CDI Supervisor
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Job Description
Guidehouse CDI Supervisor overseeing clinical documentation integrity operations for hospital clients. Managing CDI staff, DRG reviews, provider queries, quality metrics, and documentation improvement.
Responsibilities:
- Support the CDI Manager in overseeing day-to-day operations for Clinical Documentation Integrity Specialists and CDI team leads assigned to client engagements
- Ensure consistent program coverage, effective team performance, and alignment with contractual expectations and CDI best-practice standards
- Manage daily CDI assignments and make staffing adjustments to support adequate coverage
- Monitor productivity, utilization, compliance, key performance indicators, and monthly quality audits
- Ensure the CDI team has tools, resources, and guidance for concurrent record reviews and provider queries
- Collaborate with facility CDI teams, client stakeholders, and internal leadership on operations, technology use, policy updates, and escalation of needs or risks
- Provide expert oversight and leadership for CDI team operations
- Assess health system opportunities related to contractual requirements, CDI best-practice metrics, and program performance
- Develop and implement processes and initiatives to improve clinical documentation performance
- Coordinate priorities, track progress, and support CDI initiatives using project management skills
- Communicate with medical staff, clinical departments, and facility leadership
- Drive use of CDI technology tools, dashboards, and reporting capabilities
- Ensure accountability for KPIs and quality expectations
- Oversee daily review assignments and distribute workload evenly
- Cover out-of-office staff assignments, including pending queries, re-reviews, and DRG MM
- Monitor monthly CDI productivity and project utilization
- Serve as subject matter expert in clinical data reporting and improve documentation quality and completeness
- Develop corrective action plans when metrics are not achieved
- Analyze and manipulate data and present outcomes to committees and the Chief Medical Officer
- Perform monthly quality reviews and present findings to the CDI Manager and Director
- Develop education for physicians and CDI staff
- Participate in interviewing, hiring, and onboarding CDI specialists
- Communicate program updates, concerns, and out-of-scope client requests to CDI leadership
- Facilitate documentation supporting diagnosis and procedure coding
- Collaborate with HIM coding staff to correct negative trends and promote accurate documentation
- Communicate with physicians, case managers, coders, and care team members regarding medical record documentation
- Assign and update working DRGs using official coding guidelines, including for Case Management
- Query providers concurrently and retrospectively as appropriate
- Formulate compliant clinical documentation clarifications following ACDIS, AHIMA, and CMS guidelines
- Use CDI and Encoder software to collect, track, and report outcomes while maintaining data integrity
Requirements:
- Must hold at least one of the following credentials: RHIA, RHIT, RN, MD, or MD-equivalent clinical credentials
- Must maintain required credentials and certifications throughout employment
- Minimum of 5 years of acute care hospital CDI experience required
- Familiarity with encoder use and DRG assignment, including MS-DRG and APR-DRG methodologies
- CCDS, CCS or CDIP certification (nice to have)
- Strong clinical understanding of disease processes
- No travel required
- No clearance required
Benefits:
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
- Flexible benefits package
- Flexible work arrangements
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