[Hiring] CDI Specialist @Trillium Family Services
Role Description The CDI Specialist–Lead is a CDI-certified coding professional responsible for designing, implementing, and sustaining the organization’s Clinical Documentation Improvement (CDI) and Data-Driven Integrity (DDI) program. This role ensures accurate, complete, and compliant clinical documentation and coding practices across the organization.
- Lead the development, implementation, and ongoing management of the CDI and DDI program.
- Establish and maintain clinical documentation standards aligned with ICD-10-CM, CPT, HCPCS, and payer guidelines.
- Monitor and analyze documentation and coding trends; identify opportunities for improvement.
- Develop and deliver educational initiatives and training materials for providers and clinical staff.
- Conduct documentation reviews to ensure accuracy, completeness, and regulatory compliance.
- Track and report key CDI/DDI metrics; recommend data-driven improvements.
- Collaborate with coding, compliance, clinical leadership, and revenue cycle teams.
- Support accurate capture of primary diagnoses and appropriate risk adjustment.
- Ensure adherence to state and federal regulations, payer requirements, and healthcare compliance standards.
- Reduce administrative burden on providers through workflow optimization and documentation clarity.
- Serve as subject matter expert for CDI-related initiatives and audits.
Qualifications
- Current CDI certification (CDIP, CCDS, or equivalent).
- Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines.
- In-depth understanding of clinical documentation improvement principles and best practices.
- Familiarity with state and federal regulations, payer requirements, and healthcare compliance standards.
- Demonstrated ability to analyze clinical documentation and coding trends.
- Excellent written and verbal communication skills.
- Strong collaboration and stakeholder engagement skills.
- High School Diploma or equivalent required.
- Two-year Health Information Management (HIM) college-level program preferred.
Requirements
- Experience in a clinical coding role within a behavioral health or pediatric healthcare setting.
- Experience developing documentation standards or provider education programs.
- Experience implementing CDI programs or leading data quality initiatives.
- Experience monitoring and reporting documentation quality metrics.
- Proficiency with electronic health record (EHR) systems and coding software.
Certificates, Licenses & Registrations
- Required: CDI certification (CDIP, CCDS, or equivalent).
- Preferred: Certified Professional Coder (CPC)
- Preferred: Certified Coding Specialist (CCS)
- Other relevant coding credentials
Benefits
- Full-time 40 hours per week schedule.
- Comprehensive employer-paid healthcare benefits for eligible employees.
- 401k with 6% match.
- Generous vacation and sick leave.
- A supportive team environment dedicated to equity, compassion, and high-quality care.
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