Senior Manager, Clinical Documentation Integrity, Clinical Licensure-Risk Adjustment

ACDIS Pediatric Networking Group; United States; Remote; USD 130,000 - 170,000; Full time

Job summary

Kaiser Permanente seeks a senior leader to support Clinical Documentation Integrity (CDI) Risk Adjustment programs, drive alignment with coding, regulatory, and organizational standards, and partner with providers and teams to enhance documentation quality.

You will oversee complex budgeting, lead multidisciplinary teams, and mentor staff, ensuring audit readiness and continuous quality improvement across inpatient settings.

Qualifications

• Minimum six (6) years of experience in an inpatient acute care or clinical setting.
• Minimum one (1) year of experience managing operational or project budgets.
• Minimum five (5) years of experience in a leadership role with or without direct reports.
• Minimum four (4) years of experience in clinical documentation improvement or integrity.
• Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field AND minimum eight (8) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or directly related field OR Minimum eleven (11) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field.
• Nurse Practitioner Certificate (California) required at hire OR Registered Nurse License (California) required at hire OR Physician Assistant License (California) required at hire OR Doctor of Medicine License (California) required at hire

Responsibilities

• Support CDI Risk Adjustment programs through documentation quality and alignment with standards.
• Collaborate with providers, coding, compliance, and operational teams to support audit preparedness.
• Strengthen documentation integrity and improve program effectiveness.
• Drive continuous quality improvement initiatives.

Skills

Budget management

Leadership

Cross-functional collaboration

Audit readiness

CDI leadership

Education

Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field

8+ years in nursing/medicine/CDI or 11+ years in related field

Job description

Support Clinical Documentation Integrity Risk Adjustment programs through documentation quality, identify opportunities for clarification and improvement, and promote alignment with coding, regulatory, and organizational standards. Collaborate with providers, coding, compliance, and operational teams to support audit preparedness, strengthen documentation integrity, improve program effectiveness, and drive continuous quality improvement initiatives.

• Minimum six (6) years of experience in an inpatient acute care or clinical setting.
• Minimum one (1) year of experience managing operational or project budgets.
• Minimum five (5) years of experience in a leadership role with or without direct reports.
• Minimum four (4) years of experience in clinical documentation improvement or integrity.
• Bachelors degree in Nursing, Medicine, Health Administration, Health Information Management, or related field AND minimum eight (8) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or directly related field OR Minimum eleven (11) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field.
• Nurse Practitioner Certificate (California) required at hire OR Registered Nurse License (California) required at hire OR Physician Assistant License (California) required at hire OR Doctor of Medicine License (California) required at hire