Lead Clinical Documentation Improvement Specialist
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Job Summary
To enhance the quality and effectiveness of the Clinical Documentation Improvement program, the full-time Lead Clinical Documentation Improvement Specialist will oversee quality assurance activities, staff education, and regulatory compliance while supporting program growth and optimization in a 100% remote work environment.
Key Responsibilities
- Lead and maintain the CDI Quality Assurance program, including audits and trend analysis to identify improvement opportunities
- Monitor CMS guidance and coding standards, ensuring timely communication of regulatory updates to CDI staff
- Develop and deliver CDI education and training based on regulatory changes and program needs
Required Qualifications
- Current professional certification required (CCS, CPC, CRC, RHIT, RHIA, or equivalent)
- Minimum of five (5) years of experience in Clinical Documentation Improvement or related healthcare operations
- Advanced knowledge of ICD-10-CM coding standards and risk adjustment methodologies
- Experience conducting documentation reviews and quality assurance activities
- Strong analytical and process improvement skills
Complete Job Description
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