Program Manager, Professional Coding, Ambulatory Clinical Documentation Improvement - Beth Israel Lahey Health
Wakefield, MA
About the Job
Job Type: Regular
Time Type: Full time
Work Shift: Day (United States of America)
FLSA Status: Exempt
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Partner with the Director, Process Improvement & Design to implement solution-focused projects and performance improvement initiatives that support clinical documentation improvement. The Program Manager, Ambulatory Clinical Documentation Improvement will be responsible for managing projects, coordinating trainings, performing analyses, identifying opportunities, supporting day to day issues, and monitoring performance related to acuity/risk adjustment. This will involve high levels of collaboration, integration, and communication across the Performance Network.
Job Description:
Essential Duties & Responsibilities including but not limited to:
+ Implement and manage projects and performance improvements initiatives that support clinical documentation improvement/acuity/risk adjustment, including, but not limited to pilot programs for risk adjustment, developing sustainable solutions for continuation post-pilot phases, optimizing tools at point of care related to clinical documentation improvement, or building content to increase transparency and awareness related to acuity.
+ Coordinate trainings for clinical documentation improvement programs which can consist of trainings on understanding acuity or on specific tools within EMR applications.
+ Perform analyses related to clinical documentation programs, including, but not limited to lessons learned, opportunity, or assessing current program.
+ Identify and investigate opportunities related to clinical documentation improvement.
+ Collaborate with risk units and provider organizations across the network to enable best practices and understand needs.
+ Integrate operations of the program into other value-based areas as applicable
+ Develop action plans and schedules to optimize, refine, or integrate technological solutions/functionality where applicable into the respective EMR/Population Health applications across the network to drive performance both at the point of care and outside the visit. Examples of applications include Arcadia, Epic, Athena, and eCW.
+ Support and troubleshoot any issues related to recommended workflows from BILHPN related to acuity.
+ Monitor outreach efforts and performance within contracts relative to risk adjustment.
+ Assists with maintaining, designing, and advancing a library of content and resources related to clinical documentation improvement/acuity.
+ Contribute to reporting package design and dissemination for all data components related to risk and acuity.
+ Facilitates discovery and continuous improvement discussions with applicable stakeholders to incorporate into projects and program(s) as necessary to drive performance and efficiency.
+ Develop and maintain connections with vendors, where applicable, and other organizations to incorporate necessary discoveries into planning and strategies.
+ Assists in the communication of initiatives related to acuity/risk to local leaders, administrators, support staff, and providers.
+ Build and maintain working relationships with internal teams, practice operations, and provider community to foster collaboration and partnership in driving meaningful change within clinical documentation improvement.
Minimum Qualifications:
Education:
+ A Bachelor’s Degree in Healthcare Management, Administration, Public Health, Business Administration, or other related functional area is required.
+ A Master’s Degree in healthcare or business-related field is _preferred._
Licensure, Certification & Registration:
+ CCDS _preferred._
Experience: Minimum five years of program or project management, system implementation, or clinical operations experience in a healthcare setting required.
+ Understanding of quality and process improvement strategies.
+ Strong organizational skills and the ability to articulate complex workflows and processes.
+ Experience with EHR clinical decision support tools and population health functionality
+ Ability to work with data analysts and communicate needs.
+ Excellent communication skills, both written and verbal.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
Time Type: Full time
Work Shift: Day (United States of America)
FLSA Status: Exempt
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Partner with the Director, Process Improvement & Design to implement solution-focused projects and performance improvement initiatives that support clinical documentation improvement. The Program Manager, Ambulatory Clinical Documentation Improvement will be responsible for managing projects, coordinating trainings, performing analyses, identifying opportunities, supporting day to day issues, and monitoring performance related to acuity/risk adjustment. This will involve high levels of collaboration, integration, and communication across the Performance Network.
Job Description:
Essential Duties & Responsibilities including but not limited to:
+ Implement and manage projects and performance improvements initiatives that support clinical documentation improvement/acuity/risk adjustment, including, but not limited to pilot programs for risk adjustment, developing sustainable solutions for continuation post-pilot phases, optimizing tools at point of care related to clinical documentation improvement, or building content to increase transparency and awareness related to acuity.
+ Coordinate trainings for clinical documentation improvement programs which can consist of trainings on understanding acuity or on specific tools within EMR applications.
+ Perform analyses related to clinical documentation programs, including, but not limited to lessons learned, opportunity, or assessing current program.
+ Identify and investigate opportunities related to clinical documentation improvement.
+ Collaborate with risk units and provider organizations across the network to enable best practices and understand needs.
+ Integrate operations of the program into other value-based areas as applicable
+ Develop action plans and schedules to optimize, refine, or integrate technological solutions/functionality where applicable into the respective EMR/Population Health applications across the network to drive performance both at the point of care and outside the visit. Examples of applications include Arcadia, Epic, Athena, and eCW.
+ Support and troubleshoot any issues related to recommended workflows from BILHPN related to acuity.
+ Monitor outreach efforts and performance within contracts relative to risk adjustment.
+ Assists with maintaining, designing, and advancing a library of content and resources related to clinical documentation improvement/acuity.
+ Contribute to reporting package design and dissemination for all data components related to risk and acuity.
+ Facilitates discovery and continuous improvement discussions with applicable stakeholders to incorporate into projects and program(s) as necessary to drive performance and efficiency.
+ Develop and maintain connections with vendors, where applicable, and other organizations to incorporate necessary discoveries into planning and strategies.
+ Assists in the communication of initiatives related to acuity/risk to local leaders, administrators, support staff, and providers.
+ Build and maintain working relationships with internal teams, practice operations, and provider community to foster collaboration and partnership in driving meaningful change within clinical documentation improvement.
Minimum Qualifications:
Education:
+ A Bachelor’s Degree in Healthcare Management, Administration, Public Health, Business Administration, or other related functional area is required.
+ A Master’s Degree in healthcare or business-related field is _preferred._
Licensure, Certification & Registration:
+ CCDS _preferred._
Experience: Minimum five years of program or project management, system implementation, or clinical operations experience in a healthcare setting required.
+ Understanding of quality and process improvement strategies.
+ Strong organizational skills and the ability to articulate complex workflows and processes.
+ Experience with EHR clinical decision support tools and population health functionality
+ Ability to work with data analysts and communicate needs.
+ Excellent communication skills, both written and verbal.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled
Source : Beth Israel Lahey Health
