Team Lead, Clinical Documentation Improvement

Hours of Work :

Days Of Week :

Work Shift :

Job Description :

Job Purpose: 

The Team Lead of clinical documentation improvement (CDI) is responsible for day-to-day coordination and supervision of the CDI team within the parameters defined by the Department Director. The responsibilities include assignment of duties, assistance with quarterly performance reviews, training and on-boarding of new CDI team members, performing audits and second-level chart reviews, compiling power point presentations and delivering physician education on clinical documentation improvement, as well as assisting CDI and coding with DRG reconciliation process. In the absence of the director, the Team Lead will take on the responsibilities of planning, managing, coordinating and performing day-to-day operations of the clinical documentation improvement department.
 

Education:   

Graduate from an accredited school of nursing. Bachelor’s degree.

Licenses and/or Certifications (Required and Preferred):

RN, CCDS/CDIP required; CCS preferred, not required

Related Work Experience and Other Skills:

Minimum 5 years experience in Clinical Documentation Improvement with expert-level knowledge and mastery of the entire CDI scope of duties.

Physical Demands and Work Environment:

All of the work is done using a PC in an office or home office environment. This position requires sitting or standing (depending on the desk used) for extended periods of time; usage of keyboard and monitor(s).                                                

Job Roles

1) Assist with daily CDI operations, including monitoring of CDI team's productivity, compliance with legal/ethical requirements and quality improvement initiatives.

2) Provide input to CDI Director in the review and evaluation of staff performance appraisals and personnel issues.

3) Conduct second-level reviews for CDI, coding and quality teams.

4) Compile and deliver CDI-related education to healthcare providers, CDI team and other departments.

5) Coordinate initial training for new hires as well as education for existing staff, when there are changes in process/technology. Monitor and address technical difficulties experienced by staff and assist with 3M 360 software prioritization tool retune.

6) Identify CDI opportunities by prescreening charts and assign charts to CDI staff.

7) Monitor CDI workflow and resolve accounts from work-queues using departmental prioritization rules and deadlines.

8) Supervise CDI daily chart review process and provide guidance to CDI team's questions in secure chat.

9) Conduct CDI team chart review audits biannually.

10) In the absence of the director, the Team Lead will take on the responsibilities of planning, managing, coordinating and performing day-to-day operations of the clinical documentation improvement department

 Other duties as assigned.

Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we’ve earned:

• Great Place to Work Certified 2026-2027

• Glassdoor’s Best Places to Work 2025 & 2026

• Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026

• TIME’s Best Companies for Future Leaders 2025 & 2026

• Newsweek’s America’s Most Admired Workplaces 2026

• Glassdoor’s Best-Led Companies 2025

• Fortune Best Workplaces in Health Care 2025

• Military Friendly Gold Employer 2025

• Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025

• Newsweek’s Americas Greatest Workplaces 2025