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Clinical Documentation Improvement Manager information

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$39.5K

$108.4K

$163K

How much do clinical documentation improvement manager jobs pay per year?

As of Aug 15, 2026, the average yearly pay for clinical documentation improvement manager in the United States is $108,414.00, according to ZipRecruiter salary data. Most workers in this role earn between $82,500.00 and $146,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a clinical documentation improvement manager?

To thrive as a Clinical Documentation Improvement Manager, you need an in-depth understanding of clinical terminology, coding standards (ICD-10, CPT), and healthcare regulations, usually backed by a degree in nursing, HIM, or a related field. Familiarity with electronic health record (EHR) systems, clinical documentation improvement (CDI) software, and relevant certifications such as CCDS or CDIP is essential. Strong analytical thinking, attention to detail, and excellent communication skills are crucial for collaborating with clinicians and educating staff. These skills ensure accurate, complete documentation, which supports optimal patient care, regulatory compliance, and proper revenue cycle management.

How does a clinical documentation improvement manager collaborate with physicians and clinical staff to enhance documentation quality?

A Clinical Documentation Improvement Manager regularly works alongside physicians, nurses, and coding teams to ensure clinical documentation accurately reflects patient care and supports appropriate coding and reimbursement. This often involves conducting educational sessions, providing real-time feedback, and facilitating query processes when additional clarification is needed. Effective communication and relationship-building are essential, as the manager must bridge the gap between clinical language and coding requirements while promoting best practices across departments. Collaboration is often ongoing, with frequent meetings and interdisciplinary rounds to review complex cases and address documentation challenges.

What is a clinical documentation improvement manager?

A Clinical Documentation Improvement (CDI) Manager is a healthcare professional responsible for overseeing programs that ensure clinical documentation accurately reflects patients’ diagnoses, treatments, and care provided. They work closely with physicians, nurses, and coding staff to clarify medical record information, improve documentation quality, and support accurate coding and billing. This role helps enhance patient care, ensure compliance with regulations, and optimize hospital reimbursement. CDI Managers often lead a team of specialists, provide training, and implement best practices in clinical documentation.

What is the difference between Clinical Documentation Improvement Manager vs Clinical Documentation Specialist?

AspectClinical Documentation Improvement ManagerClinical Documentation Specialist
CredentialsTypically requires RHIT, RHIA, or CCS certificationsOften holds CCS, CPC, or RHIT certifications
Work EnvironmentOversees teams in hospitals or health systems, focusing on documentation qualityWorks directly with physicians and coding staff to improve documentation
Industry UsageUsed in healthcare organizations to lead CDI programsCommonly employed in hospitals to enhance clinical records
Search & Comparison IntentOften compared for leadership roles in CDICompared for direct documentation improvement tasks

The Clinical Documentation Improvement Manager oversees CDI teams and strategies, focusing on program leadership, while the Clinical Documentation Specialist works directly on improving clinical records through collaboration with healthcare providers. Both roles require similar certifications and are integral to healthcare documentation quality, but differ mainly in scope and responsibilities.

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Clinical Documentation Improvement Manager jobs near you
Infographic showing various Clinical Documentation Improvement Manager job openings in the United States as of August 2026, with employment types broken down into 86% Full Time, and 14% Contract. Highlights an 86% In-person, and 14% Remote job distribution, with an average salary of $108,414 per year, or $52.1 per hour.

Clinical Documentation Improvement Manager

Lake Charles Memorial Health System

Lake Charles, LA • On-site

$32 - $43/hr

Full-time

Posted 3 days ago

New

Lake Charles Memorial Health System rating

7.0

Company rating: 7.0 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

Job description

DESCRIPTION OF POSITION:
  • The Clinical Documentation Improvement (CDI) Manager also has experience as a Second Level Reviewer , certified in CDI with a broad clinical knowledge base and understanding of DRG documentation requirements.
  • Manage daily CDI operations and activities.
  • Lead, coach and evaluate CDI specialist to ensure high performance and professional development.
  • Conduct concurrent secondary and retrospective medical record review for defined patient populations to identify opportunities to improve accuracy of documentation; collaborating with Quality team, Case Managers and Coding department to assure documentation is clinically appropriate, accurately reflects the severity of illness for the patient, and is reflective of current CMS standards.

SUPERVISION: Reports directly to the Director of CDI
RESPONSIBILITIES AND DUTIES:
  • Oversee daily Clinical Documentation Integrity (CDI) operations and staff activities.
  • Lead, coach, mentor, and evaluate CDI specialists to ensure high performance and professional development.
  • Monitor documentation quality, query practices, productivity, and departmental performance metrics.
  • Collaborate with physicians, advanced practice providers, coding, case management, quality, and revenue cycle teams to improve clinical documentation accuracy and completeness.
  • Develop and deliver provider education related to documentation requirements, coding regulations, severity of illness (SOI), risk of mortality (ROM), and quality measures.
  • Ensure compliance with CMS regulations, coding guidelines, accreditation standards, and industry best practices.
  • Analyze CDI data and trends, including Case Mix Index (CMI), query response rates, CC/MCC capture, and denial metrics, and implement improvement strategies.
  • Support accurate reimbursement through complete and compliant clinical documentation.
  • Assist with audits, denials management, and regulatory reviews related to documentation and coding.
  • Partner with Quality and Patient Safety teams to improve outcomes, risk adjustment, mortality measures, patient safety indicators (PSIs), and publicly reported quality metrics.
  • Establish departmental goals, monitor key performance indicators, and provide regular reports to executive leadership.
  • Completes concurrent secondary reviews of targeted patient populations to identify missed opportunities and accurate selection of principal diagnosis.
  • Advanced clinical expertise and extensive knowledge of complex disease processes with a broad clinical experience in an inpatient setting required.
  • Acts as liaison between the Coding Department and the Clinical Documentation Specialist to reconcile discrepancies in DRG assignment.
  • Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and appropriately query the provider using a concurrent or retrospective query process. Follow up to ensure queries are answered.
  • Assigns the appropriate DRG, MCCs and CCs to each record reviewed.
  • Organizes and performs work responsibilities effectively and efficiently.
  • Maintains strict patient confidentiality, adhering to HIPPA guidelines.
  • Demonstrates standards of performance (ownership, teamwork, communication, compassion) that support patient satisfaction and principles of service excellence.
  • Performs other duties as assigned.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
Certification, Registration, or Licensure Required
  • Registered Nurse/BSAN, RHIA, RHIT, or related clinical allied health degree required, or Physician Assistant (PA) preferred
  • Licensure / Certifications: CCS, CCDS, or CDIP required
  • Experience: Minimum of 5 years' experience as a Clinical Documentation Specialist required, 7 or more years preferred.
  • Minimum of 2 years supervisory experience required, 3-5 years preferred.

Physical Demands/Work Environment
  • Work requires a variety of physical activities, including moving about within and outside of all hospital properties for long periods of time.
  • Must be able to respond quickly and effectively to emergency and non-emergent situations.
  • May be required to assist in controlling disorderly conduct or combative patients.
  • Must be able to exchange accurate information with patient, family, peers and medical personnel.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

"Experience Memorial" is more than a slogan, it's the care we provide our patients and it's the commitment to our community and our team members. As a nationally certified Great Place to Work, at Lake Charles Memorial Health System you will have the opportunity to be a part of an organizational culture that supports not only exceptional patient care but also the well-being and professional growth of our employees. Join us and be a part of a team where your contributions are valued, your growth is nurtured, and your success is celebrated.
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About Lake Charles Memorial Health System

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Lake Charles Memorial Health System is the only locally owned, regional community healthcare system in Lake Charles. The health system employs more than 2700 full-time, part-time and PRN employees and is the largest health system in the area. Memorial is a true community health system, run by a board of local volunteers from all walks of business, industry and public service. It is one of an elite group of health systems that belongs to the people of Southwest Louisiana and serves everyone regardless of age, race, gender or financial status.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Lake Charles, LA, US

Year founded

1952

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