you should be able to use the Java API to edit the decision table content. There are two sample project closely related with your topic:
ODM_HOME\teamserver\samples\servercopydecisiontable
ODM_HOME\teamserver\samples\serverbaselinesdiff
I think the most important API in the sample code that you should pay close attention is this class "IlrDTModel":
https://www.ibm.com/support/knowledgecenter/SSQP76_8.10.x/com.ibm.odm.dserver.rules.ref.designer/html/api/html/ilog/rules/dt/model/IlrDTModel.html
From this document, you can find following statement:
This interface provides the API to do the following for the decision table or decision tree model:
create the structure
edit the content
visit the model
Therefore, you should be able to use this API to edit the decision tables. You can find much more sample code in the sample project.
#OperationalDecisionManager(ODM)#Support#SupportMigration