CDI Lead: Clinical Documentation Integrity Specialist

Kaiser Permanente; Oakland (CA); On-site; USD 140,000 - 190,000; Full time

Job summary

Kaiser Permanente in Oakland, CA is seeking a Clinical Documentation Improvement (CDI) leader to manage reviews of medical records, assign DRGs, and guide codes to ensure accurate diagnoses. You will oversee CDI program integrity, compliance with federal regulations, and staff education to support quality documentation.

The role requires experience in acute care or clinical settings, leadership responsibilities, and expertise in CDI and coding guidelines.

Qualifications

• Knowledge of clinical documentation improvement (CDI) processes and terminology.
• Experience leading trainings and cross-functional collaboration.
• Understanding of regulatory auditing and documentation standards.

Responsibilities

• Promotes learning and builds cross-functional relationships to drive projects.
• Leads or oversees business-specific CDI projects and assigns resources.
• Performs clinical documentation reviews and guides providers to address omissions.
• Implements improvements to CDI programs and processes.
• Leads staff trainings on CDI and coordinates with leadership on education initiatives.
• Ensures compliance with regulatory requirements and supports audits.

Skills

Information Gathering

Written Communication

Compliance Management

Confidentiality

Health Care Compliance

Record Keeping

Relationship Building

Coordination

Service Focus

Autonomy

Disease Classification

Medical Terminology

Quality Assurance

Quality Improvement

Education

Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field

Ten years of nursing/medicine/CDI/inpatient coding/quality review/case management, or related field

Tools

Epic Systems

Job description

Kaiser Permanente in Oakland, CA is seeking a Clinical Documentation Improvement (CDI) leader to manage reviews of medical records, assign DRGs, and guide codes to ensure accurate diagnoses. You will oversee CDI program integrity, compliance with federal regulations, and staff education to support quality documentation.

The role requires experience in acute care or clinical settings, leadership responsibilities, and expertise in CDI and coding guidelines.