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Clinical Documentation Manager Jobs in Indiana (NOW HIRING)

CDI Specialist

Munster, IN · On-site

$34.82 - $51.51/hr

The CDI Specialist uses clinical and coding knowledge of documentation requirements to improve the ... Critical Care and/or Case Management experience required. Previous CDI experience preferred.

CDI Specialist

Munster, IN · Remote

$34 - $45.50/hr

The CDI Specialist uses clinical and coding knowledge of documentation requirements to improve the ... Critical Care and/or Case Management experience required. Previous CDI experience preferred.

New

CDI Specialist

Munster, IN · Remote

$34 - $45.50/hr

The CDI Specialist uses clinical and coding knowledge of documentation requirements to improve the ... Critical Care and/or Case Management experience required. Previous CDI experience preferred.

New

Clinical Director

Corydon, IN · On-site

$90K - $100K/yr

Documents client sessions and manages discharges as needed Direct Clinical Services * Provides therapy and maintains a clinical caseload * Ensures ethical, culturally sensitive and clinically ...

New

... clinical documentation that reflects the patient's nutritional status and supports ... Excellent time management, and organizational skills. * Ability to problem solve, multi-task in a ...

Clinical Director

Bloomington, IN · On-site

$74K - $100K/yr

... managers, and clinical support staff * Develop and implement individualized treatment plans aligned with best practices and client goals * Monitor clinical documentation for quality, accuracy, and ...

Showing results 21-40

Clinical Documentation Manager information

What is a clinical documentation manager?

A Clinical Documentation Manager oversees the accuracy, completeness, and consistency of medical records to ensure compliance with healthcare regulations and improve patient care. They collaborate with physicians, coders, and other healthcare professionals to enhance documentation quality for proper reimbursement and compliance. Their responsibilities include training staff, conducting audits, and implementing documentation improvement initiatives. This role plays a critical part in supporting accurate coding, billing, and overall healthcare data integrity.

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

To thrive as a Clinical Documentation Manager, you need strong knowledge of medical terminology, healthcare regulations, and clinical documentation standards, often supported by a degree in health information management, nursing, or a related field. Expertise with EHR systems, coding software (such as ICD-10 and CPT), and certifications like Certified Clinical Documentation Specialist (CCDS) are highly valued. Outstanding communication, attention to detail, leadership, and training abilities set top candidates apart. These competencies ensure accuracy, regulatory compliance, and improved clinical outcomes through high-quality documentation practices.

What are the main challenges a clinical documentation manager might face in their role?

Clinical Documentation Managers often face the challenge of ensuring consistent, accurate, and timely documentation across a variety of clinical teams, while staying compliant with evolving regulations and healthcare standards. Balancing the needs of clinicians with organizational documentation requirements and providing ongoing education to staff can be demanding. Additionally, managing a team that may work across different departments requires strong collaboration and adaptability. Overcoming these challenges is critical to maintaining data integrity, supporting quality patient care, and facilitating accurate reimbursement processes.

What does a clinical documentation manager do?

A clinical documentation manager oversees the accuracy and completeness of medical records within healthcare organizations. They review clinical documentation, ensure compliance with regulations, and collaborate with healthcare providers to improve documentation quality, often using electronic health record (EHR) systems. This role requires strong attention to detail, knowledge of medical terminology, and familiarity with coding and compliance standards.

What are the most commonly searched types of Clinical Documentation jobs in Indiana?

The most popular types of Clinical Documentation jobs in Indiana are:

What are popular job titles related to Clinical Documentation Manager jobs in Indiana?

For Clinical Documentation Manager jobs in Indiana, the most frequently searched job titles are:

What job categories do people searching Clinical Documentation Manager jobs in Indiana look for?

The top searched job categories for Clinical Documentation Manager jobs in Indiana are:

What cities in Indiana are hiring for Clinical Documentation Manager jobs?

Cities in Indiana with the most Clinical Documentation Manager job openings:

Infographic showing various Clinical Documentation Manager job openings in Indiana as of August 2026, with employment types broken down into 84% Full Time, 14% Part Time, and 2% Contract. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution.

CDI Specialist

Powers Health

Munster, IN • On-site

$34.82 - $51.51/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 5 days ago


Powers Health rating

6.5

Company rating: 6.5 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

614th of 898 rated healthcare providers


Job description

Position is fully remote.
Job Description:
The CDI Specialist uses clinical and coding knowledge of documentation requirements to improve the overall quality and completeness of clinical documentation as well as relevant diagnoses, procedures and ancillary treatment using a multidisciplinary team process. A complete and accurate medical record will support the appropriate clinical severity to capture the level of service rendered to the patient. The CDI Specialist will collaborate with physicians to improve documentation compliance with criteria requirements under the Inpatient Prospective Payment System, in order to ensure the integrity of the medical record is maintained. The CDI Specialist must be devoted to ongoing, continuous learning of clinical medicine; practical understanding of the International Classification of Disease coding systems and have the ability to educate physicians. Findings and data in the CDI review process shall be shared with the medical staff and multidisciplinary teams for education and solutions in operational excellence of clinical documentation improvement efforts.
  • Conducts initial reviews and concurrent follow-up reviews of the medical record to ensure the accuracy of the documentation in the medical record.
  • Ensures accuracy and completeness of the clinical information used for measuring and reporting physician and hospital outcomes including evidence-based measures.
  • Queries providers as needed to clarify documentation for specificity and acuity of diagnosis or procedures and treatments, to clarify conflicting documentation and clinical validation meeting UHDDS Guidelines.
  • Ensure the record adequately reflects the severity of illness and risk of mortality equating to intensity of services.
  • Promotes continuity and specificity of clinical documentation in the record.
  • Works with the coding staff in the performance of clinical validation reviews.
  • Provides Clinical Documentation Improvement information to external customers as necessary (i.e., RHIT students regarding Clinical Documentation Specialist Work Queues.
  • Maintains effective and appropriate communication with physicians and other clinicians throughout the organization.
  • Educates physicians and clinicians to ensure capture of appropriate documentation.
  • Participate in ongoing education related to ICD-10, coding guidelines and any other necessary education related to role.
  • Demonstrates knowledge of DRG payor issues, documentation opportunities, clinical documentation requirements and related policy and procedures.

Required Skills & Qualifications:
  • Current RN license in the State of Indiana. Bachelor of Science Degree in Nursing preferred.
  • Five (5) years of acute inpatient clinical experience. Critical Care and/or Case Management experience required. Previous CDI experience preferred.
  • Working knowledge of reimbursement systems and coding structures preferred.
  • Excellent verbal and written communication skills.
  • Strong broad-based clinical knowledge and understanding of pathology/pathophysiology.
  • Ability to work independently in a time-oriented environment.

Your Extraordinary Career Starts Here
We invite you to join our team of professionals where your unique talents will be well utilized in a work environment that promotes your further growth and development. In return for your valuable service and contributions, Powers Health offers a competitive wage and benefits package along with the necessary tools, resources, and mentoring opportunities to support your career advancement goals.
Our comprehensive benefits program includes, but is not limited to:
  • Medical, dental and vision coverage
  • Wellness program, including free screenings
  • Healthcare and Dependent Care Spending Accounts (HSA)
  • Retirement savings plan
  • Life insurance
  • Disability income protection
  • Employee Assistance Program (EAP)
  • Fitness center discount program
  • Tuition assistance and career development
  • Paid Time Off (PTO)
  • Reward and recognition programs

Join our team of healthcare professionals at Powers Health. Apply today!

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