Supervisor-Inpatient Clinical Documentation Integrity - Full Time - Days

Henry Ford Health; Detroit (MI); On-site; USD 100,000 - 165,000; Full time

Job summary

Henry Ford Health seeks an Inpatient CDI Supervisor to lead the IP CDI frontline team, review clinical evidence, and drive documentation quality in the EMR. You will collaborate with physicians, residents, NPs, and nursing to clarify diagnoses and ensure compliant coding.

You will conduct audits, educate staff, and partner with coding, quality, and operational leadership to advance reimbursement integrity and data quality across inpatient services.

Qualifications

• RN license required.
• CNP license required or PA-C license required.
• ECFMG credentials for international graduates.
• Minimum 5 years acute care experience.
• Minimum 3 years IP CDI experience.
• Knowledge of ICD-10-CM Coding Guidelines.

Responsibilities

• Oversee day-to-day CDI frontline team operations: scheduling, workload, queries, and reconciliation.
• Review clinical evidence in EMR to ensure complete and accurate reflection of patient complexity.
• Identify opportunities to clarify documentation using ICD-10-CM guidelines.
• Conduct CDI quality audits and communicate findings for education/remediation.
• Collaborate with coding on reviews and queries; reconcile impact of queries.
• Maintain knowledge of ICD-10-CM guidelines and reimbursement concepts.

Skills

Clinical documentation integrity

ICD-10-CM knowledge

Education and training

Quality audits

Interdepartmental collaboration

Education

RN license

CNP license

PA-C license

ECFMG credentials

CCDS preferred

Tools

EMR systems

Query resolution tools

Job description

Company Description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.

Company Description

At Henry Ford Health, we're committed to advancing health and improving lives for the millions of people we serve across Michigan and around the world. As one of the nation's leading academic health systems, we provide a comprehensive continuum of care that includes primary and preventive services, specialty and complex care, virtual care, pharmacy, home health, eye care, health insurance, and more. With 12 hospitals and hundreds of ambulatory care locations, including former Ascension Southeast Michigan and Flint Region facilities, our growing network expands access to exceptional care in the communities we serve.

Job Description

GENERAL SUMMARY:

The Inpatient Clinical Documentation Integrity (IP CDI) Supervisor uses clinical, coding, and CDI knowledge and experience to improve the quality and integrity of documentation in the electronic medical record (EMR). Identifies factors influencing the complexity of a patient’s diagnosis and treatment plan. Serves as a CDI resource and works collaboratively with physicians, residents, advanced practice providers, nursing, and ancillary services. Champions for the advancement of the Henry Ford Health IP CDI program.

Principle Duties And Responsibilities

• Oversee day-to-day CDI frontline team operations: personnel scheduling, retrospective review assignment, work queue (WQ) troubleshooting and clean up, query resolution and reconciliation, additional daily responsibilities as determined
• Review clinical evidence and diagnostic results in the electronic medical record (paper record during downtime) to ensure that documentation is complete and compliant, accurately reflecting complexity of care and resource consumption
• Use clinical experience and knowledge of ICD-10-CM Coding Guidelines and risk adjustment measures to identify opportunities to clarify documentation
• Identify and bring forward opportunities for education
• Conduct CDI quality audits for completeness of review and opportunity capture. Communicate findings and opportunities for education/remediation to operational managers.
• Conduct CDI quality audits of queries for compliance with ICD-10-Coding Guidelines, regulatory standards, and industry best practices. Communicate findings and opportunities for education/remediation to managers.
• Formulate compliant queries and adhere to approved process for query resolution
• Collaborate with coding on retrospective reviews and queries
• Perform reconciliation reviews to ensure query impact is accurately captured
• Review CDI/Coding DRG mismatches and follow approved process for resolution
• Conduct subsequent case reviews and identify new query opportunities
• Collaborate with Quality department to ensure that documentation supports quality pathways and initiatives
• Understand and value the importance of data quality and integrity
• Strive to establish and strengthen interdepartmental relationships and workflows
• Maintain knowledge of new and existing ICD-10-CM Coding Guidelines, MS and APR-DRG reimbursement, and documentation requirements 16. Answer clinician questions regarding level of documentation detail for accurate, complete coding of conditions and procedures
• Serve as a resource for clinician education regarding the significance of appropriate documentation to support acuity of care
• Serve as a resource for coding staff with clinically based questions related to assignment of ICD-10-CM codes
• Assess workflows, forms, policies, and processes regularly and recommend changes as appropriate

Qualifications

EDUCATION/EXPERIENCE REQUIRED:

• Registered Nurse (RN), OR
• Certified Nurse Practitioner (CNP), OR
• Physician Assistant (PA-C), OR
• ECFMG Certified International Medical Graduate
• Demonstrated clinical competence as evidenced by five years’ experience in an acute care setting
• Minimum three years IP CDI experience
• Demonstrated knowledge of ICD-10-CM Coding Guidelines
• Knowledge of revenue cycle processes preferred.

Certifications/Licensures Required

• Current Registered Nurse license, OR
• Current Certified Nurse Practitioner (CNP) or Physician Assistant (PA-C) license, OR
• Current Educational Commission for Foreign Medical Graduates (ECFMG) credentials
• Certified Clinical Documentation Specialist (CCDS) preferred