Remote Utilization Management Jobs in Colorado (NOW HIRING)

Team Lead, Clinical Documentation Integrity 

The CDI Team Lead provides day-to-day operational leadership and subject matter expertise for a team of Clinical Documentation Integrity (CDI) specialists. This role supports the CDI Market Manager in driving documentation accuracy, quality outcomes, and regulatory compliance while promoting consistency with enterprise CDI standards. The CDI Team Lead serves as a clinical and coding resource, assists with performance oversight, and fosters collaboration across multidisciplinary stakeholders. This position functions as a working lead.

Primary Responsibilities:

• Provides daily operational support and functional leadership to assigned CDI staff, including workflow guidance, prioritization, and issue resolution
• Acts as a clinical documentation integrity subject matter expert, assisting staff with complex cases, DRG validation, severity of illness (SOI), risk of mortality (ROM), and quality-related documentation opportunities
• Supports the CDI Market Manager with monitoring team performance, productivity, and quality metrics, and contributes to performance improvement initiatives
• Reviews CDI work for accuracy, consistency, and compliance with enterprise CDI standards, payer requirements, and regulatory guidelines
• Assists with onboarding, mentoring, and ongoing education of CDI specialists, including identification of training and development needs
• Participates in audit activities, reconciliation processes, and follow-up education based on audit findings 
• Serves as a liaison between CDI staff and key stakeholders such as coding, quality, utilization management, and physician leadership to promote documentation integrity
• Assists in the development and maintenance of CDI workflows, policies, and best practices
• Contributes to data analysis, reporting, and preparation of summaries or presentations as requested by leadership
• Promotes a professional, collaborative, and service-oriented remote work environment aligned with organizational values
• Demonstrates the ability to troubleshoot basic technology and workflow issues while working remotely
• Adheres to ethical standards established by ACDIS, AHIMA, and/or AAPC

Required Qualifications:

Associate’s degree in nursing, Health Information Management (HIM), or a related healthcare field 
Current CDI- or coding-related certification to be maintained, such as CCDS, CDIP, CCS, RHIA, RHIT, CIC, or equivalent 
Minimum of 3 years of recent CDI experience in an acute care hospital or large multi-facility healthcare system 
Demonstrated expertise in clinical documentation integrity, DRG methodology, SOI/ROM, and quality indicators 
Strong knowledge of anatomy and physiology, disease processes, medical terminology, and clinical documentation standards 
Experience working with electronic health record (EHR) systems (e.g., Epic, Cerner, Meditech) 
Background working with complex patient populations (e.g., trauma, cardiovascular, neurosurgery, or academic medical centers) 
Proven ability to work effectively in a fully remote environment 
Strong analytical, critical thinking, and problem-solving skills 
Excellent written and verbal communication skills, including the ability to provide clear, constructive feedback

Preferred Qualifications

Bachelor’s degree in nursing, HIM, or a related healthcare field 
Prior experience in a CDI lead, preceptor, auditor, or informal leadership role 
Experience supporting CDI quality audits or performance improvement initiatives 
Familiarity with middle revenue cycle operations and downstream coding or billing impacts

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

Required Qualifications:

Associate’s degree in nursing, Health Information Management (HIM), or a related healthcare field 
Current CDI- or coding-related certification to be maintained, such as CCDS, CDIP, CCS, RHIA, RHIT, CIC, or equivalent 
Minimum of 3 years of recent CDI experience in an acute care hospital or large multi-facility healthcare system 
Demonstrated expertise in clinical documentation integrity, DRG methodology, SOI/ROM, and quality indicators 
Strong knowledge of anatomy and physiology, disease processes, medical terminology, and clinical documentation standards 
Experience working with electronic health record (EHR) systems (e.g., Epic, Cerner, Meditech) 
Background working with complex patient populations (e.g., trauma, cardiovascular, neurosurgery, or academic medical centers) 
Proven ability to work effectively in a fully remote environment 
Strong analytical, critical thinking, and problem-solving skills 
Excellent written and verbal communication skills, including the ability to provide clear, constructive feedback

Preferred Qualifications

Bachelor’s degree in nursing, HIM, or a related healthcare field 
Prior experience in a CDI lead, preceptor, auditor, or informal leadership role 
Experience supporting CDI quality audits or performance improvement initiatives 
Familiarity with middle revenue cycle operations and downstream coding or billing impacts