Position Summary

The CDMP® System Leader provides a key role in maintaining long-term system success of CDMP® by providing intense system oversight of the CDMP® program. The CDMP® System Leader will provide education and support and mentoring at the system level, including but not limited to; onsite education, assisting with application of CDMP® during transition periods, and assisting with the collection and compiling of information reflective of outcomes associated with CDMP® from a system perspective. Must be able to respond and interact with all physicians and hospital staff in a collaborative and courteous manner. Understands the fundamentals of chart review and facilitates education for physicians and hospital staff.

The CDMP® System Leader is responsible for increasing program awareness (team members, CDMP® process, program benefits) to the entire hospital system. The CDMP® System Leader must fully understand data collection and analysis for system and individual hospital and physician profiling. The CDMP® System Leader will support ongoing communication and education on documentation opportunities, coding and reimbursement issues, as well as performance improvement methodologies to physicians and entire hospital system. Establish a system dashboard and processes.

The CDMP® System Leader will function as the Corporate Steering Committee (administration) chair and may participate in CDMP® Task Force (CDMP® team) meetings to provide all around oversight of the CDMP® program.

Major Roles and Objectives:

• Accountability for CDMP® success throughout the system
• Responsible for raising Case Mix Index (CMI) throughout the system
• Provide oversight and act as a resource for all CDMP® teams in the system
• Day-to-day intense oversight of the system CDMP® Program
• Facilitate hiring/mentoring/retention of CDMP® staff
• Management of the System Process Flow Map
• Manage multiple priorities
• Function as the CDMP® System Steering Committee Leader
• Collaborates with HIM leadership to utilize ICD-9-CM hospital coding policies and procedures, Federal and State coding reimbursement guidelines
• Attend Taskforce Meetings at the local level as needed
• Liaison from Task Force to Steering Committee
• Provide CDMP® Team, physicians, administration and Steering Committee ongoing feedback
• Coordinate, compile and share data reflecting the activity associated with CDMP® on an ongoing basis by facility and aggregate comparison reflecting system wide data
• Disseminate system CDMPTrak® reports
• Formulate action plans based on system CDMPTrak® results
• Provide necessary feedback and conflict resolution to CDMP® Team
• Develop strategies that address resistance to the program
• Track program successes/ ongoing opportunities
• Perform staff evaluations (if necessary)
• Promote longevity of program / facilitate active support by administration

Specifications:

• Organizational, analytical, writing and interpersonal skills
• Prior management experience
• Hospital experience
• Clinical and/or coding experience
• Excellent knowledge of Word/Excel/PowerPoint
• Knowledge of Medicare Part A and Part B
• Knowledge of regulatory environment
• Understand and support CDMP® documentation strategies
• Understand and communicate differences between Medicare Part A and Part B guidelines and how they impact DRG assignments
• Able to travel to other facilities in the system

Education/Licensure/Certification:

• Graduation from a program of nursing, BSN, preferred or Graduate of Health Information Management RHIT, RHIA preferred
• Current state Registered Nurse license or Certified Coding Specialist

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