Regulatory Documentation Manager Jobs in Reston, VA

Support CenterIf you are a current Adventist HealthCare employee, please click this link to apply through your Workday account.Adventist HealthCare Support Center seeks to hire an experienced Clinical Documentation Manager who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing.
As a Clinical Documentation Manager you will:
Responsible for initiating, influencing, and overseeing the effectiveness of the CDI program across the AHC system. Oversee and manage clinical documentation improvement with owning program leadership and daily operations activities, including productivity, quality, education, training, auditing, and performance improvement.
Manage full employee lifecycle with recruiting support, interviewing, selection, onboarding, orientation, competency validation, coaching, corrective action, and termination along with building and maintaining a repeatable onboarding program with 30/60/90-day plans, checklists, EHR/CDI tool training, query quality standards and escalation training with creating a culture of accountability, transparency and high reliability
Oversee daily operations of CDI team, tracks and analyzes program performance, and team productivity, ensuring alignment with departmental and organizational goals, compliance with regulatory requirements, and continuous improvement. Support internal/external audits and denial prevention strategies, translate findings into training and workflow changes
Serve as a liaison between CDI, Coding, HIM, and clinical staff to facilitate collaboration, resolve issues, implement repeatable processes, ensure consistent application of documentation standards and policies, and advocates for CDI best practices.
Be the super-user mindset for CDI operations with the ability to optimize CDI software, worklists, flags, templates, smart phrases, query formats, and reporting views. Partner with IT/Clinical informatics to improve EHR workflows that impact documentation. Maintain clean, auditable documentation for processes, training materials, policies and communications
Trend, track and communicate program performance using dashboards and structured reporting with productivity, query metrics, financial impact, quality outcomes and denials and clinical validation trends. Present performance and action plans to leadership with clear narrative and next steps.
Maintains clear communication of program updates, risks, or needs, and actively resolves or mitigates risks. Continuously develops expertise in CDI guidelines, documentation trends and steps in to support front-line documentation review activities during staffing shortages or special projects
Qualifications include:
Doctor of Medicine (MD), Doctor of Osteopathy (DO), Foreign Medical Graduate (FMG), or Registered Nurse (RN), Pharmacist, Doctor of Physical Therapy
RHIA, RHIT, or related clinical/allied health degree
Minimum of 8-10 years inpatient clinical experience
2+ years of clinical documentation, coding, case management, utilization review, or acute-care clinical experience
Experience interpreting physician documentation, lab results, imaging, and clinical indicators.
Experience with ICD-10-CM/PCS, DRGs, SOI/ROM or HCC is a plus
Behavioral Health CDI experience preferred.
Lean Six Sigma Green belt preferred
Minimum of 1 year; 2 years preferred.
Required and active certification for:
CCDS (Certified Clinical Documentation Specialist), CDIP (Clinical
Documentation Improvement Practitioner) or equivalent
Other certifications preferred:
Certified Documentation Expert Inpatient (CDEI)
Certified Coding Specialist (CCS)
Maintains current working knowledge of Coding Clinic Guidelines and federal updates to DRG system (MS, APR, AP etc)
Knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes.
Proficient in Microsoft office, data analytics tools

Work Schedule:

• Employment Type:Full-time

• Hours per Week: 40 hours

• Typical Daily Schedule:Monday through Friday

• Shift Type:Day Shift

• Weekend Requirements:No Weekends

• Competitive Performance Incentive:Eligible

Pay Range:

$105,664.42 - $158,496.00

If the salary range is listed as $0 or if the position is Per Diem (with a fixed rate), salary discussions will take place during the screening process.

Under the Fair Labor Standards Act (FLSA), this position is classified as:

United States of America (Exempt)

At Adventist HealthCare our job is to care for you.

We do this by offering:

• Work life balance through nonrotating shifts

• Recognition and rewards for professional expertise

• Free Employee parking

• Medical, Prescription, Dental, and Vision coverage for employees and their eligible dependents effective on your date of hire

• Employer-paid Short & Long-Term Disability, Basic Life Insurance and AD&D, (short-term disability buy-up available)

• Paid Time Off

• Employer retirement contribution and match after 1-year of eligible employment with a 3-year vesting period

• Voluntary benefits include flexible spending accounts, legal plans, and life, pet, auto, home, long term care, and critical illness & accident insurance

• Subsidized childcare at participating childcare centers

• Tuition Reimbursement

• Employee Assistance Program (EAP) support

As a faith-based organization, with over a century of caring for the communities in the Maryland area, Adventist HealthCare has earned a reputation for high-quality, compassionate care. Adventist HealthCare was the first and is the largest healthcare provider in Montgomery County.
If you want to make a difference in someone's life every day, consider a position with a team of professionals who are doing just that, making a difference.

Join the Adventist HealthCare team today, apply now to be considered!

COVID-19 Vaccination

Adventist HealthCare strongly recommends all applicants to be fully vaccinated for COVID-19 before commencing employment. Applicants may be required to furnish proof of vaccination.

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing. ("Nicotine products" include, but are not limited to: cigarettes, cigars, pipes, chewing tobacco, e-cigarettes, vaping products, hookah, and nicotine replacement products (e.g., nicotine gum, nicotine patches, nicotine lozenges, etc.).

Equal Employment Opportunity
Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. AHC does not discriminate in employment opportunities or practices on the basis of race, ethnicity, color, religion, sex, national origin, age, disability, sexual orientation, gender identity, pregnancy and related medical conditions, protected veteran status, or any other characteristic protected by law.

Adventist HealthCare will make reasonable accommodations for applicants with disabilities, in accordance with applicable law. Adventist HealthCare is a religious organization as defined under applicable law; however, it will endeavor to provide reasonable accommodations for applicants' religious beliefs.

Applicants who wish to request accommodations for disabilities or religious belief should contact the Support Center HR Office.