Location: Riverside, CA
Company: County Of Riverside
the incumbent supervises, plans, directs, and coordinates the operations of the Clinical Document Improvement (CDI) department; assures compliance to conduct complex and difficult research and analytical studies involving the operations and programs of the department served; makes recommendations for the development, implementation and improvement of departmental operations, services, and programs; performs other related duties as required.
The Clinical Document Improvement Supervisor is the supervisory level classification in the Clinical Document Improvement series, performing the full range of supervisory duties. Incumbents will coordinate and organize the CDI for both inpatient and
outpatient services, facilitate physician documentation, denials, and coding, and collaborate with physicians, directors, providers, and other healthcare team members to make improvements that result in accurate, comprehensive documentation that reflects completely, the clinical treatment, decision, and diagnoses for the patient.
Incumbents may participate in the employee selection process, training, coaching and mentoring of employees. Meet the Team! Riverside University Health System-Medical Center consistently receives national recognition for its progressive and innovative care, as well as being known as one of the top employers in the region. The 439-bed Medical Center is a designated
Stroke Center, Level II Trauma Center, and the only Pediatric ICU in the region.
Can you see yourself here? For more information on RUHS-Medical Center, please visit www. ruhealth. org EXAMPLES OF ESSENTIAL DUTIES • Plan, assign and direct the work of a unit of Clinical Documentation Improvement Specialists. • Develop and deliver training and education to clinical, CDI and coding professionals regarding CDI practices, coding and documentation requirements. • Actively communicate with providers to clarify information and communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality. • Develop and recommend policies and procedures; develop written procedures to clarify or describe standard practices; coordinate the publication and dissemination of procedures.
• Ensure admission reviews of patients' records are completed within 24-hours of notification of admission to evaluate and analyze documentation in order to assign the principal diagnosis, pertinent secondary diagnoses and procedures for accurate and optimal CMS-Diagnostic Related Group (CMS-DRG) assignment. • Initiate and perform concurrent documentation reviews of selected inpatient and outpatient records to clarify conditions/diagnoses and procedures where inadequate or conflicting documentation exists, and conduct follow-up reviews as necessary.
• Develop and implement methods of improving the clarity, accuracy and completeness of clinical documentation; monitor and evaluate coding outcomes and provide periodic status to medical center departments and committees. • Communicate with and serve as a resource for physicians, nurses, and other healthcare providers to facilitate complete and accurate documentation of the patient record; query physicians regarding missing, unclear or conflicting medical record documentation and obtain additional documentation; keep physician leaders informed of pertinent data, documentation trends and opportunities for learning and improvement related to documentation integrity.
• Collect data for performance improvement and report findings and outcomes; participate in the analysis and trending of statistical data for specified patient populations to identify opportunities for improvement. • Participate in revenue cycle meetings, providing data relative to reimbursement concerns; educate physicians and healthcare providers regarding documentation matters related to coding, billing and reimbursements.
• Select, train, assign, discipline, and evaluate the work of an assigned staff; write and discuss work performance evaluations. MINIMUM QUALIFICATIONS OPTION I Education: Graduation from an accredited college or university with a bachelor's degree in nursing. Experience: Four years as a Registered Nurse in an acute care hospital. License: Must possess and maintain a current valid license to practice as a Registered Nurse in the State of California. Possession of valid Basic Life Support (BLS) Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) certificates issued by the American Heart Association for professional healthcare providers.
OPTION II Education: Graduation from an accredited college or university with a bachelor's degree in health information management or health information technology. Experience: Five years of professional coding and abstracting medical records in an acute care hospital. Certificate: Possession of valid certification as a Certified Coding Specialist (CCS), Registered Health Information Technician or Registered Health Information Administrator issued by the American Health Information Management Association.
OPTION III Education: Completion of Doctor of Medicine degree. Experience: Two years of performing clinical documentation improvement in a healthcare setting. Certificate: Possession of valid certification as a Certified Coding Specialist (CCS), Registered Health Information Technician or Registered Health Information Administrator issued by the American Health Information Management Association. Certification in clinical documentation preferred. ALL OPTIONS Knowledge of: The principles and practices of public and/or business administration; principles and practices of organizational analysis, fiscal management, budget preparation, control and contract monitoring, and personnel management; principles and practices of supervision; coding, abstracting and terminology systems such as: International Classification of Diseases, Clinically Modified (ICD-10) and Current Procedural Terminology (CPT- 4); comprehensive medical terminology covering a wide variety of medical specialties; clinical documentation standards; federal, state and local laws and regulations governing professional aspects of nursing; payor source documentation requirements and governmental regulations affecting reimbursement.
Ability to: Analyze administrative problems, reach practical and logical conclusions and put effective solutions into practice; develop cooperative working relationships; plan, organize, train, supervise, and evaluate the work of others; prepare clear and concise reports; analyze and interpret the technical elements of a medical chart; analyze, code and abstract complex technical data from medical records covering a wide variety of medical specialties utilizing an encoder and electronic abstracting system; prepare and maintain concise and complete records and reports; establish and maintain effective working relationships with physicians, patients and fellow employees; maintain effective communication skills.
SUPPLEMENTAL INFORMATION Reasonable Accommodations The County of Riverside is committed to providing reasonable accommodation to applicants as required by the Americans with Disabilities Act (ADA) and Fair Employment and Housing Act (FEHA). If you are a qualified individual and need a reasonable accommodation to take this exam, contact the recruiter before taking the exam. For additional information and the accommodation form, visit the Disability Access Office web page at: http: //dao.
rc- Veterans' Preference The County has a Veterans Preference Policy. Upload a copy of your (or your spouse's) Member-4 Form DD-214 (or NGB-22) indicating dates of service, and a copy of your spouse's letter of disability (if applicable) with your application. For privacy reasons, it is recommended that you remove your social security information from the document(s). A Human Resources Representative will review the materials and determine if you qualify for veterans' preference. See the policy here ( Download PDF reader ). Pre-Employment All employment offers are contingent upon successful completion of both a pre-employment physical exam, including a drug/alcohol test, and a criminal background investigation, which involves fingerprinting.
(A felony or misdemeanor conviction may disqualify the applicant from County employment). Probationary Period As an Approved Local Merit System, all County of Riverside employees, except those serving " At Will, " are subject to the probationary period provisions as specified in the applicable Memorandum of Understanding, County Resolution, or Salary Ordinance. Temporary and Per Diem employees serve at the pleasure of the agency/department head.
What's Next? Open to All Applicants This recruitment is open to all applicants. Applicants who are current County of Riverside employees and/or current employees of The Riverside University Health Systemmay be considered before other applicants depending on the volume of applications received. Application Period BASED ON THE NUMBER OF APPLICATIONS RECEIVED, THIS POSTING MAY CLOSE WITHOUT NOTICE. Applications received prior to the closing date will be considered based on the information submitted. Changes or alterations cannot be accepted. All applicants must submit a complete application by the closing date of this recruitment.
No late applications will be permitted. Include relevant work experience details on resume and/or application. Applicants who fail to provide information demonstrating they possess the position requirements may not be considered further in the application process. A description of job duties directly copied from the job classification or job posting will not be considered. Upload a copy of any license(s), official/unofficial transcript(s), degrees, and/or related employment documents to your Neo Gov account. If your education was completed outside of the United States, you will need to provide a copy of your Foreign Education Equivalency evaluation from a member of the National Association of Credential Evaluation Services ( NACES ) or Association of International Credential Evaluators, Inc.
( AICE ). For questions regarding this recruitment contact the recruiter, Angela Levinson: / 951-955-xyz X GENERAL APPLICATION INFORMATION: Please read and follow any special application instructions on this posting. Click the 'Apply' link located on this page to submit your application. For instructions on the application process, examinations, Veteran's preference, pre-employment accommodation or other employment questions, please refer to our web site, www.
rc-. A pre-employment physical examination and background check may be required. MEDICAL/DENTAL/VISION INSURANCE: A choice of different medical, dental and visions plan are available to elect. The County provides a Flexible Benefit Credit contribution as governed by the applicable SEIU Memorandum of Understanding to contribute towards the cost of these plans. Note: Employees on assignment through the Temporary Assignment Program (TAP) receive different benefits.
See the list here. MISCELLANEOUS RETIREMENT: County of Riverside has three retirement Tiers through the California Public Employees' Retirement System (Cal PERS). Tier I (Classic Member - Formula 3% @ 60): Applicable to current and former County of Riverside local miscellaneous employees hired prior to 08/24/2012 and did not withdraw Cal PERS contributions. The employee contribution is eight (8%) percent. Tier II (Classic Member - Formula 2% @ 60): Applicable to local miscellaneous employees 1) hired after 08/23/2012 through 12/31/2012; 2) Previously employed with another Cal PERS contracting public agency or a reciprocal retirement system, with a break in service of less than six months between the separation date with the previous employer and the appointment date with the County of Riverside.
The employee contribution is seven (7%) percent. Tier III (PEPRA New Member - Formula 2% @ 62): Applicable to Cal PERS local miscellaneous new members hired on or after the implementation of the Public Employees' Pension Reform Act of 2013 (PEPRA) which took effect January 1, 2013. As of July 1, 2020, the employee contribution is 7.25% and subject to change annually. A new member is defined as any of the following: A new hire who enters Cal PERS membership for the first time on or after January 1, 2013, and who has no prior membership in any California Public Retirement System.
A new hire who enters Cal PERS membership for the first time on or after January 1, 2013, and who was a member with another California Public Retirement System prior to that date, but who is not subject to reciprocity upon joining Cal PERS. A member who first established Cal PERS membership prior to January 1, 2013, and who is rehired by a different Cal PERS agency after a break in service of greater than six (6) months.
Cal PERS refers to all members that do not fit within the definition of a new member as " classic members" Contribution rates are subject to change based on the County of Riverside annual actuarial valuation. Note: This summary is for general information purposes only. Additional questions regarding retirement formulas can be sent to or by calling the Benefits Information Line at (951) 955-xyz X, Option 2. If you have prior service credit with another Cal PERS agency or within agencies, please contact Cal PERS at (888) 225-xyz X to determine which retirement tier would be applicable to you.
Cal PERS is governed by the Public Employees' Retirement Law. The Retirement Law is complex and subject to change. If there's any conflict between this summary and the law, the law will prevail over this summary. DEFERRED COMPENSATION: Voluntary employee contribution with a choice between two 457 deferred compensation plan options. VACATION ACCRUAL (Bi-Weekly Accrual): 0
Administrative/Clerical jobs encompass a range of positions that provide support to an organization's operations, typically in an office setting. Key characteristics of these roles include handling correspondence, managing files, scheduling appointments, and maintaining databases. Employees in these jobs often serve as the backbone of a company, ensuring smooth internal communication and effective organization of records. Attention to detail, strong organizational skills, and proficiency with office software are quintessential for success in administrative and clerical positions.
Administrative/Clerical jobs encompass a broad range of roles integral to the smooth operation of any organization. Employees in these positions perform tasks such as data entry, managing calendars, arranging meetings, handling correspondence, and providing general support to other staff members. Key characteristics of these jobs include strong organizational skills, proficiency in office technologies, and excellent communication abilities. These roles are fundamental in ensuring that the daily administrative duties of the workplace are conducted efficiently, and often serve as a backbone to the managerial and operational teams.
such accommodation. Reasonable accommodation needs should be requested through Fourth District Court of Appeal Human Resources at (619) 744-xyz X. Telecommunications Device for the Deaf (415)865-xyz X. PDN-9b01cd5d-b95e-4d1b-aed1-d7d7d138a17c
programmatic and administrative support on a wide range of issues, projects, programs, academics, and matters of importance to the school of medicine. Represent the SOM in a professional manner, exercising sound judgment, tact, and the utmost discretion. Have a thorough understanding of the priorities and expectations of leadership and take these into account in coordinating schedules.
Manage calendars, assuring the designated individuals are fully briefed and have all relevant background materials for each engagement. Strategize and advise in university communications, meetings/travel schedules, campus and community events, etc. regarding the leader's role as it applies to each situation.
Staff relevant SOM committees and work groups: develop and distribute agendas, attend meetings, record highlights, track action items, and initiate follow-up as necessary.
Maintain electronic and hard copy filing systems for easy retrieval. Initiate policies and procedures within the office to achieve maximum efficiency. Applicants must have current work authorization when accepting a UCR staff position. Currently, we are unable to sponsor or take over sponsorship of an employment Visa for staff. As a university employee, you will be required to comply with all applicable University policies and/or collective bargaining agreements, as may be amended from time to time. Federal, state,
or local government directives may impose additional requirements.
Education Education Requirements Degree Requirement Associate degree in a related field. Required Bachelor? s degree in related field. Preferred Licenses License Requirement Must possess or obtain a Valid CA Drivers License in accordance with the California Department of Motor Vehicles. Required Conditions Condition Requirement In lieu of an Associate degree, a candidate can have four or more years of applicable experience in the areas described above. Required Experience Experience Requirement Two to four years of recent experience working in a health care, hospital, university, or similar environment providing administrative support to Director level or higher positions.
Required Demonstrated extensive and progressive experience providing high-level executive, and analytical support with the ability to multi-task and prioritize independently. Required Demonstrated experience managing a heavily impacted schedule, with the understanding that a clinical environment is flexible and daily work schedules are fluid. Required Demonstrated experience and progressively responsible executive level support in a school of medicine, medical center, or similar environment. Preferred Demonstrated experience with UCR's on-line financial, purchasing and recharge systems.
Preferred Experience at the UC Riverside campus performing administrative duties and working with system applications. Preferred Special Conditions Special Condition Requirement Travel Required Overtime Required Minimum Requirements Ability to work as a team player and establish and maintain cooperative working relationships. Skill in independently researching questions and making appropriate contacts when problem solving. Ability to make appropriate decisions following established policies and procedures. Demonstrated knowledge and ability to utilize various software applications such as Word, Excel, Outlook, Power Point, and Internet Explorer with a high degree of accuracy and speed.
Excellent written communication skills, including the ability to compose business correspondence, edit and use correct spelling, punctuation, and grammar. Ability to always maintain confidentiality and to handle sensitive/confidential information, issues, and requests. Skill in communicating effectively and professionally using tact and diplomacy. Demonstrated ability to interact with diverse and controversial issues and people in a professional and amiable manner.
i. e. sensitive/confidential information, issues, and requests. Ability to function independently and take responsibility for results; organize workload with close attention to detail; manage multiple tasks and timelines. Demonstrated ability to determine and locate relevant and reliable sources for the collection of information and data. Preferred Qualifications Knowledge of University of California policies and procedures. Knowledge and experience in a University of California academic or healthcare environment. Additional Information In the Heart of Inland Southern California, UC Riverside is located on nearly 1,200 acres near Box Springs Mountain in Southern California; the park-like campus provides convenient access to the vibrant and growing Inland region.
The campus is a living laboratory for the exploration of issues critical to growing communities' air, water, energy, transportation, politics, the arts, history, and culture. UCR gives every student, faculty and staff member the resources to explore, engage, imagine and excel. UC Riverside is recognized as one of the most ethnically diverse research universities in the country boasting several key rankings of which we are extremely proud.
UC Riverside is proud to be ranked No. 12 among all U. S. universities, according to Money Magazine's 2020 rankings, and among the top 1 percent of universities worldwide, according to the 2019-20 Center for World University rankings. UC Riverside is the top university in the United States for social mobility. - U. S. News 2020 UCR is a member of the University Innovation Alliance, the leading national coalition of public research universities committed to improving student success for low-income, first-generation, and students of color.
Among top-tier universities, UC Riverside ranks No. 2 in financial aid. - Business Insider 2019 Ranked No. 2 in the world for research, UCR's Department of Entomology maintains one of the largest collections of insect specimens the nation. - Center for World University Rankings UCR's distinguished faculty boasts 2 Nobel Laureates, and 13 members of the National Academies of Science and Medicine. The University of California is an Equal Opportunity/Affirmative Action Employer with a strong institutional commitment to the achievement of excellence and diversity among its faculty and staff. All qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, interactionual orientation, gender identity, national origin, age, disability, protected veteran status, or any other characteristic protected by law.
For information about our generous employee benefits package, visit: Employee Benefits Overview Job Description Details View complete Job Description for this position
