Remote Lead CDI & Documentation Quality Leader

Health Choice Network, Inc.; United States; Remote; USD 80,000 - 95,000; Full time

Benefits offered by this job

100% Remote Work

Employer-Paid Medical Insurance

Annual $1,500 HSA Contribution

Generous PTO

403(b) Employer Contribution

Professional Development & Education

Job summary

Health Choice Network, Inc. is seeking a Lead CDI Specialist to provide clinical and operational leadership for our CDI program. This role oversees QA, education, compliance, and continuous optimization while expanding the program.

The Lead CDI will partner with providers and centers to enhance documentation accuracy, risk adjustment capture, and overall performance, driving strategic growth and cross-functional collaboration.

Qualifications

• Current professional certification required (CCS, CPC, CRC, RHIT, RHIA, or equivalent).
• Minimum of five (5) years in CDI, coding audits or related healthcare ops.
• Advanced ICD-10-CM, risk adjustment, HCC model knowledge.
• Experience conducting documentation reviews and QA activities.
• Strong analytical, communication and process-improvement skills.
• Ability to collaborate across cross-functional teams.

Responsibilities

• Lead and maintain the CDI QA program including audits and trend analysis.
• Monitor CMS guidance, coding standards, risk adjustments and payer rules.
• Develop and deliver CDI education and training on regulatory changes.
• Lead provider/health center education with materials and resources.
• Conduct prospective medical record audits to improve documentation.
• Analyze audit findings to drive actionable improvements.
• Drive CDI program optimization across workflows and tools.
• Serve as SME supporting staff, providers, and stakeholders.
• Assist CDI expansion across new centers and contracts.
• Collaborate with clinical, operational, and technical teams.

Skills

CDI experience

QA leadership

Regulatory knowledge

Stakeholder engagement

Education

HIM degree

Job description

Health Choice Network, Inc. is seeking a Lead CDI Specialist to provide clinical and operational leadership for our CDI program. This role oversees QA, education, compliance, and continuous optimization while expanding the program.

The Lead CDI will partner with providers and centers to enhance documentation accuracy, risk adjustment capture, and overall performance, driving strategic growth and cross-functional collaboration.