Job Family:
CDI Specialist
Travel Required:
None
Clearance Required:
None
What You Will Do:
The Clinical Documentation Integrity Supervisor supports the CDI Manager in overseeing day-to-day operations for Clinical Documentation Integrity Specialists and CDI team lead assigned to client engagements. This role helps ensure consistent program coverage, effective team performance, and alignment with contractual expectations and CDI best-practice standards.
The CDI Supervisor manages daily CDI assignments, makes staffing adjustments to support adequate coverage, and monitors productivity, utilization, compliance, key performance indicators, and monthly quality audits. This role also ensures the CDI team has the tools, resources, and guidance needed to complete concurrent record reviews and initiate and follow up on provider queries.
The CDI Supervisor collaborates with facility CDI teams, client stakeholders, and internal leadership to support efficient CDI operations, effective technology use, policy and procedure updates, and timely escalation of program needs or risks.
Essential Job Functions
- Provide expert oversight and leadership for Clinical Documentation Integrity team operations.
- Assess and identify health system opportunities related to contractual requirements, CDI best-practice metrics, and program performance.
- Support the development and implementation of processes and initiatives designed to improve clinical documentation performance.
- Apply strong project management skills to coordinate priorities, track progress, and support successful execution of CDI initiatives.
- Communicate effectively and collaborate with medical staff, clinical departments, and key facility leadership team members as needed.
- Maintain and demonstrate strong knowledge of CDI and coding process best practices.
- Drive optimal use of CDI technology tools, dashboards, and reporting capabilities.
- Ensure CDI team accountability for key performance indicators and quality expectations.
Duties and Responsibilities
Lead Duties (60% approximately 24 hours/Week)
- Responsible for overseeing the daily review assignments for each CDI Specialist to ensure review workload is distributed evenly.
- Cover out of office staff assignments (i.e. closing out pending queries, re-reviews, DRG MM etc.)
- Monitors CDI productivity and project utilization monthly
- Serves as a subject matter expert in clinical data reporting and leads the improvement of the overall quality and completeness of clinical documentation through the application of evidence-based knowledge, analysis, in-depth review, interpretation, identification of opportunities, communication, and consistent follow-up and evaluation of concurrent and retrospective (as required) medical record documentation.
- Monitors internal key indicator metrics and develops corrective action plan when metrics not achieved.
- Performs analytical assessment of data, data manipulation, and professionally articulates data outcomes to improve operations and report to various committees, including but not limited to the monthly facility specific Utilization --- Review Committees and Chief Medical Officer.
- Performs monthly quality reviews and presents findings to the CDI Manager and Director
- Develop education for physicians and CDI staff as needed.
- Participates in interviewing, hiring and onboarding of CDI specialists.
- Clearly communicate program updates, concerns or client requests that are out of scope to the Manager and Director of CDI
- Other duties assigned.
CDI Duties (40% approximately 16 hours/Week)
- Facilitates appropriate clinical documentation to support appropriate diagnosis and procedure coding.
- Collaborates with HIM coding staff to promote complete and accurate clinical documentation and correct negative trends.
- Communicates with physicians, case managers, coders, and other members of the care team to facilitate comprehensive medical record documentation to reflect treatment, decision-making and severity of illness.
- Assigns a working DRG using official coding guidelines on initial and subsequent follow up reviews.
- Updated working DRG for Case Management team per facility specific process
- Queries providers on a concurrent (and as appropriate retrospective) basis. Collaborates with providers per facility policy to clarify documentation in the medical record.
- Formulate compliant and credible clinical documentation clarifications to improve clinical documentation of principal diagnosis, procedures, co-morbidities, present on admission (POA), quality core measures, and patient safety indicators (PSI’s). (Following ACDIS, AHIMA and CMS guidelines for effective and compliant query process.) -Utilizes software system (including CDI and Encoder technology) to collect, track and report outcomes. Maintains integrity of data collection.
What You Will Need:
- 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.
What Would Be Nice to Have:
- CCDS, CCS or CDIP certification
- Strong clinical understanding of disease processes.
#indeedsponsored
The annual salary range for this position is $89,000.00-$148,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.
Benefits include:
- 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
About Guidehouse Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
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