Clinical Documentation Supervisor

Job Summary

Supervising daily operations of the Clinical Documentation Integrity (CDI) program, the full-time remote Clinical Documentation Supervisor will oversee staff, ensure compliance with documentation standards, and facilitate training and quality improvement initiatives.

Key responsibilities

• Directly supervise the CDI team, managing staffing, scheduling, and performance evaluations
• Ensure accurate clinical documentation and compliance with CMS regulations and coding guidelines
• Provide training and education to Clinical Documentation Specialists to enhance their skills and optimize the use of CDI software

Required qualifications

• Bachelor's Degree in Health Information Management, Healthcare-related field, Nursing, or equivalent experience
• Current Registered Nurse (RN) License, Registered Health Information Administrator (RHIA), or equivalent certification
• Minimum of five years of experience in hospital clinical documentation integrity, with at least two years in a supervisory role
• Thorough knowledge of CMS regulations, coding guidelines, and DRG reimbursement
• Demonstrated expertise with 3M CDI Software and working knowledge of Epic EMR preferred