Manager Ambulatory CDI

Socket.dev; Gainesville (FL); On-site; USD 120,000 - 165,000; Full time

Job summary

Socket.dev seeks a Manager of Inpatient CDI Ambulatory to lead the day-to-day operations of the inpatient CDI program, ensuring accurate documentation, SOI/ROM optimization, and compliant reimbursement. You will collaborate with physicians and multi-disciplinary teams to advance CDI practices and drive performance metrics.

The role requires a strong CDI leadership background, proficiency with Epic CDI platforms, and a track record of engaging physicians to foster documentation improvements in a

Qualifications

• Minimum five (5) years of Clinical Documentation Integrity experience.
• Minimum three (3) years of progressive leadership experience in CDI, coding, case management, or related healthcare operations.
• Experience with physician engagement and clinical documentation improvement initiatives.
• Comprehensive knowledge of inpatient CDI practices and ICD-10-CM/PCS coding principles.
• Experience utilizing Epic and CDI technology platforms.

Responsibilities

• Provide day-to-day leadership and operational oversight of the inpatient CDI program.
• Monitor KPIs, drive process improvements, and promote physician engagement to enhance documentation quality.
• Collaborate with physicians, nursing, coding, quality, utilization management, and HIM teams to optimize documentation and coding practices.
• Supervise CDI professionals and develop team capabilities.

Skills

CDI leadership

Physician engagement

Epic CDI

Analytical skills

Regulatory compliance

Education

Bachelor’s degree in nursing, HIM, healthcare admin

Master’s degree preferred

Tools

Epic

CDI platforms

Job description

Overview

The Manager of Inpatient Clinical Documentation Integrity (CDI) Ambulatory is responsible for the day-to-day leadership, operational oversight, and strategic execution of the inpatient CDI program. This role ensures the integrity, accuracy, completeness, and consistency of clinical documentation to support quality outcomes, severity of illness (SOI), risk of mortality (ROM), case mix index (CMI), compliant reimbursement, and regulatory compliance. The Manager collaborates closely with physicians, nursing leadership, coding, case management, quality, utilization management, finance, compliance, and health information management teams to optimize documentation and coding practices. The position supervises CDI professionals, monitors key performance indicators, drives process improvement initiatives, and promotes physician engagement to enhance documentation quality across the enterprise.

Qualifications

Education

• Bachelor’s degree in nursing, Health Information Management, Healthcare Administration, or related healthcare field.
• Master’s degree in nursing, Healthcare Administration, Business Administration, or related field preferred.

Experience

• Minimum five (5) years of Clinical Documentation Integrity experience.
• Minimum three (3) years of progressive leadership experience in CDI, coding, case management, utilization management, health information management, or related healthcare operations.
• Experience in an integrated delivery system, academic medical center, or large mult-hospital health system preferred.
• Experience working with physician engagement and clinical documentation improvement initiatives required.
• Comprehensive knowledge of inpatient CDI practices and methodologies.
• Knowledge of ICD-10-CM/PCS coding principles.
• Excellent analytical and problem-solving skills.
• Strong leadership and team development skills.
• Ability to influence physician practice through education and collaboration.
• Experience utilizing Epic and CDI technology platforms required.

License/Certification/Registration

• One of the following required:
• Registered Nurse (RN)
• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Medical Degree (MD/DO)
• Other clinically licensed healthcare professionals
• Certified Clinical Documentation Specialist (CCDS) preferred.
• Certified Documentation Expert Outpatient (CDEO) preferred.
• Clinical Documentation Integrity Practitioner (CDIP) preferred.
• Lean/Six Sigma preferred.
• Certified Revenue Cycle Representative (CRCR) preferred.

Other Qualifications

• Ability to interpret regulatory requirements and translate them into operational processes.
• Ability to manage multiple priorities and lead through organizational change.
• Strong understanding of:
• MS-DRG assignment
• APR-DRG methodologies
• SOI/ROM
• Quality reporting programs
• Clinical validation concepts
• CMS reimbursement methodologies
• Regulatory compliance requirements