Clinical Documentation Integrity Program Manager - Hybrid

🏥 Job Opening : Clinical Documentation Integrity Program Manager (SME) 📍 Location : Eastwood Quezon City - Hybrid 🏢 Company : Neolytix  🕒 Employment Type : Full-Time  💼 Department : Healthcare Operations / Clinical Quality  About Neolytix  Neolytix 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 Overview  This 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 Responsibilities  CDI Program Design & Governance  Develop 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 Leadership  Build 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 Support  Act 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 & Quality  Establish 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 Required  7+ 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    Preferred  Experience 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 & Benefits  Competitive 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 Offer  Competitive 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 JazzHR