Manager-Clinical Documentation

Responsibilities

• Scope includes all functions which support documentation within the patient's medical record.
• Scope includes all practitioners, clinicians and others participating in delivering or supporting patient care, including those privileged through the medical staff, trainees, students, employees, volunteers.
• Manage staff at multiple hospital locations and maintain high levels of staff engagement and performance to meet department objectives.
• Implement initiatives to support advancing the work of NM business units and system function goals, as outlined above. As assigned, assume leadership in advancing these programs and projects at the business unit or system level
• Advance the standard of quality across NM through innovation, learning and shared deployment of best practices.
• Facilitate resolution of issues among key partners and lead complex conversations, as needed, between clinical documentation, coding, care coordination, physicians and/or other leaders to bring closure to issue at hand.
• Design, lead and adhere to the annual Clinical Documentation Plan.
• Lead, develop, and identify key strategies for the review and reporting of DRG denials, Patient Safety Indicators (PSI) and Hospital Acquired Conditions (HAC) as assigned.
• Support the monthly report-out of PSI and HAC events at each business unit as requested.
• Support the mortality review process at each business unit and ensure timeliness in review, tracking, and reporting.
• Design, lead, implement, teach and monitor NM clinical documentation integrity practices, risk adjustment practices, policies, protocols and methodologies.
• Design and lead department system Clinical Documentation committees as assigned.
• Collaborate with Managers of Clinical Documentation, the Director of Clinical Documentation, and Medical Director leadership to align clinical documentation integrity work efforts to the extent possible throughout NM.
• Prepare monthly data reports for Key Stakeholders as requested.
• Present to and / or c

Benefits

Additional Information

The Manager of Clinical Documentation reflects the mission, vision, and values of Northwestern Medicine (NM), adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Responsible for leading clinical documentation integrity efforts in support of NM and business unit strategic goals. Responsible for managing relationships with key stakeholders at multiple business units to advance financial and quality outcomes for NM and each business unit. Functional areas of responsibility include clinical documentation at more than one business unit to assure effective workflow process design for clinical documentation interventions that promote accurate and timely documentation. Key to this role is the ability to compel changes in documentation to facilitate accurate representations of patient characteristics within the medical record so that process and outcome measures based on documentation reflect performance accurately. Requires frequent travel to support the business needs of Northwestern Medicine. Reports to Director, Clinical Documentation. Responsible, in collaboration with the Director of Clinical Documentation and other leadership, to develop, implement, monitor and achieve the annual business unit and system level Clinical Documentation Plans.

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