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Sr. Manager, Quality/Clinical Documentation

  • Job ID: 949700059
  • Status: Full-Time
  • Regular/Temporary: Regular
  • Hours: Daylight
  • Shift: Day Job
  • Facility: Corporate Quality
  • Department: Center Quality Imp-Innov
  • Location: 4601 Baum Blvd., Pittsburgh PA 15213
  • Union Position: No
  • Salary Range: $36.11 to $61.13 / hour

Description

UPMC Corporate Quality is searching for a Senior Manager, Quality/Clinical Documentation to join the team.  If you have effective leadership skills and a working knowledge of coding, this may be the perfect career move for you!

The Sr. Manger, Quality/Clinical Documentation is responsible for providing departmental strategic planning aligned with corporate strategy to oversee clinical documentation improvement operations in collaboration with Sr. Director, Hospital and Physician Quality Performance at the Wolff Center. The Sr. Manager will work collaboratively with other system-level departments including but not limited to coding, finance, electronic medical record teams, and physician providers while keeping a high degree of emphasis on physician engagement. They will be responsible to identify and escalate problematic issues as necessary including upstream and downstream impacts.  Additionally, they are responsible for reporting identified areas for improvement, areas of opportunity, and areas of potential risk. The Sr. Manager will work closely with the revenue cycle management staff to align practices across teams.

Under the general direction of the Wolff Center management team this position requires a high degree of experience in quality improvement processes, DRG reimbursement knowledge, Clinical documentation, and regulatory requirements. This is a regular, full-time position that primarily works daylight hours, Monday through Friday, with some remote flexibility.  Apply online today for your chance to join the team!

Responsibilities:

  • Reviews the overall quality and completeness of provider clinical documentation to improve the quality of medical record documentation and collaborates with coding team to assure DRG classifications accurately reflect severity of illness and risk of mortality.Ensures direct alignment of clinical documentation activities across Quality and Revenue Cycle departments to support day-to-day operations of both departments and maintain a results-oriented culture.
  • Fosters open lines of communication and maintaining peer relationships with Coding/Revenue Cycle senior leadership teams.Communicates effectively with medical staff and Data Quality Specialists and Coding Managers to acquire, interpret, and transmit accurate diagnostic and procedure information.
  • Promotes teamwork through a transparent collaborative work environment and incorporate team management skills in day-to-day processes.Cultivates positive, professional interdepartmental relationships with HIM director, Coding Staff, Clinical Documentation Specialist teams, Case management, Quality, and Medical Staff to support initiatives that advance business objectives.
  • Collaborates with Physicians and clinical leaders as an internal expert consultant to drive standardization and clinical improvement in documentation.Advocates for and facilitates the best practice model for CDI Quality.
  • Provides complete, accurate and timely reporting of clinical documentation data metrics to leadership.Clearly communicate program updates, risks, or needs in a timely manner to the Sr. Director, Hospital and Physician Quality Performance and actively works to resolve and mitigate risk.
  • Express self in a confident manner in individual and group settings. Assist with system-wide regional and/or facility educational programs including presentations, program updates, etc.
  • Manage all staffing activity including recruitment, candidate selection, orientation, coaching, performance management, completion of performance reviews, and disciplinary action when indicated.Demonstrate success leading teams and/or collaborating with business partners and professionals from other specialties (clinical and IT) from UPMC and/or vendor or consulting organizations.
  • Provide service to all customers and aspects of the organization related to the clinical documentation activities while protecting the integrity and confidentiality of all data and information through physical and electronic measures.Participates in other projects and duties as requested

 

Qualifications

  • Bachelors degree in nursing/ medical coding or related field required 
  • Master's degree preferred.
  • Strong knowledge and familiarity with ICD-9 and ICD 10- CM diagnosis and procedure codes.
  • Strong Computer skills including Microsoft office, Optum a plus.
  • Minimum of five years of Supervisory or Management Experience is required.
  • Eight years of experience as a DRG Specialist or DRG Auditing, or expanded knowledge of DRG's is required.
  • Candidate must be self-directed and highly motivated to guide multi-disciplinary team members in understanding the complex requirements of the work teams.


Licensure, Certifications, and Clearances:

  • Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran

Total Rewards

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Our Values

At UPMC, we’re driven by shared values that guide our work and keep us accountable to one another. Our Values of Quality & Safety, Dignity & Respect, Caring & Listening, Responsibility & Integrity, Excellence & Innovation play a vital role in creating a cohesive, positive experience for our employees, patients, health plan members, and community. Ready to join us? Apply today.

   Current UPMC employees must apply in HR Direct