Clinical Documentation Integrity Program Manager

Clinical Documentation Integrity Program Manager - Hybrid Neolytix Quezon City, National Capital Region, Philippines Clinical Documentation Integrity Program Manager - Hybrid Neolytix Quezon City, National Capital Region, Philippines 1 month ago Be among the first 25 applicants Job Opening: Clinical Documentation Integrity Program Manager (SME)Location: Eastwood Quezon City - HybridCompany: NeolytixEmployment Type: Full-TimeDepartment: Healthcare Operations / Clinical QualityAbout NeolytixNeolytix is a tech-enabled healthcare services company focused on delivering impactful solutions across medical billing, credentialing, contact center support, virtual assistant staffing, and AI-driven automation. We support healthcare provider organizations across the U.S. with a focus on improving operational efficiency, compliance, and patient experience.We are expanding our Clinical Documentation Integrity (CDI) services and are looking for a highly experienced, entrepreneurial CDI Leader who can build and scale this function — with a focus on developing and managing an offshore delivery team.Role OverviewThis is a player-coach role for a Subject Matter Expert (SME) in Clinical Documentation Integrity who can:Create and implement CDI standards and best practices Collaborate with clients to understand documentation challenges and quality improvement needs Design scalable service delivery processes to be executed by an offshore team Hire, train, and lead offshore CDI specialists Establish metrics and governance for continuous improvement and regulatory compliance You will be the foundational leader of this service line and instrumental in its strategic growth.Key ResponsibilitiesCDI Program Design & GovernanceDevelop CDI protocols, policies, and documentation improvement strategies for provider organizations Lead implementation of CDI services for new clients, including documentation audits, gap analysis, and recommendations Ensure adherence to industry standards (AHIMA, ACDIS) and payer documentation requirements Operational LeadershipBuild scalable workflows and SOPs for offshore CDI operations Select, train, and mentor offshore CDI team members to ensure service quality Define KPIs and build performance dashboards to monitor team effectiveness and documentation impact Client Engagement & SME SupportAct as the SME on all client interactions regarding documentation improvement strategies Collaborate with physicians, HIM staff, coders, and revenue cycle teams to align documentation with coding and compliance Provide education and feedback sessions to clients and internal teams Compliance & QualityEstablish quality audit programs to ensure CDI work meets client expectations and regulatory standards Stay abreast of CMS, HCC, risk adjustment, and inpatient/outpatient CDI changes and best practices Contribute to technology adoption for CDI (e.g., NLP tools, clinical data insights) Qualifications Required7+ years of progressive experience in Clinical Documentation Improvement, with experience across both inpatient and outpatient settings Deep understanding of CDI workflows, risk-adjusted payment models (e.g., HCC), and coding/documentation best practices Experience working with or leading remote/offshore teams CCDS, CDIP, RHIA, RHIT, or relevant certifications strongly preferred Experience collaborating directly with providers and RCM teams Excellent communication and training skills PreferredExperience in setting up CDI programs from the ground up Familiarity with AI-enabled CDI tools, clinical NLP solutions, or EHR-integrated documentation improvement software Prior experience in a healthcare BPO or MSO environment Why Join Neolytix?Help build a CDI center of excellence from the ground up Work in a highly entrepreneurial environment that values innovation and ownership Contribute to the transformation of clinical documentation for healthcare providers nationwide Be part of a growing, tech-enabled healthcare services company with global operations Compensation & BenefitsCompetitive base salary + performance bonuses Remote work flexibility with occasional travel Health, dental, and retirement benefits Opportunity to grow into a senior leadership position as the CDI service line scales What We OfferCompetitive compensation package Hybrid work flexibility (mix of remote and in-office) Collaborative, mission-driven team culture Opportunities for career development and CDI certification support Comprehensive benefits including HMO, Leave Credits Powered by JazzHRDKpdPVoW90 Seniority level Seniority level Mid-Senior level Employment type Employment type Full-time Job function Job function Project Management and Information Technology Industries Internet Publishing Referrals increase your chances of interviewing at Neolytix by 2x Sign in to set job alerts for “Clinical Program Manager” roles. Clinical and Compliance Officer (AU Healthcare, Hybrid) Mandaluyong, National Capital Region, Philippines 2 weeks ago Quezon City, National Capital Region, Philippines 2 weeks ago Clinical Operations Manager - Health Insurance Account - BRIDGETOWNE (URGENT) Quezon City, National Capital Region, Philippines 1 week ago Adjunct Faculty - College of Nursing (San Mateo Campus) San Mateo, Calabarzon, Philippines 1 month ago GRRI: Marketing Engagement Associate (Cavite) We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr