CDI Specialist-Lead

Join Trillium Family Services - Make a Difference in Young Lives and FamiliesCDI Specialist - LeadDepartment: Health Information Management Schedule: Full-Time, 40 hours per week Compensation: Starting at $25.00 per hour Work Location: Remote (Must reside in or be able to work from Portland or Corvallis) Position Summary The CDI Specialist-Lead is a CDI-certified coding professional responsible for designing, implementing, and sustaining the organization's Clinical Documentation Improvement (CDI) and Data-Driven Integrity (DDI) program. This role ensures accurate, complete, and compliant clinical documentation and coding practices across the organization. The CDI Specialist-Lead establishes documentation standards, develops and delivers provider education, monitors key DDI metrics, and partners with clinical and coding teams to enhance documentation quality. This position plays a critical role in improving capture of primary diagnoses, supporting accurate reimbursement, reducing administrative burden on providers, and maintaining high standards of regulatory compliance and data integrity. Key Responsibilities Lead the development, implementation, and ongoing management of the CDI and DDI program. Establish and maintain clinical documentation standards aligned with ICD-10-CM, CPT, HCPCS, and payer guidelines. Monitor and analyze documentation and coding trends; identify opportunities for improvement. Develop and deliver educational initiatives and training materials for providers and clinical staff. Conduct documentation reviews to ensure accuracy, completeness, and regulatory compliance. Track and report key CDI/DDI metrics; recommend data-driven improvements. Collaborate with coding, compliance, clinical leadership, and revenue cycle teams. Support accurate capture of primary diagnoses and appropriate risk adjustment. Ensure adherence to state and federal regulations, payer requirements, and healthcare compliance standards. Reduce administrative burden on providers through workflow optimization and documentation clarity. Serve as subject matter expert for CDI-related initiatives and audits. Minimum Qualifications Current CDI certification (CDIP, CCDS, or equivalent). Strong knowledge of ICD-10-CM, CPT, and HCPCS coding guidelines. In-depth understanding of clinical documentation improvement principles and best practices. Familiarity with state and federal regulations, payer requirements, and healthcare compliance standards. Demonstrated ability to analyze clinical documentation and coding trends. Excellent written and verbal communication skills. Strong collaboration and stakeholder engagement skills. High School Diploma or equivalent required. Two-year Health Information Management (HIM) college-level program preferred. Preferred Experience Experience in a clinical coding role within a behavioral health or pediatric healthcare setting. Experience developing documentation standards or provider education programs. Experience implementing CDI programs or leading data quality initiatives. Experience monitoring and reporting documentation quality metrics. Proficiency with electronic health record (EHR) systems and coding software. Certificates, Licenses & RegistrationsRequired: CDI certification (CDIP, CCDS, or equivalent). Preferred: Certified Professional Coder (CPC) Certified Coding Specialist (CCS) Other relevant coding credentials Employees authorized to use their personal vehicle for agency business must maintain: A valid driver's license in their state of residence An acceptable driving record per agency standards Current personal automobile insurance coverage Compensation & Benefits: Full-time 40 hours per week schedule. Comprehensive employer-paid healthcare benefits for eligible employees 401k with 6% match Generous vacation and sick leave A supportive team environment dedicated to equity, compassion, and high-quality care. If you are ready to make a meaningful impact in the lives of children and families-and grow your career along the way-we'd love to hear from you. If you are ready to make a meaningful impact in the lives of children and families-and grow your career along the way-we'd love to hear from you. To take a behind-the-scenes look at our programs please visit our website atCreate a meaningful impact in the lives of others! Your journey to making a difference with Trillium Family Services starts now!Pay Equity: Please be advised that the pay range listed for this position is intended to provide general guidance on the earning potential for the role. However, actual compensation will be determined by the Oregon Equal Pay Law, which will take into account factors such as the candidate's relevant experience and education. Candidates should expect that initial offers will be made within the listed pay range and may not be at or near the top of the range. For physical demands of position, including vision, hearing, repetitive motion, and environment, contact the HR department. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care. Consideration of candidates is ongoing, and position may close after 3 business days of posted opportunity. Please contact the Human Resources Department if you need accommodation to review the information and/or complete the application process. Trillium Family Services is a drug-free workplace. All final applicants will be subject to a criminal record identification check pursuant to ORS 181.536.727.537 and agency policy. We are an Equal Opportunity Employer and Service Provider and support culturally linguistically diverse governance, leadership, and workforce.

Created: 2026-03-04