Manager, Inpatient CDI

Socket.dev; Gainesville (FL); On-site; USD 120,000 - 150,000; Full time

Job summary

Socket.dev is seeking a Manager of Inpatient Clinical Documentation Integrity (CDI) to lead the inpatient CDI program in Gainesville, FL. You will oversee day-to-day operations, drive documentation quality, and collaborate with physicians, nursing, coding, and quality teams to optimize SOI, ROM, and CMI.

The role requires CDI leadership experience, strong analytical skills, and extensive knowledge of ICD-10-CM/PCS and regulatory requirements.

Qualifications

• Bachelor’s degree in nursing or related healthcare field.
• Minimum five years CDI experience.
• Three years progressive leadership experience in CDI or related healthcare operations.
• Experience in physician engagement initiatives.

Responsibilities

• Provide day-to-day leadership and operational oversight of the inpatient CDI program.
• Supervise CDI professionals and monitor key performance indicators.
• Drive process improvements to optimize documentation, coding, and reimbursement.
• Collaborate with physicians, nursing, coding, and quality teams to engage clinicians.

Skills

Leadership

CDI expertise

Physician engagement

Regulatory knowledge

Analytics

Education

Bachelor’s degree in nursing

Master’s degree preferred

Tools

Epic CDI platforms

Job description

Overview

The Manager of Inpatient Clinical Documentation Integrity (CDI) Inpatient 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 (RIT)
  • Medical Degree (MD/DO)
  • Other clinically licensed healthcare professional
• 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