Clinical Documentation Integrity Quality & Education Manager

The University of Kansas Health System • Southlake, TX

6d

About The Position

Oversees the quality and education activities of The University of Kansas Health System’s Clinical Documentation Integrity (CDI) program, covering inpatient and ambulatory documentation. The manager monitors CDIS quality metrics, including DRG accuracy, risk adjustment documentation gaps, query content and compliance, and coding collaboration. The role develops and conducts ongoing education for CDI staff and clinicians, supports provider engagement, and works with CDI leadership and departments across the health system to improve the quality, completeness, and accuracy of clinical documentation.

The position manages CDI quality and education processes, staff onboarding, auditing, reporting, and performance improvement. It analyzes clinical data and program analytics to identify documentation opportunities and challenges related to CMI, population health, and other measures; collaborates on reconciliation and query processes; and participates in steering committees. The work follows ACDIS and AHIMA ethical standards, official coding guidelines, applicable laws and 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, 7 or more years of experience in a Clinical Documentation Integrity program if from a nonclinical field.
• If from a clinical field, 5 or more years of acute nursing experience.
• 2 or more years of supervisory or leadership experience in CDI, revenue cycle, or a related field.
• Meet one of the listed licensure or certification pathways: Kansas or compact-state RN license; foreign medical graduate (MD) with CCDS or CDIP certification; RHIT and CCDS or CDIP; RHIA and CCDS or CDIP; or CCS and 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.
• 8 or more years of experience in multispecialty physician coding.
• 6 or more years of experience with Epic EHR, an encoder, and other CDI tools.
• 2 or more years of CDI program quality and education leadership experience 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 and performance against standards, including productivity, query rates, and documentation clarification rates.
• Develop and maintain reporting tools for quality, education, and outcomes.
• Oversee and evaluate onboarding for new CDI staff, identifying and resolving process issues that affect productivity expectations.
• Analyze and interpret clinical data to identify documentation gaps, inconsistencies, and improvement opportunities.
• Develop the CDIS audit plan and schedule; audit reviews and provide performance feedback and summaries to staff and leadership.
• Conduct second-level reviews and identify missed query opportunities for conditions requiring clarification, 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 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, selection, hiring, termination, training, professional development, mentoring, counseling, and performance evaluations.
• Coordinate CDIS schedules to ensure appropriate coverage.
• Develop and deliver ongoing education for new 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 staff.
• Formulate, recommend, implement, monitor, and control operational budgets within administrative guidelines.
• Assess forecasts and determine strategies and future conditions needed to achieve organizational goals within the area of expertise.
• Perform the professional, clinical, and technical competencies of the assigned unit or department.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager