Vice President, Transformation Services – Coding, CDI
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Job Description
Healthcare transformation executive leading coding and CDI initiatives for Med-Metrix. Advising healthcare organizations on revenue integrity, documentation, compliance, technology, and operational performance.
Responsibilities:
- Lead coding and CDI transformation assessments, solution development, and implementation initiatives across multiple client organizations
- Conduct workflow assessments, operational redesign, future-state operating model development, governance structuring, and strategic roadmap development
- Partner with Coding, CDI, HIM, Revenue Cycle, Compliance, Quality, Provider, Technology, Analytics, and executive leadership
- Assess current-state performance and identify operational and financial opportunities
- Develop strategies focused on revenue integrity, documentation improvement, compliance, quality, efficiency, and sustainability
- Serve as the primary transformation services liaison for assigned clients
- Build executive and operational relationships and facilitate alignment on priorities, risks, opportunities, and expected outcomes
- Develop and deliver strategic recommendations, action plans, and best practices
- Evaluate coding, CDI, analytics, workflow, automation, artificial intelligence, and digital technologies
- Support technology implementations, upgrades, conversions, and optimization initiatives
- Analyze operational, financial, quality, coding, CDI, and reimbursement data to identify trends, risks, performance gaps, and root causes
- Lead cross-functional transformation teams and establish governance, communication, accountability, and performance frameworks
- Provide executive-level oversight, reporting, presentations, and recommendations
- Measure project impact, outcomes, and return on investment
- Use, protect, and disclose patients’ protected health information only in accordance with HIPAA standards
- Limit viewing of PHI to the minimum necessary to perform assigned duties
- Perform other duties as assigned
Requirements:
- Bachelor's degree in Health Information Management, Healthcare Administration, Business Administration, Nursing, Clinical Sciences, or related field
- Current coding or HIM credential (RHIA, RHIT, CCS, CIC, CPC, or equivalent) and current CDI credential (CCDS, CDIP, or equivalent) required
- Minimum ten (10) years of progressive leadership experience in coding, CDI, revenue cycle, consulting, or related healthcare operations
- Demonstrated success leading large-scale healthcare transformation and performance improvement initiatives
- Expertise in coding, CDI, revenue cycle operations, reimbursement methodologies, compliance, technology optimization, and process improvement
- Experience with multiple EMRs, CAC platforms, CDI software solutions, automation tools, AI technologies, and analytics platforms
- Strong executive leadership, consulting, project management, and stakeholder engagement skills
- Demonstrated ability to lead client-facing engagements and influence executive stakeholders across multiple healthcare organizations
- Proficiency in Microsoft Office Suite
- Excellent written and verbal communication skills required
- Must possess a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
- Ability to perform the stated physical and mental demands of the role
- Ability to comply with Information Security and HIPAA policies and procedures
Benefits:
- Occasional travel may be required
- Employer-provided or required access to a smartphone or electronic device capable of downloading applications for multifactor authentication and security purposes
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