Clinical Documentation Integrity Lead – Service Line

Stanford Health Care

. Manage and optimize relationships between CDI and assigned service lines, meeting regularly with physician champions and chairs/chiefs .

Posted 10/30/2026full-timeRemote • California • United StatesSenior💰 $73 - $96 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Clinical Documentation Improvement (CDI) practices, coding regulations, and compliance risks while effectively managing multidisciplinary projects and delivering education to healthcare professionals. Proficient in data analysis, outcomes reporting, and optimizing documentation tools to enhance workflow efficiency.

Highest-signal resume keywords

CDI Practices ExpertiseCoding Regulations KnowledgeData Analysis ExperienceProject Management SkillsClinical Education Development

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

ICD-10-CM/PCSCPT Coding GuidelinesMS-DRGsAPR-DRGsHCCsOutcomes Data ReportingStatistical AnalysisQuality ImprovementDocumentation OptimizationClinical Experience

Soft Skills

LeadershipOrganizational SkillsCritical ThinkingInterpersonal SkillsCommunication Skills

Tools & Technologies

Electronic Medical Record SystemsReporting SoftwareVizientPremierElixhauser

Certifications & Qualifications

CCDSCCDS-OCDIPCOCCPCCCSCDMPCAPCRCRCPHQ

Industry Keywords

Clinical Documentation ImprovementMedicare RegulationsMedicaid RegulationsHealthcare ComplianceCase ManagementUtilization ReviewMultidisciplinary EducationProvider InteractionAcademic Medical Center ExperienceDirect Provider Interaction

About the role

Key responsibilities & impact

Manage and optimize relationships between CDI and assigned service lines, meeting regularly with physician champions and chairs/chiefs
Monitor and escalate queries to improve workflow efficiency and query turnaround
Perform targeted CDI audits and analyze findings related to documentation and coding
Build physician education, identify individual and service-line opportunities, and facilitate short- and long-term resolutions
Serve as a subject matter expert on CDI practices, coding rules and regulations, compliance risks, and documentation opportunities
Monitor and evaluate CDI and coding quality against best practices
Complete project-related reviews and provide feedback to peers, coding, CDI leadership, and quality partners
Coordinate data collection and analysis related to patient care activities, documentation and coding opportunities, and clinical outcome gaps
Coordinate multidisciplinary working sessions for goal setting and problem solving
Optimize service-line CDI programs and create, deliver, and evaluate provider and multidisciplinary education
Lead multidisciplinary and multi-departmental CDI projects to achieve strategic goals
Partner with CDI leads, IT, and technology partners to optimize documentation tools and processes and reduce provider administrative burden

Requirements

What you’ll need

Bachelor’s degree in Nursing, Medicine, Health Information Management or a similarly related field of study
At least two currently active certifications from the listed certification categories, including COC, CPC, CCS, CDMP, CAP, CRCR, HACP, CPHQ, HCQM, CCM, clinical certification, PECP, or other education certification
Five years of progressively responsible and directly related inpatient clinical experience
At least five years of CDI or provider education-related work experience
Experience with outcomes data reporting and analysis
At least one currently active CCDS, CCDS-O, or CDIP certification
Expertise in coding and CDI practices, Medicare/Medicaid rules and regulations, CMS coding guidelines, MS-DRGs, APR-DRGs, HCCs, ICD-10-CM/PCS, and AMA CPT coding guidelines
Extensive knowledge and experience with computer systems, reporting software, and electronic medical record systems
Leadership, organizational, critical thinking, interpersonal, verbal, and written communication skills
Knowledge of project management, statistical analysis, quality improvement, and program evaluation
Ability to develop and deliver training and education to clinical, CDI, and coding professionals
ICU/ED and Academic Medical Center experience preferred
Case management, utilization review, direct provider interaction, public speaking, and multidisciplinary education experience preferred
Experience with Vizient, Premier, Elixhauser, and other risk adjustment methodologies highly preferred
Nursing/RN state or compact-state licensure preferred