Clinical Documentation Integrity (CDI) Supervisor

Job Description Summary

The Clinical Documentation Integrity (CDI) Supervisor provides day-to-day leadership, operational oversight, and direction for an assigned team of CDI reviewers while serving as a clinical documentation integrity subject matter expert (SME). This role is responsible for staff supervision, workflow coordination, quality and productivity oversight, regulatory compliance, staff development, and continuous process improvement. The Supervisor also maintains active involvement in concurrent CDI review activities as needed to support departmental operations, provide coverage, maintain subject matter expertise, and model best practices.

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC001109 SYS - Corp Quality And Safety

Pay Rate Type

Pay Grade

Health-31

Scheduled Weekly Hours

40

Work Shift

Job Description

Preferred Qualifications:

• Bachelor of Science in Nursing.
• Five or more years of acute care nursing experience and advanced CDI review experience.
• Prior lead, preceptor, project leadership, or supervisory experience.
• Experience with SLR, pre-bill review, clinical validation, denials, mortality or quality review, and complex DRG reconciliation.

Minimum Qualifications:

• Associate"s or Bachelor"s degree in nursing from an accredited school of nursing.
• Current Registered Nurse license issued by South Carolina or a compact state.
• Minimum of three years of CDI experience.
• CDI certification through ACDIS or AHIMA at hire or within six months of accepting the position.
• Advanced knowledge of inpatient clinical documentation review, compliant query practice, clinical indicators, and DRG assignment.
• Demonstrated leadership, communication, coaching, organization, and problem-solving skills.
• Proficiency with Microsoft Excel and the ability to analyze tracking data and communicate meaningful trends.

The Clinical Documentation Integrity (CDI) Supervisor provides day-to-day leadership, operational oversight, and direction for an assigned team of CDI reviewers while serving as a clinical documentation integrity subject matter expert (SME). This role is responsible for staff supervision, workflow coordination, quality and productivity oversight, regulatory compliance, staff development, and continuous process improvement. The Supervisor also maintains active involvement in concurrent CDI review activities as needed to support departmental operations, provide coverage, maintain subject matter expertise, and model best practices.

Using data from second-level reviews (SLR), productivity and quality metrics, and reconciliation processes, the Supervisor identifies trends, monitors performance, and drives improvement initiatives. In collaboration with the CDI Educator/Auditor, CDI leadership, and Coding partners, the Supervisor provides feedback, supports education, and implements process improvements that enhance documentation quality, operational effectiveness, and achievement of program goals.

Scope and Accountability:

The CDI Supervisor directly supervises assigned CDI staff and is accountable for daily team operations, workflow oversight, staff performance, and CDI subject matter expertise. This role is responsible for ensuring effective execution of CDI processes, quality standards, and operational priorities. Strategic program direction, department-wide initiatives, and broader organizational decisions remain the responsibility of CDI leadership.

Key Responsibilities:

Team Supervision and Quality Control | ~75%

• Provide day-to-day leadership, operational oversight, and work direction for an assigned team of CDI reviewers, ensuring effective workflow management and achievement of departmental goals.
• Manage staffing, scheduling, workload distribution, attendance, and coverage plans to support operational needs and service expectations.
• Monitor productivity, quality, workflow adherence, and performance metrics; provide coaching, mentoring, recognition, and constructive guidance as appropriate.
• Conducts regular reviews of queries and provides feedback and educational growth opportunities to the CDI team
• Tracks query escalations and DRG mismatches.
• Conduct individual coaching sessions to communicate priorities, reinforce expectations, and support staff development and engagement.
• Partner with CDI leadership to assist with completing annual evaluations and performance issues.
• Support recruitment, onboarding, competency validation, professional development, and retention of CDI team members.
• Collaborate with Coding, Revenue Cycle, Quality, Information Technology, physician advisors, and other stakeholders to resolve operational issues and optimize documentation and workflow processes.
• Foster a culture of accountability, collaboration, professionalism, continuous improvement, and exceptional customer service.
• Maintain active involvement in CDI review activities as needed to support departmental operations, provide coverage, and sustain subject matter expertise.

CDISME and Reviewer | ~25%

• Serve as the CDI subject matter expert for review methodologies, prioritization, documentation integrity standards, compliant query practices, workflow requirements, escalation pathways, and reconciliation processes.
• Conduct concurrent, post-discharge, pre-bill, and targeted reviews to identify documentation improvement opportunities and support accurate code assignment, severity capture, quality outcomes, and reimbursement integrity.
• Provide advanced clinical and documentation review for complex cases, clinical validation concerns, escalation requests, and CDI/Coding reconciliation issues.
• Develop, communicate, and reinforce CDI best practices, regulatory requirements, and departmental standards to promote documentation accuracy and compliance.
• Leverage second-level review (SLR), quality, productivity, and reconciliation data to identify trends, monitor performance, and recommend opportunities for improvement.
• Partner with the CDI Educator/Auditor, CDI leadership, Coding, physician advisors, and other stakeholders to support education, operational alignment, and continuous process improvement initiatives.

Additional Job Description

Physical Requirements:

• Mobility & Posture

Standing: Continuous, Sitting: Continuous, Walking: Continuous, climbing stairs: Infrequent, working indoors: Continuous, working outdoors (temperature extremes): Infrequent, working from elevated areas: Frequent, working in confined/cramped spaces: Frequent, Kneeling: Infrequent, bending at the waist: Continuous, Twisting at the waist: Frequent, Squatting: Frequent

• Manual Dexterity & Strength

Pinching operations: Frequent, Gross motor use (fingers/hands): Continuous, Firm grasping (fingers/hands): Continuous, Fine manipulation (fingers/hands): Continuous, reaching overhead: Frequent, Reaching in all directions: Continuous, Repetitive motion (hands/wrists/elbows/shoulders): Continuous, Full use of both legs: Continuous, Balance & coordination (lower extremities): Frequent.

• Lifting & Force Requirements

Lift/carry 50 lbs. unassisted: Infrequent, Lift/lower 50 lbs. from floor to 36": Infrequent, Lift up to 25 lbs. overhead: Infrequent, Exert up to 50 lbs. of force: Frequent

• Vision & Sensory

Maintain corrected vision 20/40 (one or both eyes): Continuous, Recognize objects (near/far): Continuous, Color discrimination: Continuous, Depth perception: Continuous, Peripheral vision: Continuous, Hearing acuity (with correction): Continuous, Tactile sensory function: Continuous, Gross motor with fine motor coordination: Continuous.

• Selected Positions:

• Olfactory (smell) function: Continuous

• Respirator use qualification: Continuous

• Work Environment & Conditions

Effective stress management: Continuous, Rotating shifts: Frequent, Overtime as required: Frequent, Latex-safe environment: Continuous.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

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