TCCS - Manager - Clinical Documentation Integrity

- Based on the provided job description and your added context, this is a senior operational management role within the Clinical Documentation Integrity (CDI) department of a major healthcare system, focused on revenue cycle and quality reporting.- Here is the detailed, ready-to-post job description for the Concurrent Review and Query Manager, structured for maximum clarity and professionalism.- Concurrent Review and Query Manager (CDI)Position SummaryWe are seeking a high-performing Concurrent Review and Query Manager to assume a pivotal management role within our Clinical Documentation Integrity (CDI) department.- This leader will guide day-to-day operations, set high performance standards for the Concurrent Review and Query team, and drive strategic initiatives focused on documentation quality, compliance, and revenue cycle optimization.- This role requires deep clinical or coding expertise combined with strong operational management and collaboration skills.- Operational Management & Team LeadershipTeam Oversight: Manage the day-to-day operations of the CDI Concurrent Review and Query team, ensuring consistent performance of all CDI functions.- Performance Standards: Guide the department toward desired outcomes, setting high performance standards and delivering quality services aligned with strategic goals.- Resource Management: Demonstrate strong organizational skills to proactively prioritize team needs and effectively manage resources (staffing, tools, and time).- Talent Development: Foster a team-building environment and provide meaningful coaching and mentoring to increase the capabilities of individuals and teams.- Strategy, Analysis, & OptimizationData Analysis: Analyze and monitor focused review findings, identify systemic problem areas, develop effective strategies, and recommend action plans for resolution.- Strategic Planning Support: Collaborate with the CDI Director on outcomes and trends to establish team priorities and support planning for operational and workflow optimization related projects.- Policy & Compliance: Develop and maintain operational policies and procedures to ensure consistent adherence and compliance with established CDI Standards.- Process Improvement: Provide operational management to identify, implement, and monitor CDI activities that align with CDI strategic goals and objectives.- Strategic Relationships & CommunicationStakeholder Collaboration: Develop and strengthen collaborative relationships across Division, Parallon, and Corporate leaders to advance patient care and organizational goals.- Impactful Communication: Deliver information in a clear, concise, and compelling manner, adjusting messages appropriately by audience to drive targeted and actionable communications.- Leadership Presence: Demonstrate a willingness and ability to lead others and actively encourage cross-team collaboration to enhance operational efficiencies.- Required Qualifications & ExpertiseKnowledge, Skills, AbilitiesClinical/Coding Acumen: Consistent, demonstrable proficiency in all current CDI functions (concurrent review, query writing, clinical validation).- Technology Proficiency: Excellent personal computer skills including MS Outlook, MS Office, Excel (for data analysis), and expertise with relevant healthcare software (EMR, 3M, Iodine, and other related CDI systems).- Professional Conduct: Ability to communicate professionally, clearly and assertively.- Problem Resolution: Ability to independently take proactive steps toward problem resolution.- Integrity: Ability to build trust and act with authenticity to cultivate a culture of integrity and mutual respect.- Education and Experience (Preferred)Education: Bachelor's Degree in Nursing (BSN), Health Information Management (HIM), or related clinical/management field.- Master's degree (MHA or MBA) preferred.Experience: Proven track record of consistent performance of all CDI functions, with prior experience in a management or leadership capacity (ref:iimjobs.com)