Clinical Documentation Integrity Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Support the CDI Director in implementing and engaging with new clients.

• Work together with facility CDI teams to fulfill contractual requirements and achieve optimal CDI metrics.

• Create or revise CDI policies, procedures, processes, and initiatives.

• Ensure effective use of CDI technology, including data entry, reporting, tracking, and implementation.

• Assist with month-end reporting, analyses, KPI monitoring, and trend analysis for clients.

• Develop educational materials for CDI and aid in training staff and physicians.

• Oversee the daily activities of the CDI program, focusing on productivity, quality, auditing, report management, performance improvement, and standardized practices.

• Support concurrent record reviews, initiate queries, follow up on queries, and conduct query compliance reviews.

• Monitor the performance of the CDI program, coding and query compliance, and ensure alignment with regulatory standards.

• Approve CDI timesheets, conduct performance evaluations, create performance improvement plans, and track compliance with learning modules.

• Communicate updates, risks, and requirements of the program to the VP of Operations, CDI Director, and department Directors; escalate issues as needed.

• Cultivate relationships with facility leadership, client personnel, physicians, and Guidehouse staff.

• Lead meetings and coordinate deliverables for both client and internal senior-level audiences.

• Assist in proposal development and engage in recruiting efforts.

⛳️ Requirements

• Bachelor's Degree.

• At least one of the following: RN, MD, or MD equivalent.

• Must maintain the credential while employed.

• 7+ years of acute care hospital CDI experience.

• 3+ years of prior management experience.

• Familiarity with encoder and DRG assignment (MS and APR).

• Strong clinical knowledge of disease processes.

• Current understanding of Coding Clinic Guidelines and federal updates to DRG systems (MS, APR, AP, etc.).

• Knowledge of medical terminology, anatomy, physiology, microbiology, and disease processes.

• Excellent communication skills, demonstrating tact and effectiveness.

• Ability to engage with physicians in challenging scenarios.

• Capability to deliver presentations to facility physicians and leadership.

• CCDS or CDIP credential is preferred.

• RHIA, RHIT, or CCS Certification is considered a plus.

🏝️ Benefits

• Competitive compensation.

• Flexible benefits package.

• Medical, Rx, Dental & Vision Insurance.

• Personal and Family Sick Time.

• Company Paid Holidays.

• Discretionary variable incentive bonus may be available.

• Parental Leave.

• 401(k) Retirement Plan.

• Basic Life & Supplemental Life Insurance.

• Health Savings Account.

• Dental/Vision & Dependent Care Flexible Spending Accounts.

• Short-Term & Long-Term Disability.

• Tuition Reimbursement.

• Opportunities for Personal Development & Learning.

• Skills Development & Certifications.

• Employee Referral Program.

• Corporate Sponsored Events & Community Outreach.

• Emergency Back-Up Childcare Program.