CDI Enablement Manager

CDI Enablement Manager

We are seeking a CDI Enablement Manager that is clinically‑informed, coder‑certified, and responsible for driving documentation quality and provider education at the practice level. The role sits at the intersection of clinical knowledge, risk adjustment expertise, and coding accuracy, serving as a trusted resource for providers, a frontline education delivery channel for the CDI team, and a concurrent reviewer of clinical documentation.

The CDI Enablement Manager develops and delivers targeted education, contributes to clinical content libraries leveraged across the organization, and supports the vetting of CDI technology and AI suspecting tools. This role operates with significant autonomy in the field, requires strong clinical credibility, and is held to the same coding accuracy standards as the broader CDI department. The CDI consultant reports directly to the VP, CDI & Coding Operations with a dotted‑line to clinical leadership.

• Deliver targeted, intervention‑based education with prioritization driven by practice performance data
• Facilitate one‑on‑one provider education sessions, including DSP documentation coaching, ICD‑10‑CM specificity guidance, and clinical scenario‑based learning
• Participate in pod meetings, RMO sessions, and practice‑facing touchpoints to deliver vignette‑style CDI education and reinforce documentation best practices
• Design and maintain practice‑specific education plans based on coding data, RAF trend analysis, and recapture opportunity outputs
• Support provider understanding of point‑of‑care tools, suspect delivery outputs, and documentation expectations tied to CDI (Clinical Documentation Integrity) program goals
• Respond to education needs and engagement escalations for practices with persistent documentation gaps
• Monitor performance against practice‑specific education plans, and propose and act upon improvement plans
• Lead provider‑facing webinars and educational sessions

• Build and maintain the CDI clinical content library, including condition‑specific advisories, documentation tip sheets, and slide‑ready education modules, for use by RMO and CDI staff
• Develop specialty‑specific and prevalence‑adjusted educational materials that align with CMS documentation standards and reflect real clinical scenarios
• Collaborate with the VP, CDI & Coding Operations and QA Lead to ensure all clinical content reflects current coding guidelines and risk adjustment requirements
• Support the creation of provider‑facing survey content, webinars, and self‑service education resources within the CDI SharePoint knowledge hub

• Conduct concurrent documentation reviews, evaluating clinical support for active diagnoses and identifying documentation gaps prior to or following encounters
• Review coding outputs against clinical documentation to assess accuracy, specificity, and completeness; flag discrepancies for QA escalation or provider follow‑up
• Apply MEAT criteria in documentation review; identify conditions requiring addendum, query, or provider education
• Contribute to the development of concurrent review workflows and eligibility criteria in coordination with the CDI Operations Lead and VP

• Partner with RMOs, market medical directors, and practice‑facing staff to align education delivery with population health and performance priorities
• Coordinate with the CDI Operations Lead for EMR access needs and workflow logistics for education and review activities
• Track and report on education delivery, concurrent review activity, and provider engagement outcomes against established benchmarks
• Escalate compliance concerns, coding accuracy issues, and documentation risks to the VP, CDI & Coding Operations in a timely manner

• Bachelor’s degree in Health Information Management, Nursing, Healthcare Administration, or a related clinical or health sciences field preferred

• 5+ years of experience in clinical documentation integrity, coding operations, risk adjustment, or a related field
• Demonstrated…