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Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.

Welcome to The Ohio State University's career site.  We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:

• Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
• Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. 

Job Title:
Manager-Clinical Doc Improvement

Department:
Health System Shared Services | Revenue Management

Position Summary

The purpose of the clinical documentation integrity program is to ensure quality patient care is documented in the medical record.  The documentation in the medical record reflects the accuracy of coding and Medicare Severity Diagnosis Related Group (MS-DRG)/All Patient Refined Diagnosis Related Groups (APR-DRG) assignment. Clinical Documentation Integrity specialists validate present on admission indicators and coding of diagnoses that influence the severity of illness and risk of mortality scores. Clinical Documentation Integrity Specialists serve as partners to the clinical and business departments of the health system and is used to support patient care, patient safety, teaching, research, hospital operations, quality assurance, and reimbursement.

Duties and Responsibilities

50% -- Management of Clinical Documentation Integrity Program:

• Conduct hiring, training, management, development and evaluating of staff.
• Manage and provide education regarding the clinical documentation process.
• Collaborate with members of each hospital administration and the health care team to identify improvement opportunities and develop solutions.
• Gather, identify and utilize data to support strategic development and improvement activities related to case mix index, MS DRG/APR DRG and value-based purchasing reimbursement, and quality/outcomes and compliance requirements.
• Assists in strategic planning, developing and controlling budgets (personnel, capital equipment, and operational) and allocating staff and fiscal resources for documentation enhancement and for achievement of goals and objectives.
  • Controls expenditures, monitors fiscal performance.
  • Analyzes expenditures; assesses current and future needs and plans for programs, personnel etc.
  • Assesses and recommends organizational program and staffing changes.

• Participates as an active member of committees and task forces charged with issues related to accurate documentation, coding, quality and financial reimbursement. Serves as facilitator of the oversight groups responsible for monitoring and advising the CDI program teams at UH, Ross, UH East and Dodd.
• Assists to these Revenue Cycle and Clinical Directors in resolving coding, data quality and clinical documentation problems.
• Coordinates coverage of all meetings for departments to make sure CDI has a voice and provides educational updates to physicians, and residents.
• Develops educational and training materials for physician advisor and medical staff, to promote an understanding of and participate with the CDI initiatives. 

40% -- Assists in Supervising Personnel and Monitoring Documentation Enhancement Program Operations, including:

• Manages CDIS personnel and activities. Leads routine meetings with CDIS, physician advisor, and coding personnel.
• Develops and monitors CDI metrics to assess the impact of and performance opportunities for CDI initiatives. 
• Collaborates with other disciplines regarding proposed DRG changes and proposed quality concerns when requested; communicate with the attending physician or medical directors for each facility regarding these issues as appropriate. 
• Provides operational leadership and has budget responsibilities. 
• Adheres to established leadership competencies, service standards and reinforces excellence in those standards with CDI staff.

• Interprets department, hospital and university policies as they relate to department personnel and operations.
• Interviews, selects, trains and appraises personnel in area of responsibility.
• Counsels and evaluates employees and resolves complaints and conflicts; initiates disciplinary action.
• Provides continuing education, in-service and orientation programs to employees, hospital and medical staff.
• Maintains personnel and departmental records and files.

10% of time – As Assigned

• Assures adherence to JC, QIO, and CMS regulations and official coding guidelines regarding medical record documentation.
• Serves on medical center committees as assigned.
• Assures institutional conformance with or recommendations concerning legal, ethical, accreditation, licensure, certification, University-related or other administrative requirements related to medical record documentation.
• Resolves intra-departmental and inter-departmental operational issues.

Organizational Expectations  

Practices within the Health System's policies and procedures.   Adheres to the Medical Center’s values as demonstrated by striving for excellence, collaborating as One University, demonstrating integrity and personal accountability, openness and trust, promoting diversity in people and ideas, change and innovation, simplicity in our work, empathy and compassion, and leadership. 

Competencies Required

Competency

Description

Goal

IHIS

Search by entity, name, MRN, find any and all clinical results, coding entries, coding summary, and any other areas of the patient’s chart.

4

Human Resources

Carry out employee interviews, orientation activities, evaluations, commendations, corrective actions, counseling, work assignments, leave requests, and scheduling of workdays, hours and percentage. Recommend progressive disciplinary measures including termination or probation removals as appropriate; recommend applicants for hire.

4

Resource Management

Adheres to the MIM policies regarding: attendance, work schedule, dress code, employee conduct, proper display of OSUMC badge, and other policies and procedures appropriate to position.

4

Timekeeping

Demonstrates ability to monitor timekeeping for appropriate staff, including follow up with scrutiny letters based on MIM department and OSUWMC guidelines.  Completes timekeeping according to deadlines set by Administrative Director.

4

Compliance

Conducts business in accordance with rules and regulations set forth by the Department of Health and Human Services and Centers for Medicare and Medicaid Services (CMS), the Joint Commission on Accreditation of Healthcare Organizations, Ohio Medicaid, and other organizations that provide oversight to medical record coding and billing processes.

4

Organizational Warning Systems

Responds appropriately to warning codes announced by the verbal paging system. Understands actions and responsibilities required when the following codes are called: code blue, code black, code yellow, code gray (level 1), code gray (level 2) code red, and code Adam.

4

Patient Confidentiality

Understands what is confidential, and what information defines the “designated record set.” Understands term “Protected Health Information (PHI). Understands policies and procedures related to employee levels of access to both “hard copy medical records” and medical information contained within the various computer systems. Can articulate how MIM protects the patient’s confidentiality.

4

3 Capable with Assistance              4 Fully Trained                             5 Proficient Trainer

Skills needed for success

• Excellent verbal and written communication
• Strong leadership skills
• Strong critical-thinking/problem-solving skills
• Interpersonal skills that promote teamwork
• Flexibility in prioritization
• Ability to multitask
• Ability to function in a stressful, fast-paced environment
• Self-motivated and ability to work independently
• Ability to motivate employees to attain program and organizational goals
• Computer literacy
• Understanding of DRG assignments and metrics associated with the Clinical Documentation Integrity Program.
• Understanding of coding guidelines for billing purposes

Minimum Qualifications  

For Hire:      

Bachelor degree in nursing, physician assisting, public health, allied health, or other clinically related field.

Certification as a Registered Health Information Administrator, Registered Health Information Technician, or Registered Nurse required. 

3 years of experience required working as a Clinical Documentation Integrity specialist or a comparable position. 

Work experience in an acute care setting required. Experience with medical record coding conventions (ICD-10-CM/PCS) and data analysis is required.

Excellent inter-personal communication skills required for interactions with physicians, nursing staff, case managers and other hospital personnel. Strong critical thinking skills, and ability to assess, evaluate and teach members of the healthcare team.

Knowledge and experience with medical information computer applications, word processing and electronic spreadsheets.

On Going:

Maintain continuing education credits and licensure as required by professional organization.

Additional Information:

Location:
Ackerman Rd, 600 (2435)

Position Type:
Regular

Scheduled Hours:
40

Shift:
First Shift

Salary Grade:
Health System Annual 030

Final candidates are subject to successful completion of a background check.  A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions .

The Ohio State University is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity or expression, genetic information, HIV/AIDS status, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status, or any other basis under the law.

Applicants are encouraged to complete and submit the Equal Employment Identification form.

Screen reader users may encounter difficulty with this site. For assistance with applying, please contact [email protected] . If you have questions while submitting an application, please review these frequently asked questions .

Current Employees and Students:
If you are currently employed or enrolled as a student at The Ohio State University, please log in to Workday to use the internal application process.

Welcome to The Ohio State University's career site.  We invite you to apply to positions of interest. In order to ensure your application is complete, you must complete the following:

• Ensure you have all necessary documents available when starting the application process. You can review the additional job description section on postings for documents that may be required.
• Prior to submitting your application, please review and update (if necessary) the information in your candidate profile as it will transfer to your application. 

Job Title:
Manager-Clinical Doc Improvement

Department:
Health System Shared Services | Revenue Management

Position Summary

The purpose of the clinical documentation integrity program is to ensure quality patient care is documented in the medical record.  The documentation in the medical record reflects the accuracy of coding and Medicare Severity Diagnosis Related Group (MS-DRG)/All Patient Refined Diagnosis Related Groups (APR-DRG) assignment. Clinical Documentation Integrity specialists validate present on admission indicators and coding of diagnoses that influence the severity of illness and risk of mortality scores. Clinical Documentation Integrity Specialists serve as partners to the clinical and business departments of the health system and is used to support patient care, patient safety, teaching, research, hospital operations, quality assurance, and reimbursement.

Duties and Responsibilities

50% -- Management of Clinical Documentation Integrity Program:

• Conduct hiring, training, management, development and evaluating of staff.
• Manage and provide education regarding the clinical documentation process.
• Collaborate with members of each hospital administration and the health care team to identify improvement opportunities and develop solutions.
• Gather, identify and utilize data to support strategic development and improvement activities related to case mix index, MS DRG/APR DRG and value-based purchasing reimbursement, and quality/outcomes and compliance requirements.
• Assists in strategic planning, developing and controlling budgets (personnel, capital equipment, and operational) and allocating staff and fiscal resources for documentation enhancement and for achievement of goals and objectives.
  • Controls expenditures, monitors fiscal performance.
  • Analyzes expenditures; assesses current and future needs and plans for programs, personnel etc.
  • Assesses and recommends organizational program and staffing changes.

• Participates as an active member of committees and task forces charged with issues related to accurate documentation, coding, quality and financial reimbursement. Serves as facilitator of the oversight groups responsible for monitoring and advising the CDI program teams at UH, Ross, UH East and Dodd.
• Assists to these Revenue Cycle and Clinical Directors in resolving coding, data quality and clinical documentation problems.
• Coordinates coverage of all meetings for departments to make sure CDI has a voice and provides educational updates to physicians, and residents.
• Develops educational and training materials for physician advisor and medical staff, to promote an understanding of and participate with the CDI initiatives. 

40% -- Assists in Supervising Personnel and Monitoring Documentation Enhancement Program Operations, including:

• Manages CDIS personnel and activities. Leads routine meetings with CDIS, physician advisor, and coding personnel.
• Develops and monitors CDI metrics to assess the impact of and performance opportunities for CDI initiatives. 
• Collaborates with other disciplines regarding proposed DRG changes and proposed quality concerns when requested; communicate with the attending physician or medical directors for each facility regarding these issues as appropriate. 
• Provides operational leadership and has budget responsibilities. 
• Adheres to established leadership competencies, service standards and reinforces excellence in those standards with CDI staff.

• Interprets department, hospital and university policies as they relate to department personnel and operations.
• Interviews, selects, trains and appraises personnel in area of responsibility.
• Counsels and evaluates employees and resolves complaints and conflicts; initiates disciplinary action.
• Provides continuing education, in-service and orientation programs to employees, hospital and medical staff.
• Maintains personnel and departmental records and files.

10% of time – As Assigned

• Assures adherence to JC, QIO, and CMS regulations and official coding guidelines regarding medical record documentation.
• Serves on medical center committees as assigned.
• Assures institutional conformance with or recommendations concerning legal, ethical, accreditation, licensure, certification, University-related or other administrative requirements related to medical record documentation.
• Resolves intra-departmental and inter-departmental operational issues.

Organizational Expectations  

Practices within the Health System's policies and procedures.   Adheres to the Medical Center’s values as demonstrated by striving for excellence, collaborating as One University, demonstrating integrity and personal accountability, openness and trust, promoting diversity in people and ideas, change and innovation, simplicity in our work, empathy and compassion, and leadership. 

Competencies Required

Competency

Description

Goal

IHIS

Search by entity, name, MRN, find any and all clinical results, coding entries, coding summary, and any other areas of the patient’s chart.

4

Human Resources

Carry out employee interviews, orientation activities, evaluations, commendations, corrective actions, counseling, work assignments, leave requests, and scheduling of workdays, hours and percentage. Recommend progressive disciplinary measures including termination or probation removals as appropriate; recommend applicants for hire.

4

Resource Management

Adheres to the MIM policies regarding: attendance, work schedule, dress code, employee conduct, proper display of OSUMC badge, and other policies and procedures appropriate to position.

4

Timekeeping

Demonstrates ability to monitor timekeeping for appropriate staff, including follow up with scrutiny letters based on MIM department and OSUWMC guidelines.  Completes timekeeping according to deadlines set by Administrative Director.

4

Compliance

Conducts business in accordance with rules and regulations set forth by the Department of Health and Human Services and Centers for Medicare and Medicaid Services (CMS), the Joint Commission on Accreditation of Healthcare Organizations, Ohio Medicaid, and other organizations that provide oversight to medical record coding and billing processes.

4

Organizational Warning Systems

Responds appropriately to warning codes announced by the verbal paging system. Understands actions and responsibilities required when the following codes are called: code blue, code black, code yellow, code gray (level 1), code gray (level 2) code red, and code Adam.

4

Patient Confidentiality

Understands what is confidential, and what information defines the “designated record set.” Understands term “Protected Health Information (PHI). Understands policies and procedures related to employee levels of access to both “hard copy medical records” and medical information contained within the various computer systems. Can articulate how MIM protects the patient’s confidentiality.

4

3 Capable with Assistance              4 Fully Trained                             5 Proficient Trainer

Skills needed for success

• Excellent verbal and written communication
• Strong leadership skills
• Strong critical-thinking/problem-solving skills
• Interpersonal skills that promote teamwork
• Flexibility in prioritization
• Ability to multitask
• Ability to function in a stressful, fast-paced environment
• Self-motivated and ability to work independently
• Ability to motivate employees to attain program and organizational goals
• Computer literacy
• Understanding of DRG assignments and metrics associated with the Clinical Documentation Integrity Program.
• Understanding of coding guidelines for billing purposes

Minimum Qualifications  

For Hire:      

Bachelor degree in nursing, physician assisting, public health, allied health, or other clinically related field.

Certification as a Registered Health Information Administrator, Registered Health Information Technician, or Registered Nurse required. 

3 years of experience required working as a Clinical Documentation Integrity specialist or a comparable position. 

Work experience in an acute care setting required. Experience with medical record coding conventions (ICD-10-CM/PCS) and data analysis is required.

Excellent inter-personal communication skills required for interactions with physicians, nursing staff, case managers and other hospital personnel. Strong critical thinking skills, and ability to assess, evaluate and teach members of the healthcare team.

Knowledge and experience with medical information computer applications, word processing and electronic spreadsheets.

On Going:

Maintain continuing education credits and licensure as required by professional organization.

Additional Information:

Location:
Ackerman Rd, 600 (2435)

Position Type:
Regular

Scheduled Hours:
40

Shift:
First Shift

Salary Grade:
Health System Annual 030

Final candidates are subject to successful completion of a background check.  A drug screen or physical may be required during the post offer process.

Thank you for your interest in positions at The Ohio State University and Wexner Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the Candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status. For answers to additional questions please review the frequently asked questions .

The Ohio State University is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity or expression, genetic information, HIV/AIDS status, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status, or any other basis under the law.

Applicants are encouraged to complete and submit the Equal Employment Identification form.