Guidehouse is a leading global provider of consulting services to the public sector and commercial markets, with broad capabilities in management, technology, and risk consulting. By combining our public and private sector expertise, we help clients address their most complex challenges and navigate significant regulatory pressures focusing on transformational change, business resiliency, and technology-driven innovation. Across a range of advisory, consulting, outsourcing, and digital services, we create scalable, innovative solutions that help our clients outwit complexity and position them for future growth and success. The company has more than 16,000 professionals in over 55 locations globally. Guidehouse is led by seasoned professionals with proven and diverse expertise in traditional and emerging technologies, markets, and agenda-setting issues driving national and global economies.

Industry: Business Consulting and Services
Company Size: 10,001+ employees

Guidehouse

Savvy Admin PROD

**Job Family**

CDI Specialist

**Travel Required**

None

**Clearance Required**

None

**What You Wil Do**

The Clinical Documentation Integrity Supervisor assists the CDI Manager in supervising day-to-day operations for Clinical Documentation Integrity Specialists supporting assigned clients. The CDI Supervisor is directly responsible for daily CDI assignments and staffing adjustments to ensure adequate coverage and to monitor productivity, utilization, compliance, key performance indicators (KPIs), and monthly quality audits.

The CDI Supervisor works collaboratively with the facility CDI team to meet contractual obligations and achieve CDI best-practice metrics. This role assists in developing and updating CDI policies and procedures and ensuring efficient use of CDI technology.

The CDI Supervisor is responsible for ensuring the CDI team has the tools needed to complete concurrent record reviews and to initiate and follow up on queries. The CDI Supervisor escalates issues as needed to the appropriate management team members and collaborates with facility team members and departments as required.

**Essential Job Functions**

- Expert knowledge/experience in managing Clinical Documentation Improvement Team

- Ability to assess and identify potential health system opportunities in regard to contractual and best practice CDI metrics

- Assist in the development of processes and initiatives designed to improve clinical documentation performance

- Strong project management skills

- Demonstrate effective communication skills and collaborate with medical staff, clinical departments and key facility leadership team members as needed

- Maintains and demonstrates strong knowledge of CDI and coding process best practices

- Drives optimal use of the CDI technology tool and reporting capabilities.

- Ensures CDI team accountability for key performance indicators

**Duties And Responsibilities**

- Leads by example and promotes teamwork by fostering a positive, transparent, and focused work environment to achieve optimal results.

- Cultivates strong working relationships with the facility leadership team (HIM Director, Coding team, Case Management, Quality, and Medical Staff), resulting in support for and participation in CDI initiatives.

- Provides daily CDI program oversight, including productivity, quality, education and training, auditing, report management, performance improvement initiatives, and the development of standardized practices, processes, policies, and procedures.

- Serves as an advocate for the CDI best-practice model by linking accurate capture of documented bedside care to accurate coded data, supporting correct reporting, facility and provider profiling, and acuity capture.

- Assists with CDI technology implementation as required.

- Maintains a clear working knowledge of the CDI technology tool, including data entry, report generation, and tracking methods, to ensure consistent and accurate data input.

- Identifies issues with technology interface feeds/files; submits service tickets to the vendor; and works collaboratively with vendor technical support, facility IT, and/or Guidehouse IT to resolve technology-related issues.

- Build knowledge and understanding in evolving areas such as coding guidelines, DRG payer groups, clinical documentation trends, and clinical quality and safety measures.

- Communicates and escalates program updates, risks, and needs to the CDI Manager and/or Director in a timely manner, and actively works to resolve issues and mitigate risk.

- Build strong, trust-based relationships with client staff, the physician base, and other Guidehouse team members.

- Assists with interviews and new-employee onboarding to ensure sufficient training.

- Perform quarterly check-in and end of year performance evaluation

- Responsible for timesheet approval and project utilization tracking

**Client Service/ Business Development**

- Demonstrates an understanding of CDI and its impact on Revenue Cycle

- Perceived by the client as a lead person for the CDI Solution.

- Active participation in recruiting process

**Communication**

- Provides regular status updates to VP Operations, CDI Manager/Director and facility Department Directors.

- Demonstrates solid facilitation skills.

- Demonstrates effective listening skills.

- Ability to identify and articulate project obstacles/ issues and determine potential solutions while working collaboratively.

- Expresses self in a confident manner in individual and group settings

**What You Will Need**

- Requires a University Degree in Nursing or MD and or MBBS

- At least one of the following: RHIA, RHIT, CCS, MD or MD Equivalent, RN.

- At least one is required CCDS, CCS,CDIP

- Must maintain credential while employed.

- Requires at least 5 years acute care hospital CDI experience.

- Requires at least 2 years prior management experience.

**What Would Be Nice To Have**

- Masters Degree in Healthcare Field and/ or Nursing

- Microsoft Suite

- Epic experience

- Presentation and training delivery

- Interdisciplinary communication

- Time management and multitasking

- Problem solving and critical thinking,

- Data Analysis and performance dashboard,

- DRG/MS-DRG and reimbursement impact

#indeedsponsored

The annual salary range for this position is $80,000.00-$133,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

**What We Offer**

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

**Benefits Include**

- Medical, Rx, Dental & Vision Insurance

- Personal and Family Sick Time & Company Paid Holidays

- Position may be eligible for a discretionary variable incentive bonus

- Parental Leave

- 401(k) Retirement Plan

- Basic Life & Supplemental Life

- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

- Short-Term & Long-Term Disability

- Tuition Reimbursement, Personal Development & Learning Opportunities

- Skills Development & Certifications

- Employee Referral Program

- Corporate Sponsored Events & Community Outreach

- Emergency Back-Up Childcare Program

**About Guidehouse**

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

~~Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee. ~~

Clinical Documentation Integrity Supervisor

We believe a hospital should actually be hospitable.

We’re a New Orleans-based, non-profit health system on a mission: to provide the best possible care for every person and parish in Louisiana and beyond, and to put a little more heart and soul into healthcare along the way. And that means we do things a little differently around here.

Treating people like family is the LCMC Health way, and it always has been. Founded by Louisiana’s first freestanding children’s hospital, we’ve grown into a healthcare system that’s built to serve the unique needs of our communities and families across New Orleans, the Gulf Coast and beyond.

We believe in treating the whole patient, not just the condition. When you visit an LCMC Health facility, you will get the care that is best for you and your family because we believe that shared beliefs and positive outlooks are what drive our exceptional care. 

We offer nine hospital locations: Children’s Hospital New Orleans, East Jefferson General Hospital, New Orleans East Hospital, Touro, University Medical Center New Orleans, West Jefferson Medical Center, Lakeview Hospital, and Lakeside Hospital. We also deliver world-class care close to home through a network of urgent care centers across the greater New Orleans area in addition to our physician practices. With over 2,200 board-certified physicians specializing in everything from head to toe, our community can count on us to provide the right care, right where they need it.

We’ve got a rich history, but our sights are set on what comes next. We’re committed to leading the way to a healthier future for the Gulf Coast. That’s why we partner with local universities to bring the latest in care to our patients, and to train the next generation of healthcare professionals that will make a difference right here in our communities.

Industry: Hospitals and Health Care
Company Size: 10,001+ employees

LCMC Health

Your job is more than a job

**SPECIALTIES**

ENT/General Surgery/Plastic Surgery/Dermatology

**GENERAL DUTIES**

- Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers.

- Validates charges by comparing charges with health record documentation as necessary.

- Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding.

- Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems.

- Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion.

- Consistently meets or exceeds coding quality and productivity standards established by coding department.

- Adheres to LCMC confidentiality requirements as they relate to release of any individual or aggregate patient information.

- Maintains up-to-date knowledge of changes in coding and reimbursement guidelines and regulations.

- Performs other duties as assigned by leadership.

- Maintains working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

**Education/Experience Qualifications**

- Required: High School Diploma/GED or equivalent and 3 years of work experience, or Associate’s and 1 year of experience, or Diploma/Certification in Coding and 1 year of experience.

- Preferred: Associate's Degree in HIM or similar or Completion of AHIMA Approved coding program or AAPC coding program.

**LICENSES AND CERTIFICATIONS**

**A Certification In The Following Areas Is Also Preferred**

- Registered Health Information Technician from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA

- Registered Health Information Administrator from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA

- Certified Coding Specialist from the Commission on Certification for Health Informatics and Information Management (CCHIIM)

**Knowledge, Skills, And Abilities**

- Comprehensive working knowledge of medical terminology, anatomy and physiology, diagnostic and procedural coding and MS-DRG or APC grouping and components of charge description master for charging functions.

- Must possess knowledge of third party reimbursement regulations and billing practices.

- Experience utilizing encoding/grouping software.

- Ability to use standard desktop and windows based computer system, including basic understanding of email, internet, and computer navigation.

- High ethical standards.

- Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.

- Experience in ICD-10-CM/PCS coding and reimbursement training.

- Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.

- Knowledge of hospital and professional coding including provider-based billing.

- Knowledge of documentation regulations of Joint Commission and CMS.

- Experience with concurrent coding reviews.

- Knowledge of privacy and security regulations, confidentiality, laws, access and release of information practices.

- Experience in assisting and identifying learning needs as well as providing training to coding staff.

- Strong analytical abilities and problem-solving skills.

- Excellent oral, written and interpersonal communication skills.

- Ability to organize and set priorities to ensure objectives are met in a timely manner.

- Ability to adapt to change and handle challenges proactively and with pose.

- Ability to effectively collaborate with physicians and managerial staff at all levels.

**Work Shift**

Variable Hours (United States of America)

**LCMC Health is a community.**

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

**Your extras**

- Deliver healthcare with heart.

- Give people a reason to smile.

- Put a little love in your work.

- Be honest and real, but with compassion.

- Bring some lagniappe into everything you do.

- Forget one-size-fits-all, think one-of-a-kind care.

- See opportunities, not problems – it’s all about perspective.

- Cheerlead ideas, differences, and each other.

- Love what makes you, you - because we do

**You are welcome here.**

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.

**Simple things make the difference.**

-  To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information.

-  To ensure quality care and service, we may use information on your application to verify your previous employment and background.

-  To keep our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed.

-  To expedite the hiring process, proof of citizenship or immigration status will be required to verify your lawful right to work in the United States.

Senior Coder - Specialty Surgeries

Find Clinical Documentation Integrity Specialist jobs in United States with Savvy's AI Recruiter. Browse opportunities from top companies and get matched with roles that match your skills using our intelligent recruitment system.