CDI Supervisor

Guidehouse•Dallas, TX

4d•$89,000 - $148,000

About The Position

The Clinical Documentation Integrity (CDI) Supervisor supports the CDI Manager in overseeing day-to-day operations for CDI Specialists and a CDI team lead 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 coverage, monitors productivity, utilization, compliance, key performance indicators, and monthly quality audits, and ensures the team has the tools and guidance needed for concurrent record reviews and provider queries. The role collaborates with facility CDI teams, client stakeholders, medical staff, clinical departments, and internal leadership to support effective operations and technology use, update policies and procedures, and escalate program needs or risks. Approximately 60% of the role is devoted to leadership duties and 40% to CDI duties. CDI work includes facilitating accurate documentation for diagnosis and procedure coding, collaborating with HIM coding staff and care teams, assigning and updating working DRGs, and issuing compliant provider queries.

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.
Ability to communicate and collaborate with medical staff, clinical departments, facility leadership, client stakeholders, and internal leadership.

Nice To Haves

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

Responsibilities

Oversee daily CDI team operations and review assignments, balancing workloads and covering out-of-office staff assignments as needed.
Monitor CDI productivity, project utilization, internal key indicator metrics, compliance, and quality expectations; develop corrective action plans when metrics are not achieved.
Assess health system opportunities related to contractual requirements, CDI best-practice metrics, and program performance.
Support the development and implementation of processes and initiatives to improve clinical documentation performance.
Coordinate priorities, track progress, and support the execution of CDI initiatives using project management skills.
Serve as a subject matter expert in clinical data reporting and lead improvements in the quality and completeness of clinical documentation through review, analysis, communication, follow-up, and evaluation.
Analyze and manipulate data, communicate findings, and report outcomes to committees, facility leadership, the Chief Medical Officer, the CDI Manager, and the Director as appropriate.
Perform 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 of CDI.
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 documentation of treatment, decision-making, and severity of illness.
Assign a working DRG using official coding guidelines during initial and follow-up reviews, and update the working DRG for the Case Management team according to facility-specific processes.
Query providers concurrently and, when appropriate, retrospectively, following facility policies and applicable guidelines.
Formulate compliant and credible documentation clarifications addressing principal diagnosis, procedures, comorbidities, POA, quality core measures, and patient safety indicators.
Use CDI and encoder technology to collect, track, and report outcomes while maintaining data integrity.
Perform other duties as assigned.