Cigna Rn Remote Jobs in Troy, MI (NOW HIRING)

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.
Headquartered in Detroit, Henry Ford Health is helping shape the future of healthcare through the transformative Future of Health: Detroit initiative, a $3 billion investment that is redefining our academic healthcare campus and advancing innovation, research, education, and community impact.
Our work is grounded in purpose, collaboration, and belonging. We empower team members to grow their careers, contribute innovative ideas, and make a meaningful difference every day. Whether you're caring for patients, supporting operations, conducting research, or driving new solutions, you'll be part of a team united by a shared mission: delivering exceptional care, advancing health outcomes, and building healthier communities for all.

GENERAL SUMMARY:

The Outpatient Clinical Documentation (CDI) Manager is responsible for managing, coordinating, and performing day-to-day operations for the outpatient clinical documentation improvement program across the multi-facility integrated healthcare delivery system. Day-to-day operations include personnel management, education, training, productivity, work assignments, quality reviews, and report management for the Outpatient CDI program. Acts as a liaison for physicians, medical group leadership, clinical and ancillary departments regarding appropriate clinical documentation, coding rules and regulations, HCC Coding and Risk Adjustment analysis and reimbursement guidelines. Actively works with organizational leadership to plan, design, test, implement, and evaluate integrated revenue cycle systems and solutions that support and enhance business practice, administrative and management needs. Facilitates and promotes standardization across Henry Ford Health System and ensures alignment of high quality documentation and coding that supports compliant and accurate medical record documentation.

EDUCATION/EXPERIENCE REQUIRED: 

• Bachelor's Degree in Business Administration or Healthcare Administration. A Bachelor's Degree in Art or Science with a medical focus would also be acceptable. Bachelor's Degree in Nursing preferred. 
• Five (5) years clinical operations experience as evidenced by Acute or Ambulatory Nursing and/or Coding and CDI experience directly related to revenue coding and reimbursement for hospital or physician services. 
• Significant project management experience and outstanding analytical, communication and interpersonal skills. 
• Excellent oral and written communication skills, including the ability to teach complex technical/analytical concepts to physicians, system leadership, management and staff. 
• Analytical ability necessary to conduct basic research, analyze and interpret data, evaluate processes and propose improvements. 
• Ability to manage, coordinate, and lead simultaneously. 
• Ability to estimate time frames and meet projected deadlines. 
• Ability to understand and lead change. 
• Ability to develop strong working and collaborative relationships with physician leaders in clinical and academic settings. 
• Demonstrates clinical and/or coding competence. 
• Demonstrate experience in all areas of medical record functions, including privacy & compliance regulations. 
• Demonstrates strong knowledge of ICD-10 CM/PCS conventions, rules and regulations. 

CERTIFICATIONS/LICENSURES REQUIRED: 

• Registered Nurse (RN or BSN) and/or Coding Certification required. Coding Certification may be CPC, CCS, RHIT, and RHIA.

This position is remote, however occasional travel is needed in Michigan.  The candidate must live in Michigan or Northern Ohio.

In this position you need to be a nurse with a coding certification or non nurse with coding background and also have a coding certification.