Note: The job is a remote job and is open to candidates in USA. MissionHires is seeking an experienced Clinical Documentation Improvement (CDI) Manager to lead and oversee their Clinical Documentation Integrity program. This leadership role is responsible for driving documentation excellence, ensuring regulatory compliance, and improving clinical quality, reimbursement accuracy, and organizational outcomes.
Responsibilities
- Lead daily Clinical Documentation Improvement (CDI) operations and concurrent query processes
- Collaborate with physicians, Advanced Practice Providers (APPs), HIM, Coding, Quality, and Revenue Cycle teams
- Identify documentation improvement opportunities that impact reimbursement, quality metrics, and compliance
- Analyze documentation trends and implement sustainable process improvements
- Ensure compliance with ICD-10, CMS, UHDDS, and other regulatory documentation standards
- Improve documentation accuracy related to Severity of Illness (SOI), Risk of Mortality (ROM), medical necessity, DRGs, and quality measures
- Support CDI staff through coaching, training, and performance management
- Monitor documentation integrity related to HACs, PSIs, reimbursement, and regulatory reporting
Skills
- Graduate of an accredited School of Nursing
- 5+ years of clinical nursing experience
- 3+ years of Clinical Documentation Improvement (CDI) experience
- 2+ years of CDI leadership experience
- Active Nevada RN license required
- International Medical Graduate (MD)
- 5+ years of acute care experience
- 1+ year of CDI experience
- 2+ years of CDI leadership experience
- Bachelor's degree in Health Information Management or Health Information Technology
- 4+ years of acute care coding or abstracting experience
- 2+ years of CDI leadership experience
- Candidates must possess applicable certifications, including combinations of: CCDS or CCDS-O, CDIP, CCS, RHIT, RHIA, CPC, or CPC-P
- MS-DRG and APR-DRG methodologies
- ICD-10 coding and reimbursement regulations
- Quality metrics, core measures, and compliance standards
- Clinical data analysis and reporting
- Leadership experience within an acute care CDI program
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