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Clinical Documentation Improvement Manager Jobs (NOW HIRING)

UHS

Clinical Documentation Improvement (CDI) Nurse

Richmond, VA · On-site

$32 - $43.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Clinical Documentation Improvement (CDI) Nurse provides clinically based concurrent and ... Identify audit trends and provide feedback to management and to UHS acute care facilities.

UHS

Clinical Documentation Improvement (CDI) Nurse

Richmond, VA · On-site

$75K - $113K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The Clinical Documentation Improvement (CDI) Nurse provides clinically based concurrent and ... Identify audit trends and provide feedback to management and to UHS acute care facilities.

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Clinical Documentation Improvement Specialist (CDIS)

Buffalo, NY · On-site

$68K - $90K/yr

The Ambulatory Clinical Documentation Improvement Specialist (CDS) will assist providers in capturing the clinical documentation needed to accurately reflect patient acuity and support the ...

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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 14, 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.

More about Clinical Documentation Improvement Manager jobs

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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 Specialist

Baylor College of Medicine

Houston, TX

$33.25 - $44.75/hr

Full-time

Posted 17 days ago

Baylor College of Medicine rating

8.0

Company rating: 8.0 out of 10

Based on 24 frontline employees who took The Breakroom Quiz

188th of 618 rated colleges and universities

Job description

Summary

The Clinical Documentation Improvement (CDI) Specialist – Professional Billing supports accurate, compliant professional fee billing through focused review and improvement of provider documentation. This role partners closely with physicians, advanced practice providers (APPs), professional coders, and revenue cycle stakeholders to ensure documentation fully supports CPT, HCPCS, ICD 10 CM codes, modifier usage, and medical necessity.


The CDI Specialist serves as a documentation and coding subject matter expert, emphasizing education, collaboration, and prevention of downstream denials or compliance risk, rather than claim production volume.

Job Duties

Professional Documentation Review

  • Reviews outpatient, clinic, procedural, and surgical professional documentation to identify gaps impacting coding accuracy and compliance.
  • Ensures documentation supports E/M level selection, procedure complexity, modifier use, and payer medical necessity requirements.
  • Identifies documentation trends that may result in down coding, denials, or audit exposure.

Provider Query & Education

  • Initiates compliant provider queries to clarify diagnoses, procedures, clinical intent, and E/M components.
  • Provides case based and trend based education to physicians and APPs focused on professional documentation best practices.
  • Serves as a trusted advisor to providers regarding documentation requirements for professional billing.

Coding & Revenue Cycle Collaboration

  • Collaborates with professional coders to ensure documentation supports accurate CPT, HCPCS, ICD 10 CM, and modifier assignment prior to claim submission.
  • Partners with revenue integrity, denials, and compliance teams to resolve documentation related issues.
  • Supports initiatives to improve first pass yield and reduce rework and payer recoupments.

Audit, Compliance & Quality Improvement

  • Supports internal and external audits by validating documentation support for billed professional services.
  • Tracks and trends documentation issues, provider response rates, and improvement opportunities.
  • Participates in continuous improvement initiatives related to documentation standards and professional billing workflows.
  • Performs other job-related duties as assigned.
Minimum Qualifications
  • High School diploma or GED.
  • Four years of relevant experience.
  • Certified Professional Coder (CPC) or Certified Inpatient Coder (CIC) through the American Academy of Professional Coders (AAPC); or Certified Coding Specialist – Physician-based (CCS-P), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT) through the American Health Information Management Association (AHIMA).
Preferred Qualifications
  • Experience in professional fee CDI, professional coding, auditing, or revenue integrity.
  • Clinical background (RN, LPN, MA, or allied health).
  • Experience in a multi specialty or academic practice plan.
  • Familiarity with payer policies, NCCI edits, and modifier driven denials.
  • CDI Certification.

Work Authorization Requirement:

This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. 

Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

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