Clinical Documentation Improvement; CDI Leader
Job in
Las Vegas, Clark County, Nevada, 89105, USA
Listed on 2026-03-01
Listing for:
LanceSoft Inc.,
Full Time, Contract
position Listed on 2026-03-01
Job specializations:
-
Healthcare
Healthcare Management, Healthcare Administration, Health Informatics, Healthcare Compliance
Job Description & How to Apply Below
Clinical Documentation Improvement (CDI) Leader
Location: Las Vegas, NV
Schedule: Full-Time
Hybrid schedule may be available after probationary period. Must be available for weekly in-person work.
Position SummaryProvides leadership in Clinical Documentation Improvement (CDI) to ensure accurate clinical documentation, regulatory compliance, and reimbursement integrity.
Identifies documentation improvement opportunities related to ICD-10, UHDDS, and CMS regulations. Oversees concurrent query processes and collaborates with physicians, Advanced Practice Professionals, HIM, Coding, Quality Improvement, and Revenue Cycle leadership to improve documentation quality and severity capture.
Minimum QualificationsCandidates must meet one of the following pathways:
Option 1 – RN Pathway- Graduate of accredited nursing program
- 5 years clinical nursing experience
- 3 years CDI experience
- 2 years CDI leadership experience
- CCDS, CCDS-O, or CDIP certification
- International MD with 5 years acute care experience
- 1 year CDI experience
- 2 years CDI leadership experience
- CCS, RHIT, RHIA, CPC, or CPC-P certification
- CDIP, CCDS, or CCDS-O certification
- Bachelor’s degree in HIM or HIT
- 4 years acute care coding and abstracting experience
- 2 years CDI leadership experience
- MS-DRGs and APR-DRGs
- Severity of Illness (SOI) and Risk of Mortality (ROM)
- Medical necessity and quality measures
- HACs and PSIs
- Reimbursement methodologies
- Disease pathophysiology and pharmacology
- CMS and regulatory standards
- Clinical documentation compliance
- Leadership and staff supervision
- Data analysis and trend identification
- Query writing and compliance oversight
- Medical record interpretation
- Regulatory interpretation
- Conflict management
- Advanced written communication
- Statistical analysis
- Pension vesting after 5 years
- 457 Deferred Compensation Plan
- No Social Security (FICA) deduction
- Medical, Dental, and Vision Insurance
- Employee-only coverage available for less than $20 per paycheck
- Extended Illness Bank
- Consolidated Annual Leave (Vacation, Sick Leave, Personal Leave)
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