Director, CDI/ Clinical Validation Services

CorroHealth Infotech Private Limited; Dadri; On-site; INR 2,500,000 - 4,200,000; Full time

Job summary

CorroHealth is seeking a Director, Clinical Auditor / CDI Operations - Offshore (India) to provide strategic and operational leadership for clinical auditing and CDI programs supporting U.S. healthcare clients.

You will oversee offshore delivery teams handling DRG validation, clinical validation, and documentation integrity, ensuring compliant, high-quality delivery aligned with client expectations. The role requires 8+ years in CDI/revenue integrity with a track record in senior leadership, DRG

Qualifications

• 8+ years experience in CDI, clinical auditing, DRG validation, or revenue integrity.
• 3+ years in a senior leadership role (Senior Manager / Associate Director / Director).
• Strong expertise in DRG validation and clinical validation.
• SOI/ROM ICD-10-CM/PCS and Official Coding Guidelines.
• Payer audit and denial trends.

Responsibilities

• Lead offshore Clinical Audit and CDI operations, including DRG validation and clinical validation programs.
• Develop scalable offshore operating models aligned with U.S. regulatory and payer standards.
• Establish governance, policies, and SOPs consistent with coding guidelines and payer guidance.
• Drive continuous improvement in quality, productivity, and audit outcomes.
• Oversee validation of high-risk diagnoses and ensure defensible audit determinations.
• Mentor leadership team to build long-term offshore delivery capability.
• Partner with onshore leaders to align offshore delivery with client workflows.

Skills

CDI experience

DRG validation

Leadership experience

ICD-10-CM/PCS guidelines

Payer audit experience

Job description

About Us: Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.

Essential Functions: Director, Clinical Auditor / CDI Operations - Offshore (India)

Job Summary The Director, Clinical Auditor / CDI Operations (Offshore) provides strategic and operational leadership for clinical auditing and Clinical Documentation Integrity (CDI) programs supporting U.S. healthcare clients. This role oversees offshore delivery teams responsible for DRG validation, clinical validation, and documentation integrity initiatives, ensuring compliance, quality, and consistency while meeting client service-level expectations. The Director partners closely with U.S. onshore leadership to support scalable, high-quality delivery models.

Key Responsibilities

Strategic & Operational Leadership

• Lead offshore Clinical Audit and CDI operations, including DRG validation and clinical validation programs
• Develop and implement scalable offshore operating models aligned with U.S. regulatory and payer standards
• Establish governance, policies, and standard operating procedures consistent with ACDIS, AHIMA, CMS, and payer guidance
• Drive continuous improvement in quality, productivity, and audit consistency

Clinical Audit & CDI Oversight

• Oversee validation of high-risk diagnoses (e.g., sepsis, AKI, acute respiratory failure, encephalopathy, malnutrition)
• Ensure audit determinations are clinically valid, compliant, and defensible
• Monitor and address over-coding and under-coding risks
• Serve as the final escalation point for complex clinical validation issues

Team Leadership & Development

• Lead large offshore teams, including clinical auditors, CDI specialists, managers, and supervisors
• Support hiring, onboarding, training, and ongoing competency development
• Maintain audit calibration, quality assurance, and peer review processes
• Mentor leadership team members to build long-term delivery capability

Client & Onshore Collaboration

• Partner closely with U.S. onshore Directors, VPs, and client leadership
• Support onboarding and expansion of new client programs (e.g., large academic medical centers)
• Participate in executive-level discussions regarding audit outcomes, trends, and performance
• Ensure offshore delivery aligns with client-specific workflows and expectations

Compliance, Reporting & Analytics

• Ensure compliance with ICD-10-CM/PCS guidelines, Coding Clinic, and DRG logic
• Monitor key performance indicators related to: Audit accuracy and quality
• Productivity and turnaround time
• SOI/ROM impact
• Financial and denial-prevention outcomes
• Deliver structured reporting and dashboards to onshore leadership

Required Qualifications

• Clinical or coding credential: RN/MBBS/MD, CCS/CPC/RHIA/RHIT
• 8+ years experience in CDI, clinical auditing, DRG validation, or revenue integrity
• 3+ years in a senior leadership role (Senior Manager / Associate Director / Director)
• Strong expertise in: DRG validation and clinical validation
• SOI/ROM ICD-10-CM/PCS and Official Coding Guidelines
• Payer audit and denial trends
• Demonstrated experience leading off

PHYSICAL DEMANDS

Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described.

• Regular eye-hand coordination and manual dexterity is required to operate office equipment.
• The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required.
• At times, Team Members are subject to sitting for prolonged periods.
• Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs.
• Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

CorroHealth sits at the center of the revenue cycle revolution. Fundamental operations of the revenue cycle are supported through our expert teams while we recast the role of clinicians through automation. This shift to a true clinical revenue cycle helps us achieve our core purpose - exceed client financial health goals. For each patient population, CorroHealth automates key clinical aspects of the cycle. Our platforms focus on capture and application of clinical documentation while easing the burden on physicians. Scalability is prioritized in the support of client program operations. As with most revenue cycle partners, our skilled and enthusiastic team is available to outsource any portion of the cycle. However, we can also complement client programs with additional expert support or upskill existing client teams to meet program demands. Whether our team is deployed directly, or automation is incorporated for a more programmatic solution, CorroHealth delivers.

CorroHealth has acquired Xtend Healthcare! For more information, please visit https://corrohealth.com.

Applicants will only receive job-related emails from the domain @corrohealth.com.

Additionally, it is important to emphasize that CorroHealth will never ask for money in return for a job offer.