demonstrates skill and leadership in managing the operations of the Clinical Documentation Department team of RN’s/Coding Professionals and manages the staffing and training needs to meet the expected requirements of the Program.

Drives and supports the Departmental goalsand philosophy of positive team building, mentoring, coaching and constructive feed-back as well as achieving clinical and operational excellence in relation to Clinical Documentation Improvement efforts. Provides ongoing Clinical Documentation Improvement program education for new team members, including but not limited to, Clinical Documentation Specialists, physicians, nurses and allied health professionals. Tracks, trends and on occasion, presents CDI program compliance and progress. Assumes responsibility for professional development through participation in workshops, conferences and/or in-services and maintains appropriate records of participation. Develops team members to encourage and build skills that will support long term department functions.


Required Minimum Education : Strong clinical background with a Bachelor’s degree in nursing or other health-related field with 10+ years acute health care experience required.

Required Minimum Licensure/Certification : Active/current certification as a Certified Clinical Documentation

Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) is required.

• For registered nurse candidates, a current/active license in state of GA or ability to transfer license within 3

months of start is required. . It is expected that all RN’s are licensed, knowledgeable and uphold the practice

of nursing as outlined by the Scope of Practice and Code of Ethics Standards put forth by the American

Nurses Association.

• For non-clinical candidates, coding experience and active/current coding certification, i.e. Certified Coding

Specialist (CCS), Registered Health Information Administrator (RHIA), or Registered Health Information

Technician (RHIT) is required

Required Minimum Experience : Recent management or supervisory experience and minimum of three years of experience in Clinical Documentation Improvement required. Minimum of ten years of healthcare experience with a strong medical surgical and/or critical care background is preferred. Minimum of five years’ experience in Clinical Documentation is preferred. Advanced clinical expertise and extensive knowledge of complex disease processes with broad based clinical experience in an inpatient setting is preferred. Experience with care coordination/utilization management, coding/DRG, billing, auditing and various healthcare payers is preferred.

Required Minimum Skills : Demonstrated ability to provide leadership and direction to Clinical Documentation Improvement team. Skill in identifying problems and recommending solutions.

Skill in preparing and maintaining records and written reports. Skill in establishing and maintaining effective working relationships with physicians, hospital team and vendors. Ability to interpret, adapt, and apply guidelines, procedures, and continuous quality improvement initiatives. Ability to analyze complex clinical scenarios and apply critical thinking. Proficient in communicating clearly and effectively with all customers. Proficient in computer skills, especially the CDS Software and reporting as well as all integral applications as required. Must possess skills to run a fiscally responsible program while ensuring constant improvement. Knowledge of Organizational Policy & Procedures. Knowledge of federal, state and payer specific regulations and policy’s pertaining to documentation and coding. Knowledge of treatment methodology, patient care assessments, data collection techniques and coding classification systems is necessary.

Join us for outstanding benefits and development opportunities. We also offer state-of-the-art technology, professional support and advancement, and colleagues that rank amongst the best in the country. The WellStar culture of caring has also been nationally recognized three years in a row by Fortune Magazine as one of the “100 Best Companies to Work For”. Step up to your potential. Find out more and apply today.

WellStar is an equal opportunity/affirmative action employer. All applicants are considered without regard to race, color, religion, sex, age, national origin, disability, veteran status or any status which is protected by local, state or federal law.

DepartmentDocumentation Improvement

FacilityWellStar Shared Services





4 September 2019
Location: United States Georgia Atlanta
Salary: Highly Competitive USD per year
Healthcare and Medical
PLEASE! No enquiries from Recruitment Agencies or Headhunters.

Only direct applications will be considered.

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