We are seeking a dynamic and detail-oriented Clinical Documentation Integrity Manager to lead clinical documentation improvement initiatives. In this role, you will oversee the accuracy, completeness, and quality of medical records across healthcare settings. You will help ensure compliance with healthcare regulations, optimize reimbursement processes, and support high-quality patient care.
This position offers the opportunity to influence clinical documentation standards and collaborate with multidisciplinary teams to improve overall healthcare delivery.
Proven experience in clinical documentation improvement or medical records management in acute care hospitals or outpatient settings.
Strong knowledge of medical terminology, physiology, anatomy, and nursing practices across specialties including ICU, emergency medicine, pediatrics, hospice care, and long-term care.
Familiarity with EMR/EHR systems such as Epic, Cerner, Athenahealth, and eClinicalWorks, along with proficiency in Microsoft Office tools.
In-depth understanding of CPT coding, ICD-9/10 coding, DRG assignment processes, and utilization review procedures.
Experience working in managed care environments with knowledge of Medicare and Medicaid policies.
Ability to interpret healthcare regulations from CMS and state agencies while ensuring compliance with HIPAA and NCQA standards.
Excellent communication skills for training staff and collaborating across departments, along with critical thinking skills for analyzing complex medical records.
Relevant certifications such as Certified Coding Specialist (CCS) or Certified Professional Medical Auditor (CPMA) are highly desirable.
Health insurance
Location
Pennsylvania, US
Employment Type
Full-time
Experience Level
Manager
Remote work allowed
No
Posted
1 week ago