Accountabilities:

• Support the CDI Director with new client implementations, ongoing engagements, program oversight, and achievement of contractual and best-practice CDI performance metrics.
• Oversee daily CDI program activities, including productivity, quality, education, training, auditing, reporting, performance improvement, and standardized processes.
• Monitor key performance indicators, identify trends and performance gaps, and develop or support initiatives to improve clinical documentation outcomes.
• Ensure CDI teams have the tools, technology, resources, and guidance needed to perform concurrent record reviews, initiate and follow up on queries, and conduct query compliance reviews effectively.
• Promote best-practice CDI processes that connect accurate bedside clinical documentation with appropriate coding, reporting, acuity capture, physician profiling, and severity-of-illness representation.
• Assist with the development and maintenance of CDI policies, procedures, education materials, standardized practices, and operational workflows.
• Support month-end client reporting and analysis, using reporting technologies to evaluate performance, identify risks, and communicate actionable insights.
• Optimize the use of CDI technology, including data entry, reporting, tracking, analytics, and other capabilities that improve operational efficiency.
• Build strong working relationships with facility leadership, including HIM, coding, case management, quality, medical staff, and other clinical stakeholders.
• Develop a thorough understanding of each client’s organizational structure, clinical workflows, physician relationships, documentation practices, and coding environment.
• Ensure CDI practices remain aligned with applicable coding guidelines, query standards, regulatory requirements, DRG methodologies, and relevant clinical quality expectations.
• Provide or coordinate education and in-service training for CDI staff and physicians, including support for query compliance and quality reviews.
• Approve CDI team timesheets, participate in performance evaluations, develop performance improvement plans when necessary, and monitor required learning and compliance activities.
• Lead meetings and facilitate discussions with CDI teams, clients, physicians, facility leadership, and internal stakeholders, providing clear updates on progress, risks, issues, and opportunities.
• Identify project obstacles and operational risks, develop potential solutions, and escalate matters appropriately while actively supporting mitigation efforts.
• Serve as a trusted CDI resource for clients and internal teams, supporting business objectives and contributing to proposals and other business development activities when needed.
• Participate in recruiting activities and mentor CDI professionals by promoting teamwork, transparency, accountability, and continuous professional development.

Requirements:

• Bachelor’s degree required.
• Current professional credential as an RN, MD, or equivalent physician qualification, which must be maintained throughout employment.
• 7+ years of acute care hospital Clinical Documentation Integrity experience.
• 3+ years of prior management or team leadership experience.
• Strong clinical understanding of disease processes, medical terminology, anatomy, physiology, and microbiology.
• Familiarity with encoder systems and DRG assignment, including MS-DRG and APR-DRG methodologies.
• Current working knowledge of Coding Clinic guidelines and federal updates affecting DRG systems and related coding practices.
• Comprehensive understanding of CDI processes, coding best practices, documentation requirements, and revenue cycle considerations.
• Strong analytical, project management, organizational, and problem-solving skills.
• Excellent verbal and written communication skills, with the ability to communicate tactfully and confidently in complex or sensitive situations.
• Ability to engage effectively with physicians, including navigating challenging documentation discussions and influencing clinical stakeholders.
• Demonstrated ability to present information clearly to physicians, facility leadership, and senior-level audiences.
• Strong facilitation and active listening skills, with the ability to build trust across multidisciplinary teams.
• Ability to manage competing priorities, identify risks, and work collaboratively in a fast-paced healthcare environment.
• CCDS or CDIP certification preferred.
• RHIA, RHIT, or CCS certification preferred.

Benefits:

• Annual salary range of $102,000–$170,000, depending on experience, qualifications, certifications, and other relevant factors.
• Potential eligibility for a discretionary variable incentive bonus.
• Fully remote position with no travel required.
• Medical, prescription, dental, and vision insurance.
• 401(k) retirement plan.
• Basic and supplemental life insurance.
• Health Savings Account (HSA) and Flexible Spending Accounts for healthcare and dependent care.
• Short-term and long-term disability coverage.
• Paid parental leave.
• Personal and family sick time and company-paid holidays.
• Tuition reimbursement and personal development opportunities.
• Skills development and professional certification support.
• Employee referral program.
• Corporate-sponsored events and community outreach opportunities.
• Emergency back-up childcare program.
• Flexible benefits designed to support employees and their families.