Sage Clinical RCM, LLC
Clinical Documentation Integrity (CDI) Program Director
The Clinical Documentation Integrity (CDI) Program Manager leads the delivery and operational management of an outsourced CDI program, working onsite with hospital leadership, physicians, and operational teams to develop, implement, and sustain a high-performing CDI program. The role includes program development, staff training, onboarding, analytics, physician engagement, performance monitoring, and active participation in CDI record reviews and provider coaching to support documentation accuracy and appropriate reimbursement.
Key Responsibilities
- • Serve as the primary onsite CDI program leader representing the outsourced CDI services organization.
- • Partner with hospital leadership, HIM, coding, quality, and revenue cycle teams to implement and operationalize the CDI program.
- • Establish CDI workflows, operational standards, and documentation improvement strategies aligned with organizational goals.
- • Provide ongoing operational oversight to ensure the outsourced CDI program delivers measurable improvements in documentation quality, coding accuracy, and financial performance.
- • Support the development and implementation of a scalable CDI program structure.
- • Assist with defining CDI policies, procedures, query processes, and physician engagement strategies.
- • Identify documentation improvement opportunities through data analysis and operational reviews.
- • Participate in the strategic development and continuous improvement of CDI services delivered to the client organization.
- • Lead training and onboarding of CDI specialists deployed within the program.
- • Provide education to physicians, advanced practice providers, and clinical teams regarding documentation best practices.
- • Develop training materials and educational sessions to support CDI program adoption and engagement.
- • Mentor and coach CDI staff to ensure consistent review quality and adherence to program standards.
- • Perform concurrent and retrospective chart reviews to identify opportunities for documentation clarification.
- • Issue compliant physician queries to improve clinical specificity and documentation accuracy.
- • Collaborate closely with coding professionals to ensure documentation supports accurate coding and reporting.
- • Support improvements in severity of illness (SOI), risk of mortality (ROM), case mix index (CMI), and quality reporting metrics.
- • Build strong relationships with physicians and clinical leaders to support documentation improvement initiatives.
- • Deliver targeted provider education based on clinical documentation trends and data insights.
- • Provide one-on-one physician coaching and feedback regarding documentation improvement opportunities.
- • Monitor CDI program performance using key operational and financial indicators including Case Mix Index (CMI), Severity of Illness (SOI), Risk of Mortality (ROM), query rates and response rates, documentation capture of complications and comorbidities, and financial impact of documentation improvement.
- • Analyze documentation, coding, and quality trends to identify improvement opportunities.
- • Prepare dashboards, operational reports, and performance summaries for hospital and vendor leadership.
- • Serve as a key liaison between the outsourced CDI services organization and the client hospital leadership team.
- • Participate in operational meetings and program reviews with client stakeholders.
- • Support the delivery of CDI performance reporting and recommendations to executive leadership.
- • Ensure the outsourced CDI program consistently meets client expectations and performance goals.
Required
- • Registered Nurse (RN)
- • Medical Doctor (MD)
- • Registered Health Information Administrator (RHIA)
- • Certified Coding Specialist (CCS)
- • Certified Clinical Documentation Specialist (CCDS)
- • Certified Documentation Improvement Practitioner (CDIP)
- • 3–5 years of Clinical Documentation Integrity (CDI) experience
- • Strong understanding of MS-DRG and/or APR-DRG methodology
- • Experience with physician engagement and documentation improvement initiatives
- • Ability to analyze clinical documentation data and translate insights into operational improvement
Preferred
- • Experience supporting the development or launch of a new CDI program
- • Experience working in large health systems or academic medical centers
- • Experience working within a consulting or outsourced CDI services environment
- • Familiarity with CDI technology platforms such as 3M, Nuance Clintegrity, Optum, Iodine, AKASA
- • Experience working with healthcare analytics tools such as PowerBI, Tableau, or enterprise reporting platforms
Company Overview
Industry: Healthcare Technology
Company Size: 500-1,000 employees
Founded: 2015
Headquarters: San Francisco, CA
Company Links
Key Contacts
Contact information not available
About the Company
Leading healthcare technology company focused on improving patient outcomes through innovative digital solutions. We're transforming the way healthcare is delivered with cutting-edge technology and data-driven insights. Our platform serves over 10,000 healthcare professionals and has processed millions of patient interactions.
Recent News & Updates
Series B
Raised $50M Series B funding - Jan 2024
Award
Named "Best Healthcare Startup" by TechCrunch - Dec 2023
Growth
Expanded to 5 new states - Nov 2023
Description
Location: Seattle, Washington (Onsite; hybrid potential as program matures)
Employment Type: Full-Time
Work Model: Outsourced/Embedded Client Services
Position Overview
The Clinical Documentation Integrity (CDI) Program Manager is responsible for leading the delivery and operational management of an outsourced Clinical Documentation Integrity program for a major healthcare system. This role functions as an embedded CDI leader working onsite with hospital leadership, physicians, and operational teams to develop, implement, and sustain a high-performing CDI program.
The CDI Program Manager will represent the outsourced CDI services organization and serve as the primary operational leader responsible for program development, staff training, onboarding, analytics, physician engagement, and performance monitoring. In addition to leadership responsibilities, the role will include active participation in CDI record reviews and provider coaching to support documentation accuracy, quality reporting, and appropriate reimbursement.
This position requires onsite presence in Seattle, Washington during the initial program implementation and stabilization period. As the program matures, the role may transition to a hybrid work model.
Key Responsibilities
Outsourced Program Leadership
Candidates must possess one of the following clinical or health information credentials:
One Of The Following Professional Certifications
This role will play a critical part in establishing and scaling a high-performing outsourced Clinical Documentation Integrity program. By partnering closely with clinical and operational leaders, the CDI Program Manager will help ensure clinical documentation accurately reflects patient complexity, supports quality reporting, and enables appropriate reimbursement while strengthening the integrity of the medical record.
Location: Seattle, Washington (Onsite; hybrid potential as program matures)
Employment Type: Full-Time
Work Model: Outsourced/Embedded Client Services
Position Overview
The Clinical Documentation Integrity (CDI) Program Manager is responsible for leading the delivery and operational management of an outsourced Clinical Documentation Integrity program for a major healthcare system. This role functions as an embedded CDI leader working onsite with hospital leadership, physicians, and operational teams to develop, implement, and sustain a high-performing CDI program.
The CDI Program Manager will represent the outsourced CDI services organization and serve as the primary operational leader responsible for program development, staff training, onboarding, analytics, physician engagement, and performance monitoring. In addition to leadership responsibilities, the role will include active participation in CDI record reviews and provider coaching to support documentation accuracy, quality reporting, and appropriate reimbursement.
This position requires onsite presence in Seattle, Washington during the initial program implementation and stabilization period. As the program matures, the role may transition to a hybrid work model.
Key Responsibilities
Outsourced Program Leadership
- Serve as the primary onsite CDI program leader representing the outsourced CDI services organization.
- Partner with hospital leadership, HIM, coding, quality, and revenue cycle teams to implement and operationalize the CDI program.
- Establish CDI workflows, operational standards, and documentation improvement strategies aligned with organizational goals.
- Provide ongoing operational oversight to ensure the outsourced CDI program delivers measurable improvements in documentation quality, coding accuracy, and financial performance.
- Support the development and implementation of a scalable CDI program structure.
- Assist with defining CDI policies, procedures, query processes, and physician engagement strategies.
- Identify documentation improvement opportunities through data analysis and operational reviews.
- Participate in the strategic development and continuous improvement of CDI services delivered to the client organization.
- Lead training and onboarding of CDI specialists deployed within the program.
- Provide education to physicians, advanced practice providers, and clinical teams regarding documentation best practices.
- Develop training materials and educational sessions to support CDI program adoption and engagement.
- Mentor and coach CDI staff to ensure consistent review quality and adherence to program standards.
- Perform concurrent and retrospective chart reviews to identify opportunities for documentation clarification.
- Issue compliant physician queries to improve clinical specificity and documentation accuracy.
- Collaborate closely with coding professionals to ensure documentation supports accurate coding and reporting.
- Support improvements in severity of illness (SOI), risk of mortality (ROM), case mix index (CMI), and quality reporting metrics.
- Build strong relationships with physicians and clinical leaders to support documentation improvement initiatives.
- Deliver targeted provider education based on clinical documentation trends and data insights.
- Provide one-on-one physician coaching and feedback regarding documentation improvement opportunities.
- Monitor CDI program performance using key operational and financial indicators, including:
- Case Mix Index (CMI)
- Severity of Illness (SOI)
- Risk of Mortality (ROM)
- Query rates and response rates
- Documentation capture of complications and comorbidities
- Financial impact of documentation improvement
- Analyze documentation, coding, and quality trends to identify improvement opportunities.
- Prepare dashboards, operational reports, and performance summaries for hospital and vendor leadership.
- Serve as a key liaison between the outsourced CDI services organization and the client hospital leadership team.
- Participate in operational meetings and program reviews with client stakeholders.
- Support the delivery of CDI performance reporting and recommendations to executive leadership.
- Ensure the outsourced CDI program consistently meets client expectations and performance goals.
Candidates must possess one of the following clinical or health information credentials:
- Registered Nurse (RN)
- Medical Doctor (MD)
- Registered Health Information Administrator (RHIA)
One Of The Following Professional Certifications
- Certified Coding Specialist (CCS)
- Certified Clinical Documentation Specialist (CCDS)
- Certified Documentation Improvement Practitioner (CDIP)
- 3–5 years of Clinical Documentation Integrity (CDI) experience
- Strong understanding of MS-DRG and/or APR-DRG methodology
- Experience with physician engagement and documentation improvement initiatives
- Ability to analyze clinical documentation data and translate insights into operational improvement
- Experience supporting the development or launch of a new CDI program
- Experience working in large health systems or academic medical centers
- Experience working within a consulting or outsourced CDI services environment
- Familiarity with CDI technology platforms such as:
- 3M
- Nuance Clintegrity
- Optum
- Iodine
- AKASA
- Experience working with healthcare analytics tools such as PowerBI, Tableau, or enterprise reporting platforms
- Clinical documentation expertise
- Physician engagement and education
- CDI program development
- Data analysis and performance monitoring
- Client relationship management
- Strong leadership and communication skills
- Cross-functional collaboration with clinical, coding, and revenue cycle teams
This role will play a critical part in establishing and scaling a high-performing outsourced Clinical Documentation Integrity program. By partnering closely with clinical and operational leaders, the CDI Program Manager will help ensure clinical documentation accurately reflects patient complexity, supports quality reporting, and enables appropriate reimbursement while strengthening the integrity of the medical record.
Keep track of your job search
Save personal notes for each job to track your thoughts, application status, and follow-ups.
Try for freeUpload your resume
Sign up to upload your resume and get AI-powered customization for job applications.
Sign up freePractice your interview
Get AI-powered mock interviews tailored to this Clinical Documentation Integrity (CDI) Program Director role. Upload your resume and practice with real-time voice feedback.
Sign up to practice