[Hiring] Director Clinical Documentation Integrity @Quorum Health

Role Description

The Clinical Documentation Integrity Specialist Director has a key role in the Mid-Revenue Cycle operations. The CDI Director leads CDI strategy, planning, development, implementation, and maintenance of a best-in-class CDI program with demonstrated value to the organization. The CDI Director initiates, executes, and manages projects associated with Mid Revenue Cycle and CDI initiatives and goals. The CDI Director maintains and facilitates processes aligned with regulatory and legal requirements.

• Directs and manages the Clinical Documentation Integrity team with the development, implementation, and maintenance of CDI processes, policies, education, productivity, and daily operations.
• Leads CDI strategy and planning at the corporate level under the scope of executive leadership.
• Manages, leads, and is accountable for Mid Revenue Cycle/CDI projects.
• Demonstrates extensive knowledge of APC, DRG, and APR-DRG classification and reimbursement structures, ICD-10-CM, and ICD-10-PCS.
• Collaborates with Coding and HIM leadership to maximize team engagement, support, and outcomes.
• Builds and maintains productive inter/intra departmental and vendor work relationships to optimize operations.
• Promotes physician and provider education, engagement, and collaboration at the corporate and facility levels.
• Represents CDI on multidisciplinary committees and work groups (e.g., Case Management, Utilization Review, HIM/Coding, Quality).
• Leads and participates in leadership meetings to provide facilitation, subject matter expertise, and share best practices, revise policies and procedures, follow-up on action plans and identified opportunities, and modify workflows.
• Regularly reports CDI performance, value, and impact to facility and corporate leadership.
• Demonstrates proficiency at data collection, analysis, and reporting.
• Displays ability to speak publicly and in key instances to executive leadership as well as at the point of contact at the facility level.
• Promotes a culture of collaboration between hospital leadership and shared service professionals.
• Leads by example and adherence to the ACDIS CDI Code of Ethics and AHIMA Standards of Ethical Coding, and the ACDIS/AHIMA CDI Practice Brief.
• Develops, implements, and monitors CDI processes to maximize efficiency and proficiency, demonstrating value to the organization.
• Develops and monitors strategic operating goals, objectives, and budget; and reports operational performance, justification, and/or corrective action.
• Oversees compliance with government and agency regulations.
• Other duties as assigned.

Qualifications

• Graduate from a Nursing program, BSN, or Clinical area of study.
• Master Degree in clinical, business, or leadership course of study required.
• Current state Registered Nurse license.
• Certification in CDI is strongly preferred.
• Preferred: 5 years’ experience in a clinical course; 2-3 years’ experience in management.
• The ideal candidate will have clinical documentation experience in an acute care facility, be certified in CDI, be Masters level prepared, and have sound understanding of the scope and breadth of the position.
• This is a remote position.