Manager of Clinical Documentation Integrity (CDI)

Everything we do is underscored by a why — and that why is one another.

Location:

Altru Health System
PO Box 6002
Grand Forks, ND 58201

Pay Range: $87,300.00 - $130,915.00

Summary:

Manager of Clinical Documentation Integrity (CDI)

Position Summary
Altru Health System is seeking a dynamic and results-driven Manager of Clinical Documentation Integrity (CDI) to lead and support our CDI team. This leadership role is responsible for driving operational excellence through performance improvement initiatives, fiscal stewardship, and the development of a highly engaged and effective team. The Manager of CDI will collaborate with clinical, revenue cycle, and organizational leaders to ensure documentation integrity supports quality patient care, regulatory compliance, and organizational objectives.

This is a hybrid position with a standard schedule of Monday through Friday, 8:00 a.m. to 5:00 p.m.

Qualifications
Required
Associate degree in Nursing, Healthcare Administration, Health Information Management, or a related healthcare field.
Minimum of five (5) years of relevant healthcare experience.
Demonstrated leadership experience with a track record of driving performance improvement and achieving organizational goals.

Preferred
Bachelor's degree in Healthcare Administration, Nursing, Health Information Management, or a related field.
Experience leading Clinical Documentation Integrity (CDI), Health Information Management (HIM), coding, revenue cycle, or related healthcare operations teams.

Ideal Candidate
The ideal candidate is a collaborative and strategic healthcare leader who excels at building engaged teams, improving operational performance, and balancing quality outcomes with fiscal responsibility. They possess strong communication skills, effective problem-solving abilities, and a passion for developing high-performing teams while advancing organizational objectives.

Job Profile Summary
The Manager Clinical Documentation Integrity (CDI) provides strategic leadership, oversight, and evaluation of the organization’s Inpatient and Professional Fee/Ambulatory CDI programs. This role oversees Clinical Documentation Specialists (CDS) and supports the development, implementation, and continuous improvement of CDI workflows, education, quality initiatives, and performance-management processes.

The Manager collaborates with physicians, physician champions, coding, case management, revenue cycle, compliance, finance, and other organizational leaders to promote accurate, complete, and compliant clinical documentation. Responsibilities include oversight of Inpatient CDI outcomes such as case mix index, length of stay, observed-to-expected mortality, query activity, and principal diagnosis accuracy, as well as ProFee CDI outcomes related to evaluation and management (E/M) accuracy, HCC capture and recapture, beneficiary risk adjustment factor (RAF) scores, and provider documentation improvement.

Essential Job Functions:

• Leads, develops, coaches, and evaluates the CDI team while fostering a collaborative, high-performing environment.

• Provides strategic oversight of Inpatient and Professional Fee CDI operations, including staffing, recruitment, onboarding, productivity, quality, and performance expectations.

• Establishes and monitors program goals, metrics, and action plans related to query performance, CMI, LOS, mortality, principal diagnosis accuracy, E/M accuracy, HCC capture, RAF performance, and education outcomes.

• Communicates program performance, successes, risks, and improvement opportunities to CDI leadership, administration, physicians, and other stakeholders.

• Oversee quality assurance and second-level review activities, including retrospective review of CDS work and provider documentation opportunities.

• Coordinates with coding, compliance, case management, revenue cycle, finance, physician leadership, and physician champions to align CDI activities with organizational and regulatory requirements.

• Develops and delivers education for physicians, CDSs, coders, and clinical departments on clinical documentation, compliant queries, DRGs, E/M guidelines, HCCs, risk adjustment, and related CDI concepts.

• Serves as a subject matter expert and resource for CDI, coding, reimbursement, risk adjustment, documentation requirements, and regulatory compliance.

• Provides performance feedback, conflict resolution, mentoring, and professional development for staff while maintaining current knowledge through continuing education.

• Uses critical thinking and sound judgment to identify clinically supported documentation opportunities while ensuring compliance with applicable laws, regulations, coding guidelines, and organizational policies.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Qualifications

• Current clinical license or recognized CDI/coding credential |

Education:

• Required: Associates - Healthcare- OR -Associates - Nursing- OR -Associates - Related Field

• Preferred: Bachelors - Healthcare

Work Experience:

• Required: A minimum of 5 years Related Experience

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands :

• Sit: Frequently (34-66%)

• Stand: Occasionally (5-33%)

• Walk: Occasionally (5-33%)

• Stoop/Bend: Rarely (1-4%)

• Reach: Frequently (34-66%)

• Crawl: Not Applicable

• Squat/Crouch/Kneel: Rarely (1-4%)

• Twist: Rarely (1-4%)

• Handle/Finger/Feel: Continuously (67-100%)

• See: Continuously (67-100%)

• Hear: Continuously (67-100%)

Weight Demands:

• Lift -Floor to Waist Level: Sedentary (<10 pounds)

• Carry: Sedentary (<10 pounds)

• Push/Pull: Sedentary (<10 pounds)

• Slide/Transfer: Not Applicable

Working Conditions:

• Indoor: Continuously (67-100%)

• Outdoor: Not Applicable

• Extreme Temperature: Not Applicable

Driving Requirement Definitions:

• Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
• Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
• Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
• Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:

Infrequent Driver

Reference ID: R8463

Making a real difference. For one another.

To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.

At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)

About Us

At Altru, everything we do is underscored by a why—and that why is one another.

We believe in the power of community and the difference we can make together. As the trusted healthcare provider in our region, we’re driven by a commitment to quality care and creating a supportive environment where every team member can thrive. Here, you’ll have opportunities to advance your skills, work with the latest technologies, and experience the fulfillment that comes from giving back—taking your career wherever you want it to go. Join our team and be part of a small community with a big heart.

Want a closer look at life at Altru? Follow us on our careers social channels to see our people, culture, and impact in action—and stay up to date on new opportunities.

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Reasonable Accommodations

Altru provides reasonable accommodations to individuals with disabilities to increase opportunities and eliminate barriers to employment. If you need a reasonable accommodation in the application process to access job postings, to apply for a job, for a job interview, for pre-employment testing, or with the onboarding process, please contact Altru’s Human Resources Department at hrhelpdesk@altru.org or 701.780.5107.

Equal Opportunity

Altru is an Equal Opportunity Employer. Learn more or to request a copy of our Equal Employment Opportunity and Eligibility policy and Affirmative Action Plan at no charge, please contact Altru’s Human Resources Department at hrhelpdesk@altru.org or 701.780.5107. Additionally, the following poster is available through the Department of Labor: Know Your Rights.

Altru participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.