Clinical Documentation Integrity (CDI) Team Lead/Manager

This is a fully remote position, open to applicants in Florida, +2 more states.

📋 Description

• Act as a subject matter expert in clinical documentation integrity and a resource for the CDI team.

• Provide daily guidance, coaching, and mentorship to members of the CDI staff.

• Assist in onboarding, training, and professional development initiatives.

• Support efforts aimed at performance improvement and operational excellence.

• Collaborate with leadership to foster a culture of teamwork and engagement within the team.

• Aid in the implementation of CDI policies, procedures, workflows, communication strategies, and educational plans.

• Assist in resolving CDI and coding-related inquiries as well as documentation opportunities.

• Work together with CDI leadership on departmental initiatives and engagements with contracted clients.

• Participate in audits, quality assessments, and compliance monitoring activities.

• Conduct concurrent and follow-up reviews to ensure documentation accurately represents patient severity, quality of care, and reimbursement factors.

• Collaborate with physicians, nursing teams, coding professionals, and compliance partners to enhance documentation practices.

• Maintain productivity standards while managing leadership responsibilities.

• Stay informed on ICD-10-CM guidelines, Coding Clinic updates, CMS regulations, and industry best practices.

• Partner with CDI leadership to create and evaluate operational metrics.

• Monitor team performance indicators, quality outcomes, and financial implications.

• Use data to identify trends and suggest process enhancements.

⛳️ Requirements

• An Associate Degree in Nursing is required.

• A Bachelor's Degree in Nursing is preferred.

• 3-5 years of recent clinical experience in an inpatient acute care setting such as Medical-Surgical Intensive Care Unit (ICU), Telemetry, or Emergency Department.

• 2-3 years of recent experience in frontline inpatient CDI.

• An active and unrestricted U.S. Registered Nurse (RN) license is required.

• Prior experience in a CDI Team Lead, Supervisor, Educator, or Management role is preferred.

• CCDS and/or CDIP certification is preferred.

• Strong experience in provider education and physician engagement is preferred.

• Experience leading quality improvement initiatives is preferred.

• Experience in developing CDI metrics and reporting is preferred.

• Multi-facility or consulting CDI experience is preferred.

• Familiarity with ICD-10-CM guidelines, Coding Clinic updates, CMS regulations, and industry best practices is essential.

🏝️ Benefits

• Annual bonus plan targeting 10.00%.

• Competitive benefits package.

• Opportunities for learning, cross-group collaboration, and exploring new career paths.

• Meaningful work that positively impacts communities.

• Support for reasonable accommodations for applicants with disabilities.