Manager of Clinical Documentation Integrity (CDI)

Altru Health System • Grand Forks, ND

9h • Hybrid

About The Position

Altru Health System is seeking a Manager of Clinical Documentation Integrity (CDI) to provide strategic leadership, oversight, and evaluation of its Inpatient and Professional Fee/Ambulatory CDI programs. The role leads the CDI team and supports the development, implementation, and continuous improvement of CDI workflows, education, quality initiatives, and performance-management processes. The Manager collaborates with physicians, physician champions, coding, case management, revenue cycle, compliance, finance, and other organizational leaders to promote accurate, complete, and compliant clinical documentation in support of quality patient care and organizational objectives.

The Manager oversees inpatient outcomes including case mix index, length of stay, observed-to-expected mortality, query activity, and principal diagnosis accuracy. Professional Fee CDI outcomes include evaluation and management accuracy, HCC capture and recapture, beneficiary risk adjustment factor scores, and provider documentation improvement. The role also oversees staffing, recruitment, onboarding, productivity, quality, and performance expectations; provides staff coaching and development; and serves as a subject matter expert on CDI, coding, reimbursement, risk adjustment, documentation requirements, and regulatory compliance.

This is a hybrid position with a standard Monday through Friday schedule from 8:00 a.m. to 5:00 p.m. The position requires proficiency in reading, writing, and speaking English and has an infrequent driving requirement.

Requirements

• Associate degree in Nursing, Healthcare Administration, Health Information Management, or a related healthcare field.
• Minimum of five years of relevant healthcare experience.
• Demonstrated leadership experience with a track record of driving performance improvement and achieving organizational goals.
• Current clinical license or recognized CDI/coding credential.
• Proficiency in reading, writing, and speaking English.

Nice To Haves

• Bachelor's degree in Healthcare Administration, Nursing, Health Information Management, or a related field.
• Experience leading Clinical Documentation Integrity (CDI), Health Information Management (HIM), coding, revenue cycle, or related healthcare operations teams.

Responsibilities

• Lead, develop, coach, and evaluate the CDI team while fostering a collaborative, high-performing environment.
• Provide strategic oversight of Inpatient and Professional Fee CDI operations, including staffing, recruitment, onboarding, productivity, quality, and performance expectations.
• Establish and monitor program goals, metrics, and action plans related to query performance, CMI, LOS, mortality, principal diagnosis accuracy, E/M accuracy, HCC capture, RAF performance, and education outcomes.
• Communicate program performance, successes, risks, and improvement opportunities to CDI leadership, administration, physicians, and other stakeholders.
• Oversee quality assurance and second-level review activities, including retrospective review of CDS work and provider documentation opportunities.
• Coordinate with coding, compliance, case management, revenue cycle, finance, physician leadership, and physician champions to align CDI activities with organizational and regulatory requirements.
• Develop and deliver education for physicians, CDSs, coders, and clinical departments on clinical documentation, compliant queries, DRGs, E/M guidelines, HCCs, risk adjustment, and related CDI concepts.
• Serve as a subject matter expert and resource for CDI, coding, reimbursement, risk adjustment, documentation requirements, and regulatory compliance.
• Provide performance feedback, conflict resolution, mentoring, and professional development for staff while maintaining current knowledge through continuing education.
• Use critical thinking and sound judgment to identify clinically supported documentation opportunities while ensuring compliance with applicable laws, regulations, coding guidelines, and organizational policies.
• Perform other duties as assigned or needed to meet the needs of the department or organization.

Benefits

• Health plan
• 401(k) retirement plan
• Dental plan
• Vision plan
• Life and disability insurance
• Education assistance
• Paid time off (PTO)

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: Associate degree