Director Clinical Documentation Improvement (CDI) at Powers Health – Munster, Indiana

Job Description:

The Director of Clinical Documentation Improvement (CDI) provides strategic leadership and oversight for the Clinical Documentation Improvement program. This role is responsible for setting the vision, standards, and performance expectations for CDI operations while ensuring accurate, compliant, and high-quality clinical documentation that reflects severity of illness, risk of mortality, and level of care across all payers.

The Director partners with physician leadership, coding, case management, revenue cycle, quality, and denial management teams to optimize documentation integrity, DRG accuracy, case mix index (CMI), and clinical quality outcomes. While a CDI Manager oversees daily operations, staffing, and workflows, the Director ensures appropriate structures, policies, and performance metrics are in place to support consistent and effective CDI practices. The Director promotes a collaborative, service-oriented culture and drives continuous improvement through data analysis, education, and physician engagement.

Provides strategic leadership and oversight of the CDI program, establishing goals, standards, and performance expectations. Develops, implements, and maintains CDI policies, procedures, and governance structures based on regulatory requirements and industry best practices. Oversees CDI program performance, including documentation quality, CMI, SOI/ROM, DRG accuracy, length of stay, and payer-related outcomes. Evaluates the effectiveness of the physician query process to ensure compliance, documentation integrity, quality benchmarking, and appropriate revenue capture. Partners with the Coding Director to ensure alignment between clinical documentation, clinical validation, and coding practices. Analyzes documentation trends and makes strategic recommendations to optimize CMI and clinical severity capture. Provides oversight of DRG and payer-related issues, including DRG downgrades and denial trends; monitors denial performance and appeal outcomes. Reviews and interprets CDI and denial management data, prepares executive-level reports, and presents findings to senior leadership, medical staff, and governance committees. Collaborates with physician leaders and multidisciplinary teams to drive documentation education, process improvement, and clinical excellence. Oversees the CDI management structure, providing guidance, coaching, and accountability to ensure consistent performance and standardization across sites. Develops and monitors departmental operating goals and budgets; evaluates program effectiveness and resource utilization. Promotes a culture of collaboration, professionalism, accountability, and customer service within the CDI program.

Required Skills & Qualifications:

Bachelor’s degree in Nursing required; current Registered Nurse (RN) license in the State of Indiana required. Master’s degree in a health-related field preferred. Minimum of five (5) years of acute care nursing experience required. Five (5) to seven (7) years of progressive experience in Clinical Documentation Improvement and/or Case Management required. Minimum of two (2) years of management experience required. Strong analytical and strategic thinking skills with the ability to interpret complex clinical and financial data. Excellent verbal and written communication skills, including the ability to engage physicians and executive leaders. Demonstrated ability to lead through influence and collaborate across departments and disciplines. Strong organizational and change-management skills. Ability to travel and work across multiple sites as assigned.

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!