RN CDI Manager: Clinical Documentation Leadership

MyMichigan Health

Midland (MI)

On-site

USD 115,000 - 155,000

Full time

2 days ago
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Job summary

MyMichigan Health seeks a Manager of Clinical Documentation Integrity to lead CDI programs across the system, driving accurate MS-DRG/APR-DRG assignment, Severity of Illness, and Risk of Mortality with HCC-based risk adjustment. The role oversees CDI specialists and coders, delivering education and analytics to secure appropriate reimbursement and quality tracking.

The candidate will mentor staff, collaborate with clinical teams, and develop IP/AMB CDI processes; prior leadership and CMS

Qualifications

  • 1-3 years CDI leadership experience
  • Minimum of five years of current hospital CDI program experience
  • Thorough knowledge of CMS regulations including coding guidelines, DRG reimbursement, and Risk adjustment (HCC/RAF)
  • Demonstrated knowledge of Hospital Acquired Conditions and quality indicator codes (e.g., PSI, PPI)
  • Excellent written and verbal communication skills for cross-functional interaction
  • Experience with IP and AMB CDI software applications

Responsibilities

  • Maintains current knowledge of MS-DRG system, CCs/MCCs, impact on quality and CMI; ensures compliant query practices
  • Understands risk-adjusted payment methodologies and collaborates with providers on coding and billing
  • Promotes collaborative, high-functioning teams with clear metrics and mentoring
  • Educates providers and healthcare team on clinical documentation; engages physicians to improve participation
  • Develops IP and AMB CDI programs, processes, policies, and provider education; performs data analysis for improvement
  • Performs CDI reviews during high-volume periods to support program goals

Skills

CDI leadership
MS-DRG/APR-DRG
HCC risk adjustment
CMS regulations
Provider education
Data analytics

Education

Bachelor's degree
Master's degree

Tools

CDI software
IP/AMB CDI tools

Job description

MyMichigan Health seeks a Manager of Clinical Documentation Integrity to lead CDI programs across the system, driving accurate MS-DRG/APR-DRG assignment, Severity of Illness, and Risk of Mortality with HCC-based risk adjustment. The role oversees CDI specialists and coders, delivering education and analytics to secure appropriate reimbursement and quality tracking.

The candidate will mentor staff, collaborate with clinical teams, and develop IP/AMB CDI processes; prior leadership and CMS

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