Supervisor, Clinical Documentation Integrity

Jobtailor; Livonia (MO); Hybrid; USD 120,000 - 150,000; Full time

Job summary

Jobtailor is seeking a senior leader to supervise the regional Clinical Documentation Integrity program. The role directs CDI Specialists and Coordinators, monitors staffing and workflows, and drives quality and compliance with CMS guidelines.

You will mentor physicians, collaborate with coding teams, and lead performance improvement initiatives. Requirements include a health information management degree, CDI certification preferred, and at least five years in hospital CDI with two+ years of

Qualifications

• Bachelor's degree or higher in health information management, nursing, or related field.
• Certified CDI or CCDS is preferred.
• Minimum five years in hospital CDI programs.
• Two+ years supervising CDI staff in a hospital setting.
• Thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement.

Responsibilities

• Oversee daily operations of the regional CDI program and supervise CDI staff.
• Assess staffing levels and ensure regional goals are met with compliant workflows.
• Develop policies and education on documentation requirements, reimbursement, and data quality.
• Monitor quality, productivity and participate in performance improvement initiatives.
• Educate physicians and staff on CDI and monitor provider participation.
• Collaborate with coding staff to ensure accurate DRG assignments and CODING accuracy.

Skills

Team Leadership

Clinical Documentation Integrity

3M CDI Software

CMS Regulations

Data Analysis

Education

Bachelor's Degree in Health Information Management or related field

Tools

Epic EMR

MS Excel

MS Word

MS PowerPoint

Job description

• Supervise daily operations of the regional Clinical Documentation Integrity program


• Provide direct oversight of Clinical Documentation Specialists and Clinical Documentation Integrity Coordinators


• Assess CDI staffing levels and processes and ensure regional goals are achieved using compliant workflows


• Assist with policy and education development regarding documentation requirements, reimbursement and clinical data quality


• Monitor quality and productivity and participate in performance improvement initiatives


• Train and educate clinical documentation specialists on clinical and coding skills and 3M CDI software


• Schedule colleagues, assign work, manage time-off and schedule-change requests, and maintain attendance records


• Coordinate external resources when used


• Facilitate training for new Clinical Documentation Specialist hires


• Assist with recruitment, retention, staff development, performance feedback, mentoring, competency assessments, evaluations, counseling and conflict resolution


• Educate physicians and healthcare team members on clinical documentation and monitor provider participation


• Collaborate with coding staff to ensure complete discharge diagnoses, comorbidities and accurate DRG assignment


• Maintain expertise in MS-DRG, CCs/MCCs, ICD-10 coding systems and CDI guidelines


• Collect, aggregate and analyze data and monitor process outcomes, quality and productivity


• Ensure compliance with coding guidelines, regulatory directives and clinical validation requirements


• Maintain superuser skills in 3M/360 and use dashboards and reporting to improve team efficiency


• Perform CDI reviews during high-volume or short-staffing periods


• Maintain knowledge of applicable laws, regulations, Trinity Health policies, integrity program and Code of Ethics

Requirements

• Bachelor's Degree in Health Information Management, Healthcare related field or Nursing or equivalent in experience


• Current Registered Nurse (RN) License, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialists (CCS), licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN), or completion of medical school


• Certified Clinical Documentation Specialists (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred


• Minimum of five (5) years of current hospital clinical documentation integrity program experience


• Two (2) or more years of current experience supervising hospital clinical documentation integrity program


• Thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement


• Knowledge of state and federal Hospital Acquired Conditions (HAC) and applicable quality indicator codes (PSI, PPI, etc.)


• Current expertise with 3M CDI Software; working knowledge of Epic EMR preferred


• Strong analytical and critical thinking skills


• Ability to effectively supervise diverse and geographically dispersed teams both onsite and remote


• Excellent interpersonal, written and verbal communication skills


• Intermediate computer skills, including MS Word, Excel, Outlook and PowerPoint


• Ability to work in a fast-paced, multi-customer environment with conflicting needs and varied or extended hours


• Ability to comply with enterprise policies and procedures


• Strong understanding of the Catholic health ministry and changing reimbursement market

Core Competencies

Demonstrates expertise in Clinical Documentation Integrity, including oversight of documentation specialists, compliance with coding guidelines, and proficiency in 3M CDI Software. Strong analytical skills and the ability to lead diverse teams in a fast-paced healthcare environment are essential.

Highest-signal resume keywords

• Clinical Documentation Integrity Program Management


• 3M CDI Software Expertise


• CMS Regulations Knowledge


• Supervisory Experience in Healthcare


• Certified Clinical Documentation Specialist (CCDS)

Hard Skills

• ICD-10 Coding Systems


• DRG Reimbursement


• Clinical Documentation Guidelines


• Data Analysis


• Performance Improvement Initiatives

Soft Skills

• Interpersonal Communication


• Critical Thinking


• Team Leadership


• Conflict Resolution


• Training and Mentoring

Certifications & Qualifications

• Registered Nurse (RN) License


• Registered Health Information Administrator (RHIA)


• Registered Health Information Technician (RHIT)


• Certified Coding Specialist (CCS)


• Certified Clinical Documentation Specialist (CCDS)

Industry Keywords

• Clinical Documentation Integrity


• Hospital Acquired Conditions (HAC)


• Quality Indicator Codes


• Healthcare Compliance


• Catholic Health Ministry

Tools & Technologies

• 3M CDI Software


• Epic EMR


• MS Word


• MS Excel


• MS PowerPoint