CRM Manager- Clinical Documentation Integrity

At Kodiak Solutions, we’re dedicated to transforming the healthcare industry through cutting-edge, technology-driven solutions. We specialize in healthcare finance, unclaimed property, risk management, and revenue cycle management, helping healthcare organizations streamline complex financial operations. Our mission is to simplify and optimize processes, so healthcare providers can focus on delivering excellent patient care.

Powered by our innovative platform, we offer cloud-based systems, automated workflows, and advanced data management tools designed to address the unique challenges in healthcare. Whether it's improving revenue cycle efficiency, navigating unclaimed property issues, or mitigating risk, our platform delivers real-time, actionable insights to drive better outcomes.

• Manage daily operations of customer-facing CDI projects across inpatient and/or outpatient settings.
• Ensure high-quality execution of all clinical deliverables, including CDI assessments, medical record reviews, and provider education initiatives.
• Develop and implement CDI policies, procedures, and workflows aligned with best practices.

• Serve as a clinical subject matter expert in documentation integrity, coding compliance, and regulatory standards.
• Advise client leadership and provider teams on best practices for CDI, medical necessity, and accurate coding.
• Promote a culture of clinical excellence, integrity, and client success.

• Develop and deliver educational programs for providers, clinical staff, and coding teams to improve documentation quality and compliance.

• Collaborate with Kodiak and client teams to design and implement project plans, governance frameworks, and change management strategies.
• Facilitate project meetings and ensure timely follow-up on action items to maintain momentum and accountability.
• Monitor project scope and identify opportunities for contract amendments, supporting their development and execution.

• Serve as the primary liaison between internal and external stakeholders on CDI engagements.

• Establish and monitor CDI performance metrics including query volume, query quality, response rates, CC/MCC capture, SOI/ROM, DRG distribution, and quality impacts.
• Analyze CDI data and trends to identify opportunities for improvement.
• Prepare and present reports to internal and external executive leadership.

• Participate in benefit tracking and ROI analysis related to CDI and revenue integrity initiatives.

• Education: A bachelor’s degree in business or a health-related field is required (an MBA, MHA, and/or MPH is highly desirable). 
• Experience: Minimum of 5 to 7 years of CDI experience with at least 2 years in a leadership or supervisory role.
• Consulting Expertise: Previous experience in a professional services or consulting role is essential, demonstrating a proven track record in delivering client-focused solutions. 
• Technical Proficiency & Certification:
  • Registered Nurse (RN), RHIA, RHIT, CCS, CIC, CCDS, CDIP, CPC or equivalent clinical/coding credential required.
  • Strong working knowledge of CMS guidelines, documentation requirements, and coding standards including:
    • ICD-10-CM/PCS coding concepts
    • MS-DRG methodology
    • SOI/ROM, quality measure, and risk adjustment

• Leadership & Project Management: Proven ability to lead interdisciplinary teams and manage multiple projects simultaneously.
• Analytical & Financial Skills:
  • Must have extreme attention to detail and ability to work independently with a team-oriented environment.
  • Strong analytical and financial acumen, with experience in benefit tracking and ROI analysis.

• Communication Skills: Excellent communication skills, with the ability to educate and influence clinical and non-clinical stakeholders.
• Travel Requirements: Willingness to travel up to 25% to client sites, as needed.