Role Description
The Team Lead of clinical documentation improvement (CDI) is responsible for day-to-day coordination and supervision of the CDI team within the parameters defined by the Department Director. The responsibilities include:
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Assignment of duties
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Assistance with quarterly performance reviews
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Training and onboarding of new CDI team members
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Performing audits and second-level chart reviews
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Compiling PowerPoint presentations
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Delivering physician education on clinical documentation improvement
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Assisting CDI and coding with DRG reconciliation process
In the absence of the director, the Team Lead will take on the responsibilities of planning, managing, coordinating, and performing day-to-day operations of the clinical documentation improvement department.
Qualifications
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Graduate from an accredited school of nursing
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Bachelor’s degree
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RN, CCDS/CDIP required; CCS preferred, not required
Requirements
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Minimum 5 years experience in Clinical Documentation Improvement
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Expert-level knowledge and mastery of the entire CDI scope of duties
Job Roles
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Assist with daily CDI operations, including monitoring of CDI team's productivity, compliance with legal/ethical requirements, and quality improvement initiatives
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Provide input to CDI Director in the review and evaluation of staff performance appraisals and personnel issues
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Conduct second-level reviews for CDI, coding, and quality teams
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Compile and deliver CDI-related education to healthcare providers, CDI team, and other departments
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Coordinate initial training for new hires as well as education for existing staff when there are changes in process/technology
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Monitor and address technical difficulties experienced by staff and assist with 3M 360 software prioritization tool retune
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Identify CDI opportunities by prescreening charts and assign charts to CDI staff
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Monitor CDI workflow and resolve accounts from work-queues using departmental prioritization rules and deadlines
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Supervise CDI daily chart review process and provide guidance to CDI team's questions in secure chat
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Conduct CDI team chart review audits biannually
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Other duties as assigned
Benefits
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Great Place to Work Certified 2026-2027
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Glassdoor’s Best Places to Work 2025 & 2026
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Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026
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TIME’s Best Companies for Future Leaders 2025 & 2026
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Newsweek’s America’s Most Admired Workplaces 2026
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Glassdoor’s Best-Led Companies 2025
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Fortune Best Workplaces in Health Care 2025
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Military Friendly Gold Employer 2025
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Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025
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Newsweek’s Americas Greatest Workplaces 2025