This position provides leadership, direction and oversight for the centralized clinical documentation program across the system. This position provides system oversight, coordination and improvement of the clinical documentation program to the organization and partners with Sr. Leadership and facility-based quality management services in pursuit of best practices to achieve quality outcomes, reduce costs and interpret standards required to ensure a high degree of patient, physician and employee satisfaction. This position is accountable for improving clinical documentation data collection and analysis for system, facility and physician profiling and provides ongoing communication on documentation opportunities, coding and reimbursement issues and overall performance improvement methodologies.
Plans, directs and monitors the clinical documentation program across the organization. Provides oversight and support for the clinical documentation functions for all Banner facilities and partners with hospital-based quality management services in pursuit of best practice to achieve quality outcomes, reduce costs and interpret the standards required to ensure a high degree of patient, physician and employee satisfaction. Provides advice, counsel, feedback and coordination that promote a collegial relationship between staff, physicians and the leadership team.
Provides leadership and direction for multidisciplinary process improvement activities, including steering committee oversight to attain optimal clinical, operational and financial outcomes. Develops system policy, procedures, and performance tools for program. Provides consultative expertise on coding process, DRGs and reimbursement methodologies to a multitude of organizational teams.
Provides leadership to multifunctional teams in the design and distribution of educational programs associated with clinical documentation for staff and physicians. Formulates action plans based on meeting system initiatives and implements strategies to work with internal and external customers to ensure quality of the clinical documentation system.
Oversees the education, coaching, and mentoring of staff to promote revenue enhancement, improved quality and system integrity throughout the organization. Provides oversight in the compilation of resource information that will extend the knowledge and enhance the interpretive skills of clinicians. Recognizes successes and identify ongoing opportunities by collaborating with clinical and coding leadership to improve program efficiencies.
Directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training and annual evaluations. This position also participates in the development of clinical documentation and quality management goals and objectives in accordance with company standards.
Develops and oversees the department budget in conjunction with corporate goals and objectives. This position is accountable for meeting annual budgetary goals. Manages the financial and capital resources for the clinical documentation program by monitoring operating revenue and expenses, establishing and maintaining cost control programs and developing and implementing new or revised programs and/or services.
Oversees the preparation and analysis of performance reports for activities associated with the clinical documentation program on an ongoing basis for system, facility and department comparison. Presents the results and related recommendations to leadership teams.
Maintains current knowledge on laws, regulatory changes and actual practices, which affect clinical documentation, DRG assignment and reimbursement methodologies.
Requires a level of education as normally obtained through the completion of a bachelors degree in nursing, healthcare information management or related field or equivalent experience.
Requires Registered Nurse (R.N.) license in state worked.
Requires a strong working knowledge of healthcare operations, clinical documentation and reimbursement methodologies as typically obtained through a minimum of 5 years experience in coding and reimbursement methodologies in a hospital setting and at least 2 years of leadership experience.
Must possess the skill set to produce reliable, accurate and credible data that is action-oriented. Must possess strong executive presence and demonstrated flexibility in responding to the needs of multiple constituencies with a service-oriented philosophy. Must also possess demonstrated skill in problem analysis, project management, contract negotiation, conflict resolution and oral/written presentation.
Masters degree in relevant field preferred.Certified Coding Specialist credential, Registered Health Information Administrator or Registered Health Information Technologist preferred.
Additional related education and/or experience preferred.
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.