Manager - Clinical Documentation Specialist

About the role

Our Deloitte Regulatory, Risk & Forensic team helps client leaders translate multifaceted risk and an evolving regulatory environment into defensible actions that strengthen, protect, and transform their organization. Join our team and use advanced data, AI, and emerging technologies with industry insights to help clients bring clarity from complexity and accelerate their path to value creation.

Responsibilities

• Lead clinical documentation improvement assessments, documentation reviews, and regulatory compliance analyses across inpatient service areas.
• Direct teams in evaluating medical records, diagnoses, treatments, and follow-up documentation to identify gaps, support coding accuracy, and improve reimbursement and quality outcomes.
• Develop and deliver education programs for physicians, clinical documentation improvement teams, health information management teams, and ancillary staff to improve documentation standards and adoption.
• Interpret clinical, coding, reimbursement, and quality analytics, and present benchmarks, trends, risks, and recommendations to physician leaders, executives, and other stakeholders.
• Manage client relationships, project workstreams, and team members to implement documentation improvement action plans, track progress, and report program outcomes.

Qualifications

• Bachelor's degree in nursing, medical degree, or physician assistant degree; current clinical licensure in the applicable discipline
• Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) certification
• 7+ years of experience in acute inpatient settings and clinical documentation improvement, utilization review, case management, health information management, coding, or physician advisor functions, including experience leading teams, workstreams, or client engagements
• Experience reviewing inpatient medical records and electronic medical record platforms (e.g., Epic, Cerner, etc.) to identify documentation gaps and support coding accuracy, regulatory compliance, and reimbursement
• Experience using clinical documentation, coding, and quality metrics, including Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined Diagnosis Related Groups (APR-DRG), patient safety indicators, hospital-acquired conditions, present on admission indicators, and risk adjustment measures
• Prior consulting, advisory, or multi-client engagement experience, preferably within a professional services or healthcare consulting environment
• Experience with physician query practice, denials and appeals, DRG validation/reconsideration, or payer (e.g., RAC, OIG, commercial) audit support
• Ability to travel up to 50%, on average, based on the work you do and the clients and industries/sectors you serve
• Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future
• Preferred: Master's degree in Clinical Informatics, Business Administration, Nursing, or another health field
• Preferred: Case management or medical coding certification, including Certified Risk Adjustment Coder (