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Quality & Risk Manager
St. Tammany Health SystemClinical Documentation Integrity, Quality, and Risk Adjustment Manager for St. Tammany Health System.
About the role
Key responsibilities & impact- Provides strategic and operational leadership for clinical documentation programs
- Supports quality reporting, severity of illness and risk of mortality (SOI/ROM), value-based reimbursement, and risk-adjusted outcomes
- Oversees CDI/CDE staff and conducts documentation audits
- Ensures compliance with regulatory and risk‑based reimbursement requirements
- Identifies documentation gaps and trends and drives continuous improvement initiatives
- Promotes operational efficiency and documentation excellence across the organization
- Collaborates closely with physicians, coding teams, and CDI/CDE advisors to enhance documentation quality
- Develops and delivers targeted education on documentation best practices
Requirements
What you’ll need- Graduate of an accredited School of Nursing
- 5 years of clinical experience in an acute or ambulatory care setting
- 3-5 years of leading/managing a clinical documentation team
- Current State Registered Nurse License
- Excellent written, verbal, and interpersonal communication skills
- Demonstrated leadership and team-building abilities
- Strong analytical and critical-thinking skills
- In-depth knowledge of clinical documentation requirements, ICD‑10‑CM coding guidelines, and risk‑adjustment methodologies
- Ability to maintain current knowledge of regulatory requirements, industry trends, and emerging risk‑adjustment and documentation programs
- Experience managing departmental operations
- Strong organizational, planning, and time‑management skills
- Proficiency with Microsoft Office applications and clinical documentation and coding tools
Benefits
Comp & perks- Competitive salary
- Professional development opportunities
- Flexible working arrangements
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CM codingclinical documentation requirementsrisk-adjustment methodologiesdocumentation auditsquality reportingseverity of illnessrisk of mortalityvalue-based reimbursementoperational efficiencycontinuous improvement initiatives
Soft Skills
written communicationverbal communicationinterpersonal communicationleadershipteam-buildinganalytical skillscritical-thinking skillsorganizational skillsplanning skillstime-management skills
Certifications
State Registered Nurse License