Clinical Documentation Integrity Manager

Job Description

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

  • Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

  • Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

  • Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

CAREER OPPORTUNITY OFFERING:  

  • Bonus Incentives  
  • Paid Certifications  
  • Tuition Reimbursement  
  • Comprehensive Benefits  
  • Career Advancement  
  • This position pays between $111,800 - $192,900 based on experience  

By embodying our core purpose of customer obsession, new ideas, and driving innovation, and delivering excellence, you will help ensure that every touchpoint is meaningful and contributes to our mission of redefining the possible in healthcare. 

The Clinical Documentation Integrity Manager oversees Clinical Documentation Integrity operations supporting medical staff by-laws and regulatory requirements specific to clinical documentation for DRG assurance, while maintaining a high degree of emphasis on physician engagement. Develops and monitors implementation of site departmental goals/objectives and supports the performance improvement process in conjunction with revenue cycle.

Job Competencies:

Decision Making - Makes decisions by gathering, analyzing, and interpreting information; chooses the best course of action by establishing clear decision criteria, generating and evaluating alternatives, and making timely decisions.

Courage - Proactively confronts difficult issues and effectively participates in challenging conversations; makes hard choices and takes bold action in the face of opposition or fear. Refuses defeat.

Influencing - Uses effective persuasion techniques to gain acceptance of ideas and commitment to actions that support specific outcomes.

Coaching & Developing Others - Partners with individuals’ and supports their development of knowledge, skills, and abilities; empowers them to unlock their potential and maximize performance and growth knowing that developing you makes us better.

Emotional Intelligence - Establishes and sustains trusting relationships by accurately understanding and interpreting one’s own and others’ emotions and adapts behaviors to accomplish intended results.

Creating an Inclusive Environment - Makes decisions and initiates action to ensure that policies and business practices leverage the capabilities and insights of individuals with diverse backgrounds, cultures, styles, abilities, and motivation.


Job Responsibilities: 

  • Develops clinical data reporting and uses analytical assessment of data, data manipulation, and professionally articulate data outcomes to improve operations.
  • Maintains knowledge of all coding guidelines and regulations and assists in communication to market CDI leaders and associates.
  • Validates CDI quality assurance measures to support accurate metrics and reimbursement reporting for the CDI department.
  • Supports DRG assurance efforts by generating and analyzing data and reports to identify opportunities for continuous growth and improvement specific to clinical documentation. Provides feedback to site CDI leaders and administrators, develops and implements action plans where appropriate
  • Establishes and monitors teams’ workflows, productivity, and quality assurance. Evaluates associate and team performance and organizational requirements and expectations.
  • Chairs market-level Steering Committees and Documentation Improvement meetings and / or reporting. Also meeting regularly with the site and regionally based Physician Documentation Improvement designees in conjunction with CDI Supervisor
  • Assists in development of department policies and standard operating procedures while providing supervisor support and guidance.
  • Collaborates with interdisciplinary teams including, but not limited to, physicians, nurse practitioners, PAs, site administrators, and the department leaders on documentation opportunity initiatives and strategies.
  • Collaborates with CDI, Coding, and Revenue Cycle Leadership for potential departmental improvement opportunities, standardization, operational improvement, strategic growth, and educational opportunities.

Qualifications

  • 3 to 5 years of job experience
  • 3 to 5 years of leadership experience
  • Detail oriented and self-motivated 
  • Strong organizational skills 
  • Excellent speaking and presentation skills 
  • Working knowledge of Microsoft applications, including creation of Power Point presentations 

Minimum Education: 

  • Bachelors Degree

Required License:

  • Registered Nurse

Required Certification:

  • Certified Clinical Documentation Specialist (CCDS) 

LI-LL1

LI-Remote

Join an award-winning company

Five-time winner of “Best in KLAS” 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

  • Innovation

  • Work-Life Flexibility

  • Leadership

  • Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

  • Associate Benefits We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. 
  • Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.  
  • Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. 
  • Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. 

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws.  Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.

This posting addresses state specific requirements to provide pay transparency.  Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position.  A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.

EEOC – Know Your Rights
FMLA Rights - English

La FMLA Español

E-Verify Participating Employer (English and Spanish)

Know your Rights