Christiana Care Medical Group is looking for a Program Manager for its Ambulatory Clinical Documentation Improvement (CDI) and Coding Team.
The Program Manager would be responsible for reviewing the overall quality and completeness of provider clinical documentation, professional billing and risk adjustment code selection utilized to support reimbursement for both the professional and technical components. Assist clinical practices and providers by developing and providing education and support to better understand the relationship of documentation and the level of service assigned, as well as the risk adjustment of the patient population, analyze trends, and identifying potential issues and their root causes. Oversees accurate and timely assignment of ICD 10 CM/PCS, payment group classification assignment and data abstraction for reimbursement purposes and statistical information reporting on ambulatory health records.
EDUCATION AND EXPERIENCE REQUIREMENTS:
Coding Certification: Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC)
Bachelor's degree in Nursing, Health Information Technology, or related field required; Master's degree preferred
Minimum of 5 years recent experience in inpatient or ambulatory clinical documentation integrity and/or coding and/or auditing
ChristianaCare Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are ...positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.