Manager, Inpatient CDI
About The Position
The Manager of Inpatient Clinical Documentation Integrity (CDI) Inpatient is responsible for the day-to-day leadership, operational oversight, and strategic execution of the inpatient CDI program. This role ensures the integrity, accuracy, completeness, and consistency of clinical documentation to support quality outcomes, severity of illness (SOI), risk of mortality (ROM), case mix index (CMI), compliant reimbursement, and regulatory compliance. The Manager collaborates closely with physicians, nursing leadership, coding, case management, quality, utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key performance indicators, drives process improvement initiatives, and promotes physician engagement to enhance documentation quality across the enterprise.
Requirements
- Bachelor’s degree in nursing, Health Information Management, Healthcare Administration, or related healthcare field.
- Minimum five (5) years of Clinical Documentation Integrity experience.
- Minimum three (3) years of progressive leadership experience in CDI, coding, case management, utilization management, health information management, or related healthcare operations.
- Experience working with physician engagement and clinical documentation improvement initiatives required.
- Comprehensive knowledge of inpatient CDI practices and methodologies.
- Knowledge of ICD-10-CM/PCS coding principles.
- Excellent analytical and problem-solving skills.
- Strong leadership and team development skills.
- Ability to influence physician practice through education and collaboration.
- Experience utilizing Epic and CDI technology platforms required.
- One of the following required: Registered Nurse (RN), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RIT), Medical Degree (MD/DO), Other clinically licensed healthcare professional.
- Ability to interpret regulatory requirements and translate them into operational processes.
- Ability to manage multiple priorities and lead through organizational change.
- Strong understanding of MS-DRG assignment, APR-DRG methodologies, SOI/ROM, Quality reporting programs, Clinical validation concepts, CMS reimbursement methodologies, and Regulatory compliance requirements.
Nice To Haves
- Master’s degree in nursing, Healthcare Administration, Business Administration, or related field preferred.
- Experience in an integrated delivery system, academic medical center, or large mult-hospital health system preferred.
- Certified Clinical Documentation Specialist (CCDS) preferred.
- Certified Documentation Expert Outpatient (CDEO) preferred.
- Clinical Documentation Integrity Practitioner (CDIP) preferred.
- Lean/Six Sigma preferred.
- Certified Revenue Cycle Representative (CRCR) preferred.
Responsibilities
- Day-to-day leadership, operational oversight, and strategic execution of the inpatient CDI program.
- Ensuring the integrity, accuracy, completeness, and consistency of clinical documentation.
- Supporting quality outcomes, severity of illness (SOI), risk of mortality (ROM), case mix index (CMI), compliant reimbursement, and regulatory compliance.
- Collaborating with physicians, nursing leadership, coding, case management, quality, utilization management, finance, compliance, and health information management teams.
- Optimizing documentation and coding practices.
- Supervising CDI professionals.
- Monitoring key performance indicators.
- Driving process improvement initiatives.
- Promoting physician engagement to enhance documentation quality across the enterprise.
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What This Job Offers
Job Type
Full-time
Career Level
Manager
