Clinical Documentation Integrity Specialist – Lead

This is a fully remote position, open to applicants in California, +9 more states.

📋 Description

• The Clinical Documentation Integrity Specialist (CDIS) Lead is a senior-level role for experienced and skilled CDI Specialists who consistently meet or surpass all standards for advanced CDIS performance.

• The CDIS Lead offers support to CDI leadership across a specified range of facilities and the CDI team.

• This position acts as a liaison among senior leadership, medical personnel, nursing staff, coding experts, case management, and quality departments.

• Key Responsibilities: May involve special projects related to CDI processes, quality, data analysis, or HIM/CDI performance.

• Takes charge of daily workflow processes and adjustments for the CDI team.

• May present CDI performance metrics during facility meetings.

• May provide CDI education as necessary.

• Will take on operational oversight in the absence of the CDI Director.

• Supports the CDI team through a multidisciplinary approach aimed at achieving program goals.

• Facilitates collaborative initiatives between CDI, HIM, and Medical Staff providers.

• Promotes cooperation between CDI and clinical teams such as Quality and Case Management.

• Effectively applies leadership skills and critical thinking to identify opportunities for optimizing team processes and engagement.

• Keeps professional competency in documentation and coding practices by staying current with new coding guidelines, policies/procedures, and federal and state reimbursement.

⛳️ Requirements

• Must have strong organizational, communication, time management, and clinical foundation skills.

• Must demonstrate proficiency in EMR software, CDI applications (following education and orientation), and Microsoft applications.

• Demonstrates the ability to manage multiple tasks and work efficiently and effectively across various software platforms.

• Exhibits effective communication skills in a fast-paced environment with multidisciplinary teams that include physicians, nurses, coders, administration, and other healthcare professionals.

• Ability to work independently, prioritize tasks, and exhibit self-awareness regarding when to seek assistance.

• Proven ability to consistently maintain confidentiality and adhere to HIPAA compliance.

• Possesses the knowledge and capability to drive operational metrics.

• Engages in the education and onboarding of all new hires.

• Contributes to the daily operations of the CDI team.

• Collaborates with HIMD’s/Coding managers to enhance processes and performance.

🏝️ Benefits

• Health insurance

• Professional development opportunities