City of Hope · 1 month ago
System Director, Clinical Documentation Improvement (CDI) and Coding
United States
Full-time
Remote
Director/Executive
7+ years expCity of Hope is a transformative organization dedicated to changing lives in the fight against cancer and other life-threatening illnesses. The System Director of Clinical Documentation Improvement (CDI) and Coding is responsible for strategic leadership and oversight of CDI, Coding, and Data Quality functions, ensuring accurate documentation and coding to support optimal patient care and clinical outcomes.
AssociationEducationHealth Care
Responsibilities
Leads system-wide strategic initiatives to ensure accurate, complete, and compliant clinical documentation, coding, and data quality to support regulatory compliance, revenue integrity, and improved patient care outcomes
Acts as a liaison between Health Information Management, CDI professionals, coding teams and providers to ensure accurate and complete documentation that supports accurate coding, data abstraction, capture of clinical acuity, severity of illness, risk of mortality, and appropriate DRG assignment
Designs and delivers targeted, ongoing education for the CDI and coding teams, as well as providers, to bridge the gap between clinical language and documentation requirements – ensuring accurate, compliant, and meaningful documentation
Participates in key committees and workgroups – including Case Management/Utilization Management, Sepsis, Quality Assurance & Improvement, Complication/PSI Coding, CDI workgroup, CDI Governance, Alliance of Dedicated Cancer Centers (ADCC) Medical Record Documentation Committee and Denial Management to support documentation integrity, compliance and quality initiatives
Conducts second-level and quality reviews on cases escalated to include cases referred by CDI and coding query processes, HIM Leadership and other healthcare professionals to ensure regulatory compliance in accordance with the hospital objectives for quality patient care and effective, efficient utilization of services
Qualification
Required
Bachelor's degree in health-related field (Nursing, Health Information Management)
7 years of management experience in CDI, Health Information Management and/or inpatient coding
Clinical Documentation Improvement Training
Currently licensed as a Registered Nurse, RHIA, CCS, CDIP or CCDS
CDI and/or Coding Management experience
Demonstrated leadership, people management, and team building skills
Ability to develop and implement strategic plans
Excellent oral and written communication skills
A broad knowledge base of health care delivery and case management within a managed care environment
Comprehensive knowledge of CDI/Coding
Must have excellent time management skills to develop organized work processes in a high-volume environment with rapidly changing priorities
Ability to interact effectively with internal and external constituents using collaboration and customer service skills that promote excellence
Excellent negotiation skills
Customer service oriented
Demonstrated confidence, initiative, and integrity in work practices
Goal-directed and well organized
Preferred
EPIC
Solventum
CDI/Coding software
Awareness of healthcare reimbursement systems: HMO, PPO, PPS, CMS preferred
Company
City of Hope
City of Hope is a cancer research and treatment non-profit organization specializing in diabetes and other life-threatening illnesses.
10001+ employees
Funding
Current Stage
Late StageTotal Funding
$10.3MKey Investors
California Institute for Regenerative Medicine
2024-05-20Grant· $5.4M
2022-02-22Grant· $4.9M
Leadership Team
Samuel Lau
Vice President Marketing & Digital Communications
Alan H. Bryce
Chief Clinical Officer
Recent News
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