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Carle Health

Manager, Clinical Documentation Integrity

Carle Health

. Oversee daily operations of the Carle Health Clinical Documentation Integrity program .

Posted 9/25/2026full-timeRemote • Illinois • United StatesMid-LevelSenior💰 $45 - $77 per hourWebsite

About the role

Key responsibilities & impact
  • Oversee daily operations of the Carle Health Clinical Documentation Integrity program
  • Manage, hire, train, and evaluate the CDI team
  • Conduct professional development plans
  • Ensure productivity, accuracy, quality, timeliness, and compliance standards are met
  • Monitor and optimize case mix index, mortality, and severity of illness metrics
  • Collect, analyze, and present CDI, provider, query, and documentation data
  • Develop and execute CDI process improvement projects
  • Collaborate with HIM physician advisors, medical staff leaders, vendors, coding leadership, and Revenue Cycle leaders
  • Develop and implement education for providers, medical staff, coders, CDI staff, and other employees
  • Review and develop policies and procedures supporting compliant CDI workflows
  • Develop reports and communicate CDI metrics to internal and external teams
  • Work with software vendors and external consulting groups
  • Ensure software efficacy, data integrity, and vendor contractual compliance
  • Participate in and lead multidisciplinary teams developing Clinical Documentation Improvement best practices
  • Provide feedback on exceptional and substandard CDI performance
  • Present CDI metrics at department and external meetings
  • Evaluate ongoing requirements for coding and DRG assignment yearly with coding managers
  • Assist the HIM Director with CDI department budgeting

Requirements

What you’ll need
  • RHIA or CCS certification, or Licensed Registered Professional Nurse (RN) within 6 months if licensed in another state
  • Bachelor's Degree in Nursing or Health Information Administration
  • 3 years of healthcare management experience
  • 3 years of inpatient coding and/or clinical documentation experience
  • Well versed in Microsoft Office tools, especially Excel
  • Well versed in Epic
  • Up to date on all coding guidelines
  • Familiar with Medicare coding guidelines and rules
  • Excellent verbal and written communication skills

Benefits

Comp & perks
  • Comprehensive benefits package
  • Equal Opportunity Employer
  • Potential for growth and life-long careers
  • Carle Experience and Carle Behavior Standards support and guidance