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CDI Optimization Specialist

Role overview

Qualifications

  • Active RN license or another relevant clinical license
  • At least three years of clinical documentation integrity experience
  • CCDS, CDIP or CCS credential
  • Demonstrated skill in Excel analysis, CDI workqueue interpretation and workflow improvement

Responsibilities

  • Inventory staffing, schedules, vacancies, organizational structure and work distribution across corporate, regional and local CDI teams
  • Analyze initial and subsequent review volumes, productivity, coverage, backlog and case complexity; reconcile variation before recommending targets
  • Build demand-based staffing models and coverage scenarios that identify duplication, avoidable handoffs and opportunities for regional load balancing
  • Redesign review sequencing and prioritization in partnership with the clinical and workflow specialists

Key facts

  • Remote from: Anywhere
  • Full time
  • English

Hard skills

Other skills

  • Microsoft Excel
  • Coaching

About the company

YES HIM Consulting, Inc. logo

YES HIM Consulting, Inc.

Business Consulting & Services

YES HIM Consulting, Inc. is a premier HIM coding consulting firm with over 70+ HIM coding credentialed employees serving a variety of clients nationwide. Our team members average 20+ years of experience in HIM coding and hold numerous credentials including RHIA, RHIT, CCS, CCS-P, CPC, CDIP and PMP. Our services to our clients include inpatient/outpatient/profee coding compliance audits, CDI mismatch reviews, profee front end edits and back end rejection edits, coding education and training, new coder mentoring, remote coding, and payor denial letter appeals, coder assessments. What YES stands for? YES is an abbreviation for Youmans Executive Source. Our goal at YES is to truly become a partner with our health information management clients. We provide our clients with tailored solutions, excellent communication and the industry expertise to meet their goals.

Company details

IndustryBusiness Consulting & Services
Company size51 - 200

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Job description

Job Type Full-time Description

Sage Clinical RCM is seeking a CDI Optimization Specialist to lead the workforce, productivity and regional operations workstream for a large enterprise CDI transformation. This role will convert facility-level demand and performance data into a practical staffing model, consistent productivity expectations and sustainable regional operating routines.

The initial assignment supports a planned October 15, 2026 through October 14, 2028 engagement, with core implementation targeted by Month 18 and transition and sustainability work continuing through Month 24. Project allocation will vary by phase, and the successful candidate may support related Sage client work as capacity allows.

What you will do

· Inventory staffing, schedules, vacancies, organizational structure and work distribution across corporate, regional and local CDI teams.

· Analyze initial and subsequent review volumes, productivity, coverage, backlog and case complexity; reconcile variation before recommending targets.

· Build demand-based staffing models and coverage scenarios that identify duplication, avoidable handoffs and opportunities for regional load balancing.

· Redesign review sequencing and prioritization in partnership with the clinical and workflow specialists.

· Implement approved productivity scorecards, coaching thresholds and escalation routines, and train managers to use the tools consistently.

· Support regional coverage changes while monitoring physician query burden and downstream effects on coding and pre-bill teams.

· Maintain evidence supporting executive staffing decisions and recommend corrective action when quality, coverage or workload stability is at risk.

Requirements

Required qualifications

· Active RN license or another relevant clinical license.

· At least three years of clinical documentation integrity experience.

· CCDS, CDIP or CCS credential.

· Demonstrated skill in Excel analysis, CDI workqueue interpretation and workflow improvement.

· Ability to explain staffing assumptions clearly and coach operational leaders through change.

Preferred qualifications

· Multi-facility CDI management experience.

· Epic reporting or workflow experience.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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