Clinical Documentation Integrity Quality & Education Manager

The University of Kansas Health System•Lenexa, KS

About The Position

The Clinical Documentation Integrity Quality & Education Manager oversees quality and education activities for The University of Kansas Health System’s CDI program, including inpatient and ambulatory documentation. The manager monitors CDIS quality metrics such as DRG accuracy, risk-adjustment documentation gaps, query content and compliance, and coding collaboration. The role fosters provider engagement and works with CDI leadership and other hospital departments to improve the quality and completeness of clinical documentation. The manager develops and delivers ongoing education for new CDI staff, physicians, residents, nurses, and other allied health professionals. The position manages CDI quality and education processes, onboarding, audits, reporting, and performance feedback; reviews analytics to identify opportunities involving CMI, population health, and other data measures; and participates in steering committees. The role collaborates with internal and external stakeholders, including HIM, Finance, Compliance, Coding, physician advisors, medical directors, clinical quality, analytics, and Care Management, to assess opportunities and implement solutions. The position also manages human resources activities for direct reports and department staff, coordinates CDIS schedules, and formulates and monitors operational budgets. The work is guided by ACDIS and AHIMA ethical standards and official coding and reporting guidelines, and must comply with applicable laws, regulations, and health-system policies and procedures.

Requirements

  • Bachelor’s degree in Health Information Management, Nursing, or a related field from an accredited college or university; alternatively, seven or more years of experience in a Clinical Documentation Integrity program if from a nonclinical field.
  • For candidates from a clinical field, five or more years of acute nursing experience.
  • Two or more years of supervisory or leadership experience in CDI, revenue cycle, or a related field.
  • One of the following licensure or certification pathways: Kansas or Compact-state Registered Nurse license; foreign medical graduate (MD) with CCDS or CDIP certification; RHIT with CCDS or CDIP; RHIA with CCDS or CDIP; or CCS with CCDS or CDIP.

Nice To Haves

  • Master’s degree in Health Information Management, Business Administration, Nursing, or a related field from an accredited college or university.
  • Eight or more years of experience in multispecialty physician coding.
  • Six or more years of experience with Epic EHR, an encoder, and other CDI tools.
  • Two or more years of CDI program leadership experience in quality and education, and/or a quality or education CDI certification.

Responsibilities

  • Ensure CDIS duties are performed accurately and efficiently in accordance with applicable rules and regulations.
  • Audit and evaluate CDI workflows against performance standards, including productivity, query rate, and documentation clarification rate.
  • Develop and maintain reporting tools for quality, education, and outcomes.
  • Oversee and evaluate onboarding functions for new CDI staff, identifying and resolving process issues that affect productivity expectations.
  • Analyze and interpret clinical data to identify documentation gaps, inconsistencies, and opportunities for improvement.
  • Develop a CDIS audit plan and schedule; audit CDIS reviews and provide performance feedback and summaries to staff and leadership.
  • Conduct second-level reviews and identify missed query opportunities, including quality indicators and risk-adjustment conditions in inpatient and ambulatory programs.
  • Identify and facilitate education so documentation accurately reflects severity of illness, risk of mortality, and risk-adjustment factors.
  • Improve the quality, completeness, and accuracy of medical record documentation through audits, data review, education, and clinician interaction.
  • Collaborate with physician advisors and champions, department chairs, CMO/CMIO, coding, clinical quality, analytics, and leadership to assess CDI opportunities and implement solutions.
  • Maintain departmental tracking logs and present quality and education impact metrics to CDI leadership.
  • Apply benchmarks, monitor performance, implement improvements, and track progress.
  • Represent the CDI department at internal and external meetings as required.
  • Manage human resources activities for direct reports and department staff, including recruiting, hiring, training, professional development, mentoring, counseling, performance evaluations, and termination.
  • Coordinate CDIS schedules to ensure appropriate coverage.
  • Develop and deliver ongoing education for new CDI staff, physicians, residents, nurses, and other allied health professionals.
  • Collaborate with internal and external customers, including Coding, Finance, HIM, Compliance, physician liaisons, medical directors, payers, providers, and Care Management.
  • Formulate, recommend, implement, monitor, and control operational budgets within administrative guidelines.
  • Appraise forecasts and determine future conditions and strategies to achieve organizational goals and objectives within the incumbent’s area of expertise.
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