CDI Supervisor

Guidehouse•Dallas, TX

About The Position

The Clinical Documentation Integrity (CDI) Supervisor supports the CDI Manager in overseeing day-to-day operations for CDI Specialists and team leads assigned to client engagements. The role helps ensure consistent program coverage, effective team performance, and alignment with contractual expectations and CDI best-practice standards. The supervisor manages daily assignments and staffing adjustments, monitors productivity, utilization, compliance, performance indicators, and monthly quality audits, and ensures the team has the tools, resources, and guidance needed for record reviews and provider queries. The role collaborates with facility CDI teams, client stakeholders, and internal leadership on operational efficiency, technology use, policy and procedure updates, and escalation of program needs or risks. Approximately 60% of the role is leadership work and 40% is direct CDI work. Leadership responsibilities include assignment oversight, productivity and quality monitoring, reporting, education, and participation in hiring and onboarding. CDI responsibilities include concurrent and appropriate retrospective record reviews, DRG assignment, provider queries, collaboration with coding and care teams, and using CDI and encoder technology to track and report outcomes.

Requirements

Must hold at least one of the following credentials: RHIA, RHIT, RN, MD, or MD-equivalent clinical credentials.
Must maintain required credentials and certifications throughout employment.
At least 5 years of acute care hospital CDI experience.
Familiarity with encoder use and DRG assignment, including MS-DRG and APR-DRG methodologies.
Strong knowledge of CDI and coding process best practices.
Strong project management skills.
Ability to communicate and collaborate with medical staff, clinical departments, facility leadership, and other stakeholders.

Nice To Haves

CCDS, CCS, or CDIP certification.
Strong clinical understanding of disease processes.

Responsibilities

Oversee daily review assignments for CDI Specialists and distribute workload evenly.
Cover assignments for staff who are out of office, including closing pending queries, re-reviews, and DRG management.
Monitor CDI productivity and project utilization monthly.
Lead efforts to improve the quality and completeness of clinical documentation through evidence-based review, analysis, communication, follow-up, and evaluation.
Monitor key indicator metrics and develop corrective action plans when targets are not achieved.
Analyze and manipulate data, communicate outcomes, and report to committees, including facility Utilization Review Committees and the Chief Medical Officer.
Conduct monthly quality reviews and present findings to the CDI Manager and Director.
Develop education for physicians and CDI staff as needed.
Participate in interviewing, hiring, and onboarding CDI Specialists.
Communicate program updates, concerns, and out-of-scope client requests to the CDI Manager and Director.
Facilitate clinical documentation that supports appropriate diagnosis and procedure coding.
Collaborate with HIM coding staff to promote complete and accurate documentation and address negative trends.
Communicate with physicians, case managers, coders, and other care team members to support comprehensive medical record documentation.
Assign and update working DRGs using official coding guidelines and facility-specific processes.
Query providers concurrently and, when appropriate, retrospectively, in accordance with facility policy.
Formulate compliant and credible clinical documentation clarifications concerning diagnoses, procedures, comorbidities, POA, quality core measures, and patient safety indicators, following ACDIS, AHIMA, and CMS guidelines.
Use CDI and encoder software to collect, track, and report outcomes, maintaining data integrity.
Support development and implementation of processes and initiatives to improve clinical documentation performance.
Coordinate priorities, track progress, and support execution of CDI initiatives.
Promote effective use of CDI technology, dashboards, and reporting capabilities.
Ensure team accountability for key performance indicators and quality expectations.
Perform other duties as assigned.