Director of Clinical Documentation Improvement

Overview

Under general direction, will be responsible for defining the strategy, operational framework, and service delivery model for inpatient CDI offerings. This role requires a deep understanding of acute care clinical documentation, DRG methodologies, coding guidelines, and regulatory requirements.

Responsibilities

• Develop and implement a comprehensive strategic plan for the inpatient/acute care CDI division, aligning with the company’s overall growth objectives.
• Define the scope of services, target market, and competitive differentiation for our CDI offerings.
• Establish key performance indicators (KPIs) and metrics to measure the success and impact of the CDI division.
• Operational Leadership & Team Building: Lead the recruitment, onboarding, training, and development of a high-performing CDI team, including CDI specialists, managers, and potentially coding professionals across the US, India, and the Philippines.
• Establish clear roles, responsibilities, and performance expectations for team members in different locations.
• Implement effective communication strategies and collaboration tools to foster a cohesive and productive global team environment.
• Provide ongoing coaching, mentorship, and performance management to team members.
• Service Delivery & Quality Assurance: Define and implement best-practice CDI workflows and processes for inpatient/acute care settings, focusing on DRG reviews and accurate reimbursement.
• Ensure compliance with all relevant coding guidelines, regulatory requirements, and client-specific protocols.
• Develop and implement robust quality assurance programs to monitor the accuracy and effectiveness of CDI reviews.
• Collaborate with technology teams to identify and implement CDI software and tools to enhance efficiency and effectiveness.
• Client Relationship Management: Serve as a subject matter expert and point of escalation for client-related CDI inquiries and concerns.
• Build and maintain strong relationships with key client stakeholders, understanding their specific needs and challenges.
• Establish and customize key performance indicators (KPIs) and metrics to measure the success and impact of the CDI solution for each client.
• Participate in client presentations and business development activities as needed.
• Work closely with the sales and account management teams to support the growth of the CDI division.
• Financial Performance & Reporting: Manage the budget and financial performance of the CDI division, ensuring profitability.

Qualifications

• Must train 15 – 18 offshore IP DRG coders to pass their CCDS certification.
• They must work a shift that matches that of the offshore staff (likely a night shift).
• Extensive experience is required.

Employment Details

• Seniority level: Director
• Employment type: Full-time
• Job function: Management
• Industries: Hospitals and Health Care and Outsourcing and Offshoring Consulting