Director, PRMO Clinical Documentation Integrity
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Job Description
Director of Clinical Documentation Improvement overseeing CDI functions in healthcare revenue cycle organization. Ensures documentation integrity, coding accuracy, quality outcomes, and regulatory compliance.
Responsibilities:
- Provide strategic and operational leadership for all CDI functions across the health system
- Develop and implement CDI strategies that support documentation integrity, quality outcomes, reimbursement optimization, regulatory compliance, and clinical validation
- Collaborate with physician leadership, Hospital Coding, Case Management, Quality, Compliance, Information Technology, and Revenue Cycle teams to improve documentation accuracy and operational performance
- Lead provider education and engagement initiatives related to clinical documentation standards, regulatory requirements, quality metrics, and reimbursement methodologies
- Oversee CDI technology initiatives, including AI-enabled CDI tools, analytics platforms, EHR optimization, and provider documentation template/content support
- Monitor and analyze CDI performance metrics including CMI, SOI/ROM, query activity, quality indicators, and reimbursement impact to drive continuous improvement
- Ensure CDI policies, procedures, workflows, and internal controls comply with organizational, state, and federal requirements
- Lead, develop, and support CDI staff through performance management, training, and professional development initiatives
- Manage departmental budget, vendor relationships, staffing resources, and operational priorities
- Support organizational culture initiatives that promote collaboration, accountability, diversity, equity, inclusion, and continuous improvement
Requirements:
- Bachelor’s degree required
- Eight years of progressive healthcare management, CDI, Hospital Coding, revenue cycle, or consulting experience required
- At least five years must include leadership responsibility for people, programs, or projects
- Preferred experience with Vizient methodology and quality performance metrics
- Preferred experience with AI-enabled CDI technologies and workflow optimization tools
- Preferred experience with provider documentation template/content build and EHR optimization
- Preferred experience with physician engagement and education initiatives
- Preferred experience with clinical validation processes
Benefits:
- Health insurance
- Professional development opportunities
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