Job Description
We are seeing a Project Manager who is experience with Clinical Documentation. This person will be responsible for Clinical documentation integrity initiatives, leveraging coded data (ICD-10 CM and PCS), to analyze for documentation and/or data quality gaps and the impact to financial performance and performance outcomes. We are needing someone experience working directly with clinical providers, ICD-10 code and related data, understanding of hospital performance outcomes and risk models (i.e. SOI/ROM, Elixhauser, Vizient, etc.).
Other duties will include:
* Not financial and business analysis, but: Clinical documentation integrity initiatives, leveraging coded data (ICD-10 CM and PCS), to analyze for documentation and/or data quality gaps and the impact to financial performance and performance outcomes.
* Access and analyze institutional and professional cost and revenue data, market share data and clinical volume data to evaluate and project potential performance and risk associated with multi-year business plans for new or expanding business development plans.
* Conduct market, financial, demographic and clinical utilization research from various software resources to support business development and strategic planning projects and presentations.
* Coordinate with department staff to develop regular quarterly, semi-annual and annual reports to performance to plan and oversee the production and distribution of these reports.
* Develop and maintain databases on cost and profitability indicators to track and support program planning and assessment process.
* Develop detailed, multi-year business plan information for proposed programs including goals, specific actions, timelines, metrics and measures for on-going tracking, investment requirement, and economic performance over time. Document financial planning and market analysis findings including underlying assumptions and key methodology notes.
* Extract relevant data elements from various systems and other sources for business planning and analysis including clinical volume, facility metrics, reimbursement methods, financial performance/projections, market share, population demographics and projections
Required Skills & Experience
* Experience working directly with clinical providers, ICD-10 code and related data, understanding of hospital performance outcomes and risk models (i.e. SOI/ROM, Elixhauser, Vizient, etc.)
* Ability to conduct analysis and formulate conclusions Ability to make effective oral presentations and prepare concise written reports to a variety of audiences
* Ability to plan, organize, prioritize, work independently and meet deadlines
* Ability to solve technical and non-technical problems
* Ability to work effectively both as a team player and leader
* Ability to work well with individuals at all levels of the organization
* Knowledge of computer systems and software used in functional areaKnowledge of financial concepts such as capital budgeting, discounted cash flow, financial statement analysis and financial forecasting
* Knowledge of TSI decision support systems, database and other software tools
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.