Manager, CDI

Omega Healthcare Management Services•Boca Raton, FL

7d•Remote

About The Position

Under general direction, this role is responsible for the service delivery of inpatient CDI offerings. It requires a deep understanding of acute care clinical documentation, DRG methodologies, coding guidelines, and regulatory requirements. The position involves leading a global team, ensuring quality service delivery, managing client relationships, and overseeing financial performance.

Requirements

Bachelor’s Degree in Nursing
A minimum of 5 years’ experience in leading and managing remote and international/global CDI teams.
AHIMA Certification (RHIA, RHIT or CCS)
Professional certification in CDI (e.g. CCDS or CDIP)
A minimum of 8 years’ of progressive experience in Clinical Document Improvement within the inpatient/acute care setting.
Extensive knowledge of DRG methodologies (MS & APR), ICD-10 coding guidelines, and payer regulations.
Proven ability to develop and implement successful CDI strategies and initiatives that result in measurable improvements in documentation accuracy and reimbursement.
Strong understanding of clinical workflows, medical terminology, and healthcare documentation requirements.
Proficiency in using CDI software and technology solutions.
Registered Nurse licensure
Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
Five (5) years clinical experience in acute care, intermediate care or home care required.
Four (4) years of successful Clinical Documentation Integrity experience in the CDS role
Five (5) years leadership experience
Two (2) Years Epic Preferred Experience
Ability to prioritize and multi-task in a fast paced, changing environment.
Demonstrate strong organizational skills and be detail oriented.
Ability to self-motivate and self-direct.
Ability to achieve set goals and deadlines.
Demonstrate strong time management skills.
Demonstrate excellent leadership, mentoring, and interpersonal skills.
Demonstrate the ability to analyze and problem solve.
Demonstrate strong commitment to team environment.
Proficient handling difficult situations and human relations issues with professionalism and respect.
Ability to maintain professionalism when interacting with internal and external customers.
Proficient personal computer skills with MS Office (Word, Excel, Power Point, Outlook).
Excellent communication, interpersonal, and presentation skills, with the ability to effectively interact with physicians, hospital staff, and clients.

Nice To Haves

Master’s degree in a relevant field.
Experience in a revenue cycle management company or consulting environment.
Experience with performance improvement methodologies (e.g. Lean, Six Sigma).
Utilization review, case management, and/or coding knowledge or experience preferred.
Experience as a clinical educator preferred.
Management experience a plus.

Responsibilities

Define the scope of services, target market, and competitive differentiation for our global IP CDI offerings.
Establish key performance indicators (KPIs) and metrics to measure the success and impact of the global CDI division.
Lead the recruitment, onboarding, training, and development of a high-performing CDI team across the US, India, and the Philippines.
Establish clear roles, responsibilities, and performance expectations for team members in different locations.
Implement effective communication strategies and collaboration tools to foster a cohesive and productive global team environment.
Provide ongoing coaching, mentorship, and performance management to team members.
Define and implement best-practice CDI workflows and processes for inpatient/acute care settings, focusing on DRG reviews and accurate reimbursement.
Ensure compliance with all relevant coding guidelines, regulatory requirements, and client-specific protocols.
Develop and implement robust quality assurance programs to monitor the accuracy and effectiveness of CDI reviews.
Collaborate with technology teams to identify and implement CDI software and tools to enhance efficiency and effectiveness.
Serve as a subject matter expert and point of escalation for client-related CDI inquiries and concerns.
Build and maintain strong relationships with key client stakeholders, understanding their specific needs and challenges.
Establish and customize key performance indicators (KPIs) and metrics to measure the success and impact of the CDI solution for each client.
Participate in client presentations and business development activities as needed.
Work closely with the sales and account management teams to support the growth of the CDI division.
Manage the budget and financial performance of assigned CDI clients, ensuring profitability and cost-effectiveness.
Develop and analyze reports on key performance indicators, providing insights and recommendations for improvement.
Monitor industry trends and changes in reimbursement methodologies to proactively adapt CDI strategies.
Provide day-to-day work assignments and support to the Clinical Documentation Integrity staff.
Mentor and support current and new staff on policies and processes.
Serve as a subject matter expert on Clinical Documentation Improvement software.
Utilize resources to assist in staff development, audits, and competencies to ascertain educational needs and promote competent practice.
Provide daily work assignments, direction, and workload balancing for CDS staff.
Evaluate case reconciliation data in Clinical Documentation Improvement software and perform data collection and reporting.
Perform initial and concurrent reviews in Clinical Documentation Integrity software and enter necessary documentation.
Serve as subject matter expert for CDI practice, coding, and software use.
Provide daily support to CDS employees for resolution of questions and/or complex issues.
Identify issues and escalate appropriately to leadership.
Serve as primary resource for training of new and existing CDS employees.
Participate in vendor-provided and other educational programs and in-services to ensure current knowledge and skills.