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Clinical Documentation Integrity Jobs (NOW HIRING)

Guidehouse

Clinical Documentation Integrity Manager

$35.50 - $47.75/hr

None What You Will Do The Clinical Documentation Integrity Manager is responsible for assisting the CDI Director with new client implementations/engagement, work collaboratively with the facility CDI ...

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How much do clinical documentation integrity jobs pay per hour?

As of Sep 9, 2026, the average hourly pay for clinical documentation integrity in the United States is $39.30, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $44.95 per hour, depending on experience, location, and employer.

What is a clinical documentation integrity?

A Clinical Documentation Integrity (CDI) job involves reviewing medical records to ensure accurate, complete, and compliant documentation. CDI professionals work closely with physicians, coders, and healthcare teams to clarify diagnoses, procedures, and other essential details. Their role helps improve patient care, optimize reimbursements, and support regulatory compliance. Effective documentation also enhances data quality for research and reporting.

What are some typical challenges faced in a clinical documentation integrity role?

Professionals in Clinical Documentation Integrity often encounter challenges such as bridging communication gaps between clinical staff and coders, staying updated on constantly evolving healthcare regulations, and ensuring documentation accuracy under tight deadlines. The role requires balancing the needs for thorough clinical detail with the practicalities of busy healthcare environments. You may also need to educate or coach providers on best documentation practices to improve compliance and quality metrics. Successfully navigating these challenges is a rewarding way to directly impact patient care standards and organizational financial health.

What are the key skills and qualifications needed to thrive in the clinical documentation integrity position, and why are they important?

To thrive in Clinical Documentation Integrity, you need a strong background in medical coding, clinical terminology, and healthcare regulations, often supported by an RHIA, RHIT, or CCS certification. Familiarity with electronic health record (EHR) systems, coding software, and quality assurance tools is critical for day-to-day responsibilities. Attention to detail, analytical thinking, and effective communication are key soft skills for collaborating with clinicians and ensuring thorough documentation. These skills are essential for ensuring accurate patient records, compliance with regulations, and the optimization of healthcare reimbursement.

Is clinical documentation integrity a stressful job?

Clinical Documentation Integrity (CDI) roles can be demanding due to the need for accuracy, attention to detail, and meeting strict deadlines. The job often involves reviewing complex medical records and collaborating with healthcare providers, which can contribute to stress levels, especially during high workload periods or audits.

What does a clinical documentation integrity specialist do?

A clinical documentation integrity specialist reviews and improves the accuracy and completeness of patient medical records to ensure proper coding and reimbursement. They collaborate with healthcare providers, analyze medical documentation, and use coding standards and electronic health record systems to support clinical and financial outcomes.
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Clinical Documentation Integrity jobs near you
Infographic showing various Clinical Documentation Integrity job openings in the United States as of September 2026, with employment types broken down into 81% Full Time, and 19% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $81,742 per year, or $39.3 per hour.

Supervisor, Clinical Documentation Integrity

Livonia, MO • On-site

Jobtailor
See more jobs at Jobtailorexternal

$125 - $150/hr

Other

Posted 2 days ago

New

Job description


  • Supervise daily operations of the regional Clinical Documentation Integrity program

  • Provide direct oversight of Clinical Documentation Specialists and Clinical Documentation Integrity Coordinators

  • Assess CDI staffing levels and processes and ensure regional goals are achieved using compliant workflows

  • Assist with policy and education development regarding documentation requirements, reimbursement and clinical data quality

  • Monitor quality and productivity and participate in performance improvement initiatives

  • Train and educate clinical documentation specialists on clinical and coding skills and 3M CDI software

  • Schedule colleagues, assign work, manage time-off and schedule-change requests, and maintain attendance records

  • Coordinate external resources when used

  • Facilitate training for new Clinical Documentation Specialist hires

  • Assist with recruitment, retention, staff development, performance feedback, mentoring, competency assessments, evaluations, counseling and conflict resolution

  • Educate physicians and healthcare team members on clinical documentation and monitor provider participation

  • Collaborate with coding staff to ensure complete discharge diagnoses, comorbidities and accurate DRG assignment

  • Maintain expertise in MS-DRG, CCs/MCCs, ICD-10 coding systems and CDI guidelines

  • Collect, aggregate and analyze data and monitor process outcomes, quality and productivity

  • Ensure compliance with coding guidelines, regulatory directives and clinical validation requirements

  • Maintain superuser skills in 3M/360 and use dashboards and reporting to improve team efficiency

  • Perform CDI reviews during high-volume or short-staffing periods

  • Maintain knowledge of applicable laws, regulations, Trinity Health policies, integrity program and Code of Ethics


Requirements

  • Bachelor's Degree in Health Information Management, Healthcare related field or Nursing or equivalent in experience

  • Current Registered Nurse (RN) License, Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialists (CCS), licensure as a physician assistant (PA) or Nurse Practitioner/Advanced Practice Nurse (NP/APN), or completion of medical school

  • Certified Clinical Documentation Specialists (CCDS) or Certified Documentation Improvement Professional (CDIP) preferred

  • Minimum of five (5) years of current hospital clinical documentation integrity program experience

  • Two (2) or more years of current experience supervising hospital clinical documentation integrity program

  • Thorough knowledge of CMS regulations, coding guidelines and DRG reimbursement

  • Knowledge of state and federal Hospital Acquired Conditions (HAC) and applicable quality indicator codes (PSI, PPI, etc.)

  • Current expertise with 3M CDI Software; working knowledge of Epic EMR preferred

  • Strong analytical and critical thinking skills

  • Ability to effectively supervise diverse and geographically dispersed teams both onsite and remote

  • Excellent interpersonal, written and verbal communication skills

  • Intermediate computer skills, including MS Word, Excel, Outlook and PowerPoint

  • Ability to work in a fast-paced, multi-customer environment with conflicting needs and varied or extended hours

  • Ability to comply with enterprise policies and procedures

  • Strong understanding of the Catholic health ministry and changing reimbursement market


Core Competencies

Demonstrates expertise in Clinical Documentation Integrity, including oversight of documentation specialists, compliance with coding guidelines, and proficiency in 3M CDI Software. Strong analytical skills and the ability to lead diverse teams in a fast-paced healthcare environment are essential.


Highest-signal resume keywords

  • Clinical Documentation Integrity Program Management

  • 3M CDI Software Expertise

  • CMS Regulations Knowledge

  • Supervisory Experience in Healthcare

  • Certified Clinical Documentation Specialist (CCDS)


Hard Skills

  • ICD-10 Coding Systems

  • DRG Reimbursement

  • Clinical Documentation Guidelines

  • Data Analysis

  • Performance Improvement Initiatives


Soft Skills

  • Interpersonal Communication

  • Critical Thinking

  • Team Leadership

  • Conflict Resolution

  • Training and Mentoring


Certifications & Qualifications

  • Registered Nurse (RN) License

  • Registered Health Information Administrator (RHIA)

  • Registered Health Information Technician (RHIT)

  • Certified Coding Specialist (CCS)

  • Certified Clinical Documentation Specialist (CCDS)


Industry Keywords

  • Clinical Documentation Integrity

  • Hospital Acquired Conditions (HAC)

  • Quality Indicator Codes

  • Healthcare Compliance

  • Catholic Health Ministry


Tools & Technologies

  • 3M CDI Software

  • Epic EMR

  • MS Word

  • MS Excel

  • MS PowerPoint

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