Manager, Clinical Documentation Improvement

Manager, Clinical Documentation Improvement (CDI)

Job Summary:

The Clinical Documentation Improvement (CDI) Manager coordinates the prioritization and oversees the day-to-day workflow of the CDI staff and provides clinical documentation improvement expertise. This position is an experienced CDI Specialist who partners with leadership to ensure high quality and production standards are met. This will be accomplished through data evaluation, direct observation and review of medical records, and daily staff communication. The CDI Manager is responsible for maintaining prospective and retrospective review expertise to ensure accuracy, specificity, and severity captures are obtained consistently by all reviewers. The CDI Manager is expected to supervise the education and onboarding process of all new hires, perform duties and conduct interpersonal relationships in a manner that promotes a team approach and collaborative work environment with providers, CDI staff, and coders.

Duties/Responsibilities:

• Ensure monthly production and key metrics are met through data evaluation, direct observation, and review of medical records. Provide coaching as needed.
• Maintain expertise in prospective and retrospective reviews to ensure accuracy, specificity, and severity captures are obtained consistently by all reviewers.
• Participate in the education and onboarding of new CDI hires, including travel for in-person training. Develop and implement clinical documentation education programs for CDI specialists and providers.
• Analyze data to identify areas needing stronger education for providers and staff. Conduct individual and group educational sessions.
• Collaborate with the CDI leadership and other clinicians to update orientation content, educational materials, and training resources. Assist in developing and editing policies and procedures.
• Work with CDI leadership to resolve documentation discrepancies and clinical disparities.
• Maintain current knowledge of trends, regulations, and technology related to documentation, coding, reimbursement, and regulatory guidelines.
• Assist CDI leadership in preparing data and reports to evaluate the effectiveness of the CDI program. Present findings to stakeholders.
• Engage in organizational initiatives and performance improvement projects.
• Lead and attend team meetings.

Required Skills/Abilities:

• Advanced clinical expertise and extensive knowledge of complex disease processes with a broad clinical experience in a clinical setting required.
• A broad knowledge of the disease process, normal/abnormal findings, and reasonable course of treatment, quality measures, and risk management issues is essential.
• Demonstrated competency in teaching/learning process, organizational skills and computer literacy required.
• Excellent communication skills and professional demeanor is required.

Education and Experience:

• Master's degree in nursing, OR equivalent degree in Health Information Management or related field with CDI experience required
• 2 years of experience as a CDI Specialist required
• 2 years of ICD-10-CM coding experience required
• CCDS, CDIP or CCS desired or ability obtain within 6 months of employment in the role
• Previous educator or supervisory experience with a strong understanding of the requirements for clinical coding and documentation according to the rules of Medicare, Medicaid, and commercial payers preferred
• Electronic medical record and chart review experience preferred
• CDIP, CCDS, CCS, or equivalent desired
• Embodies and serves as a role model of ArchWell Health's Values:
• Be compassionate
• • Strive for excellence
  • Earn trust
  • Show respect
  • Stay resilient
  • Always do the right thing

About ArchWell Health:

At ArchWell Health, we're creating a community of caring designed to help our members stay healthy and engaged. By focusing on a strong provider-patient relationship, routine wellness, and staying active, our members enjoy a higher level of care and better quality of life after the age of 60. Everything we do is for seniors. We believe seniors should be heard, listened to, and given ample time by their physicians to live well later in life.

Our value-based care model is designed to prevent illnesses while keeping members healthy and happy in every aspect of their life. We deliver best-in-class primary care at comfortable, accessible neighborhood centers where older adults can feel at home and become part of a vibrant, wellness-focused community. We're passionate about caring for older adults and united by the belief that caring has the power to change everything for our members.

ArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected classification.