Director, CDI – Clinical Validation Services

CorroHealth

Director leading offshore clinical auditing and CDI operations for CorroHealth’s healthcare revenue-cycle solutions. Overseeing DRG validation, compliance, quality, teams, and U.S.

Posted 8/8/2026full-timeNoida • 🇮🇳 IndiaLeadWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in Clinical Documentation Improvement (CDI), DRG Validation, and compliance with ICD-10-CM/PCS guidelines. Proven ability to lead offshore teams, implement scalable operating models, and drive continuous improvement in audit quality and productivity.

Highest-signal resume keywords

Clinical Documentation Improvement (CDI)DRG ValidationICD-10-CM/PCS CompliancePayer Audit TrendsLeadership in Offshore Teams

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical AuditingRevenue IntegrityQuality AssuranceAudit CalibrationCoding GuidelinesKPI MonitoringContinuous ImprovementGovernance DevelopmentStandard Operating ProceduresHigh-Risk Diagnosis Validation

Soft Skills

MentoringCollaborationProblem-SolvingCommunicationTeam Leadership

Tools & Technologies

DashboardsReporting Tools

Certifications & Qualifications

RNMBBSMDCCSCPCRHIARHIT

Industry Keywords

ACDISAHIMACMSPayer StandardsAudit ConsistencyDenial PreventionSOI/ROM

About the role

Key responsibilities & impact

Lead offshore Clinical Audit and CDI operations, including DRG validation and clinical validation programs
Develop and implement scalable offshore operating models aligned with U.S. regulatory and payer standards
Establish governance, policies, and standard operating procedures consistent with ACDIS, AHIMA, CMS, and payer guidance
Drive continuous improvement in quality, productivity, and audit consistency
Oversee validation of high-risk diagnoses, including sepsis, AKI, acute respiratory failure, encephalopathy, and malnutrition
Ensure audit determinations are clinically valid, compliant, and defensible
Monitor and address over-coding and under-coding risks
Serve as the final escalation point for complex clinical validation issues
Lead large offshore teams of clinical auditors, CDI specialists, managers, and supervisors
Support hiring, onboarding, training, and ongoing competency development
Maintain audit calibration, quality assurance, and peer review processes
Mentor leadership team members to build long-term delivery capability
Partner with U.S. onshore directors, VPs, and client leadership
Support onboarding and expansion of new client programs
Participate in executive-level discussions regarding audit outcomes, trends, and performance
Ensure offshore delivery aligns with client-specific workflows and expectations
Ensure compliance with ICD-10-CM/PCS guidelines, Coding Clinic, and DRG logic
Monitor KPIs for audit accuracy, productivity, turnaround time, SOI/ROM impact, and financial and denial-prevention outcomes
Deliver structured reporting and dashboards to onshore leadership

Requirements

What you’ll need

Required clinical or coding credential: RN/MBBS/MD, CCS/CPC/RHIA/RHIT
8+ years of experience in CDI, clinical auditing, DRG validation, or revenue integrity
3+ years in a senior leadership role such as Senior Manager, Associate Director, or Director
Strong expertise in DRG validation and clinical validation
Strong expertise in SOI/ROM
Strong expertise in ICD-10-CM/PCS and Official Coding Guidelines
Strong expertise in payer audit and denial trends
Demonstrated experience leading offshore teams
Ability to work at a computer terminal for 6–8 hours per day
Ability to function in an environment with constant interruptions
Ability to sit for prolonged periods
Ability to lift and move materials weighing up to 20 lbs. infrequently

Benefits

Comp & perks

Professional development and personal growth opportunities
Long-term career development through investment in team members