California Licensed Clinical Documentation Manager

Job Summary

Overseeing clinical documentation reviews, the full-time California Licensed Clinical Documentation Manager will perform quality assurance of medical records, drive improvements in clinical documentation integrity, and ensure regulatory compliance while working remotely.

Key responsibilities:

• Manage clinical documentation reviews, ensuring accuracy and completeness of medical records
• Lead data analysis and root cause investigations to identify improvement opportunities in clinical documentation processes
• Oversee staff training and education initiatives, fostering partnerships between the CDI team and medical leadership

Required qualifications:

• Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field
• Minimum five (5) years of experience in a leadership role
• Minimum four (4) years of experience in clinical documentation improvement or integrity
• Minimum one (1) year of experience managing operational or project budgets
• Minimum eight (8) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field