Coordinates and maintains all elements of the Clinical Documentation Improvement Program in order to meet the goals and objectives of the organization and its stakeholders.
Meet CDI program objectives, goals, and balance scorecard metrics.
Ensures timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes.
Ensure effective communications with key stakeholders.
Analyzes data, creates reports to meet desired outcomes.
Identifies trends and opportunities for improvement in clinical documentation.
Meets program quality and productivity guidelines and standards.
Collaborates with coding professionals to fully support the needs of clinical code assignment, communicates proficiently with coding professionals to resolve identified discrepancies.
Work effectively with CDI team members to accomplish departmental goals.
Demonstrates continued advancement in professional growth.
Perform duties in compliance with Company's policies and procedures, including but not limited to those related to HIPAA and compliance.
Ability to prioritize and multi-task in a multifaceted environment.
Demonstrate strong organizational skills and be detail oriented.
Demonstrate ability to self-motivate, set goals, and meet deadlines.
Demonstrate mentoring and interpersonal skills.
Demonstrate excellent presentation, verbal, and written communication skills.
Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
Maintains courteous and professional working relationships with employees at all levels of the organization.
Demonstrate successful leadership skills with the use of critical thinking, problem solving, and deductive reasoning required.
Specialized training in advanced computer skills with proficiency in Microsoft Word, Excel, Power Point, and Outlook e-mail required.
Additional training in Access database management, Medicare Part A and B programs, DRG assignment, and knowledge of MCC/CC preferred.
This job operates in a remote home office environment. This role routinely uses standard office equipment such as computers and phones.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; and talk or hear. The employee must occasionally lift or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust focus.
This is a full-time position. Days and hours of work are generally Monday through Friday, 8:00 a.m. to 5 p.m. This position occasionally requires long hours and weekend work.
Minimal travel required; up to 5%
Bachelor's degree in healthcare field (e.g., nursing, health information management) OR equivalent combination of education/experience combined required. (One year of education equals one year of experience).
Minimum of one to three years' experience in clinical quality, utilization management, case management, nursing, coding, or a related field.
Three to five years' experience in a Clinical Documentation Improvement Program with previous experience in clinical quality, utilization management, case management, nursing, coding, or related field (e.g., physician) of which a minimum of three years' experience is in a management or supervisory role.
Proven experience with ICD-10-CM/PCS coding, DRG assignment, and query processes. Familiarity with CMS Inpatient Prospective Payment System (IPPS), risk adjustment methodologies, and value-based purchasing programs. Windows, Excel experience.
EHR: Epic, Iodine CDI software
RN, BSN, or foreign medical graduate (FMG) with strong clinical background; OR RHIA/RHIT/CCS credentialed HIM professional with significant inpatient coding experience.
Bachelor's or Master's degree in Nursing, HIM, or related healthcare field.
Certified Clinical Documentation Specialist (CCDS) – ACDIS
Certified Documentation Improvement Practitioner (CDIP) – AHIMA
Certified Coding Specialist (CCS) – AHIMA
Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale.
Omega Healthcare serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines.
We offer a comprehensive benefits package that may include health, dental, and vision coverage, voluntary insurance options, a 401(k) plan with employer match, professional development opportunities, paid time off, and holiday pay. Eligible employees may also have the opportunity to participate in bonus programs, commissions, or other variable incentive plans. Benefits and incentive eligibility may vary based on position, location, and tenure.
Omega Healthcare is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, gender, age, sexual orientation, gender identity or expression, marital status, mental or physical disability, protected veteran status, and genetic information, or any other basis protected by applicable law. Omega Healthcare also prohibits harassment of applicants or employees based on any of these protected categories.
Omega Healthcare makes reasonable accommodations when needed for applicants and candidates with disabilities or religious observances. If reasonable accommodation is needed to participate in the job application, interview, or any other part of the hiring process, please contact Human Resources at employeerelationsus@omegahms.com.
Job Identification 20237
Region Field Employees - Hourly X4E
Full-Time/Part-Time Full-Time
Client Expected Start Date 10/05/2026
Required Years of Experience 5
Minimum Pay 45
Maximum Pay 55