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Job Description
The CDI Manager oversees the strategic and operational aspects of CDI functions across teams. This includes leadership, compliance management, quality audits, and training governance.
Major Responsibilities:
- Manage multiple CDI teams and leads; drive quality, efficiency, and compliance
- Define and implement standardized workflows aligned with enterprise goals
- Partner with US and India leadership on training, reporting, and process improvements
- Lead team hiring, onboarding, training plans, and capability enhancement
- Conduct regular quality reviews and ensure audit readiness
Strong stakeholder engagement, coaching, and changing management skills
- 12+ years of experience in Clinical Documentation Integrity professionals with clinical expertise, inpatient hospital coding, or inpatient clinical documentation integrity/improvement experience
- Inpatient Clinical Documentation Integrity/Improvement experience**
- Inpatient hospital clinical critical care experience (examples include hands on patient experience in the Emergency Department, Critical Care, and Med/Surg units)
- Inpatient hospital coding, including the MS-DRG structure
- Inpatient CDI experience (not HCC or physician office-based)
- Clinical knowledge (e.g., sepsis, pneumonia, CHF, respiratory failure)
- Strong understanding of DRG assignment and optimization
- Experience reviewing inpatient medical records
- Familiarity with ICD-10-CM/PCS coding
- Knowledge of clinical indicators, query writing
- Ability to identify inpatient physician documentation gaps
- Understanding of principal diagnosis selection
- Familiarity with MS-DRG
INPATIENT CDI EXPERIENCE
- Inpatient CDI experience (not HCC or physician office-based)
INPATIENT CODING EXPERIENCE
Understanding of:
- o MS-DRG assignment and optimization
- o ICD-10-CM/PCS coding
- o Principal diagnosis selection
- Experience reviewing inpatient medical records
CLINICAL KNOWLEDGE
- Clinical knowledge (e.g., sepsis, pneumonia, CHF, respiratory failure)
- Knowledge of clinical indicators, query writing.
- Ability to identify inpatient physician documentation gaps
Preferred
