Manager, Clinical Documentation Improvement

The University Of Lowa Hospitals & Clinics
August 11, 2022
United States
Job Type
Work Setting


The Office of Clinical Documentation Improvement at the University of Iowa Hospitals & Clinics has an opening for a full-time Manager of Clinical Documentation Improvement (CDI). The Manager provides leadership, direction and oversight system-wide in developing and implementing clinical documentation improvement processes that maximize efficiency and quality of clinical documentation.  The Manager serves as a liaison between clinical documentation team, clinical care providers, quality, and health information management. This role is responsible for team leadership, management and training of Clinical Documentation Specialists nurses. This position reports directly to the Director, Clinical Documentation Improvement.

The CDI program is responsible for reviewing inpatient medical records to facilitate the accurate representation of the severity of illness. This involves extensive record review, interaction with physicians, HIM professionals, and other ancillary staff.

Job Duties Include (but are not limited to):

  • Responsible for providing daily oversight and supervision of CDI Specialists/RN’s.
  • Coordinates documentation improvement & coding audits, providing physician documentation improvement education at the department level. This individual will be required to make independent decisions regarding documentation for accurate ICD-10-CM/ICD-10-CM-PCS code assignment and quality related challenges.
  • Accountable for CDI nursing and department level successes as demonstrated through various indices which include but not limited to accurate Severity of Illness (SOI) / Risk of Mortality (ROM) capture rates, Complicating or Comorbid Condition (CC) / Major Complicating or Comorbid Condition (MCC) capture rates, Case Mix Index (CMI) analysis, physician query- response rates, and tracking financial variances.
  • Institutes strategies that will facilitate effective collaboration between the Director, Clinical Documentation Improvement, Director/Manager of Health Information Management, UIHC Administration and other applicable departments as it relates to clinical documentation improvement.
  • Reviews data/metrics with team members and service line providers at meetings, as well as on an individual basis with a focus on strategies that will drive improvement as it relates to documentation improvement and denials management.
  • Manages multiple projects necessary to promote accurate concurrent documentation from all disciplines (physicians, case managers, nurses, dietitians, wound care specialists etc.) to capture best practice documentation for specific diagnoses
  • Knowledgeable of legal issues involved in patient care information and exercises considerable judgment relative to compliance and HIPAA issues.
  • Works closely with Physician Advisor(s)/Quality Leadership/CDI Director on escalated cases to ensure that the appropriate documentation is added to the medical record, collaborating with the inpatient Coding team and Clinical Informatics team and their leadership to ensure adherence to established processes, and providing second level reviews when necessary.
  • Evaluates regulatory changes and educate staff appropriately.
  • Hires, develops, and manages the performance of staff; assure staff are compliant with UI policies and procedures.
  • Develops and implements policies and practices of a culture that supports staff engagement.
  • Holds employees accountable for high performance and high engagement culture by articulating expectations, monitoring performance and providing feedback consistency across areas of responsibility.

Percent of Time: 100% (full-time)

Work schedule: Some flexibility between the hours of 7:00 AM and 5:00 PM, Monday through Friday

Location: University of Iowa Hospitals & Clinics, 200 Hawkins Drive, Iowa City, IA. This position is not eligible for remote work. 

Job Classification: Senior Quality & Operations Improvement Engineer (PAF4)

Benefits Highlights:  Fringe benefit package including paid vacation; sick leave; health, dental, life and disability insurance options; and generous employer contributions into retirement plans. Complete information regarding the full benefits package may be viewed at:

Required Qualifications

  • A Baccalaureate degree or master's degree in Nursing.
  • License to practice nursing in Iowa.
  • A minimum of two (2) years of recent work experience as a Clinical Documentation Improvement Specialist with at least three (3) years of clinical experience at an academic medical center.
  • At least one (1) year of managerial or supervisory experience, ELA acceptable
  • Demonstrated knowledge of coding structures/national coding guidelines and related appropriate chart documentation.
  • Extensive knowledge of CDI related quality measures, including AHRQ measures and AHIMA query practice guidelines.
  • Professional written and verbal communication skills; including presentation and training skills.
  • Demonstrated proficiency with computer software applications (i.e. Excel, word, PowerPoint, Tableau)
  • Excellent interpersonal skills with physicians, nursing staff, and interdisciplinary team members as demonstrated through written and verbal communication
  • Excellent organizational, time management and problem-solving skills
  • Currently holds Clinical Documentation certification, or obtains in first 6 months of employment; i.e.:
    • Certified Clinical Documentation Specialist (CCDS), or
    • Certified Documentation Improvement Practitioner (CDIP)
  • Electronic Medical Records experience (EPIC preferred).
  • Experience with performance improvement methodologies.
  • Experience with data mining and/or data analytics.

Desirable Qualifications

  • Demonstrated knowledge of healthcare outcomes and performance improvement initiatives/techniques.
  • Current coding certification (CPC, CCS, RHIA/RHIT).
  • Experience with hospital quality/safety metrics.
  • Experience working at large academic medical centers.
  • Experience with a union environment.
  • Holds a quality related certification.

Application Process 

  • In order to be considered, applicants must upload current CV/resume and cover letter (under submission relevant materials) that clearly address how they meet the listed required and desired qualifications of this position.
  • Job openings are posted for a minimum of 14 calendar days. Applications will be accepted until 11:59 PM on August 22 or on date of closing.
  • Successful candidates will be subject to a criminal and credential background check.
  • Five (5) professional references will be required at a later step during the hiring process.
  • This position is not eligible for University sponsorship for employment authorization.
  • For questions, contact Heidi Bodensteiner at 

Additional Information

  • Classification Title: Qual & Op Improv Snr Engineer
  • Appointment Type: Professional and Scientific
  • Schedule: Full-time
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