Clinical Documentation Improvement Manager

Access Healthcare Staffing & Recruitment; Las Vegas (NV); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Competitive compensation

Job summary

Access Healthcare Staffing & Recruitment seeks an experienced Clinical Documentation Improvement Manager to lead documentation integrity initiatives in a busy acute care setting. You will partner with physicians, nursing, coding, quality, and revenue cycle teams to ensure documentation reflects patient acuity, severity, and quality outcomes.

The role supports physician query processes, analyzes trends, and drives compliance and reimbursement accuracy.

Qualifications

• CDI leadership or supervisory experience required.
• Active Nevada RN license or physician/IMG eligibility preferred.
• One of CCDS, CCDS-O, or CDIP certification required.

Responsibilities

• Lead hospital-wide CDI initiatives.
• Oversee and guide the concurrent physician query process.
• Identify documentation opportunities via chart review and data analysis.
• Ensure documentation supports accurate ICD-10 coding and DRG assignment.
• Collaborate with physicians, HIM, coding, quality, and revenue cycle teams.
• Monitor documentation related to SOI, ROM, and medical necessity.
• Analyze CDI metrics and drive process improvements.
• Educate providers and staff on CDI standards and regulations.
• Maintain CMS, UHDDS, and payer compliance.

Skills

CDI leadership

Cross-functional collaboration

Education

Nursing degree

MD/IMG

HIM/HIIM degree

Tools

CCS

RHIT

RHIA

CPC

CPC-P

Job description

Clinical Documentation Improvement Manager (CDI)

Position Summary

We are seeking an experienced Clinical Documentation Improvement (CDI) Manager to lead documentation integrity initiatives in a collaborative acute care environment.

This role partners closely with physicians, nursing, coding, quality, and revenue cycle teams to ensure clinical documentation accurately reflects patient acuity, severity of illness, and quality outcomes. The CDI Manager will oversee documentation improvement strategies, support the physician query process, and analyze documentation trends to improve compliance, quality metrics, and reimbursement accuracy.

This position is open to Registered Nurses, Physicians / International Medical Graduates, and Health Information Management professionals with CDI leadership experience.

Key Responsibilities

• Lead and support hospital-wide clinical documentation improvement initiatives
• Oversee and guide the concurrent physician query process
• Identify documentation opportunities through chart review and data analysis
• Ensure documentation supports accurate ICD-10 coding and MS-DRG / APR-DRG assignment
• Collaborate with physicians, advanced practice providers, HIM, coding, quality, and revenue cycle teams
• Monitor documentation related to Severity of Illness (SOI), Risk of Mortality (ROM), and medical necessity
• Analyze CDI metrics and implement process improvements and best practices
• Educate providers and staff on documentation standards and regulatory guidelines
• Maintain compliance with CMS, UHDDS, and payer requirements

Minimum Qualifications

• Minimum 2 years of CDI leadership or supervisory experience

Candidates MUST hold one of the following CDI certifications:

• Certified Clinical Documentation Specialist (CCDS)
• Certified Clinical Documentation Specialist - Outpatient (CCDS-O)
• Certified Documentation Improvement Practitioner (CDIP)

Registered Nurse Pathway

Education & Experience

• Graduate of an accredited school of nursing
• 5+ years clinical nursing experience
• 3+ years CDI experience

Licensure

• Active Nevada Registered Nurse license

Physician / International Medical Graduate Pathway

Education & Experience

• Medical Degree (MD) - International Medical Graduates encouraged to apply
• 5+ years acute care clinical experience
• 1+ year CDI experience

HIM / Coding Pathway

Education & Experience

• Bachelor's degree in Health Information Management, Health Information Technology, or related field
• 4+ years coding and medical record abstraction experience in an acute care hospital

Required Coding Certification (one of the following)

• CCS
• RHIT
• RHIA
• CPC
• CPC-P

Why Join Our Team?

• Opportunity to lead and influence clinical documentation strategy
• Work collaboratively with physician leadership and interdisciplinary teams
• Direct impact on quality metrics, patient outcomes, and hospital performance
• Supportive environment focused on professional growth and CDI best practices
• Competitive compensation based on experience and credentials