LCMC Health · 3 weeks ago
System Director, IP Coding & CDI
New Orleans, LA
Full-time
Onsite
Director/Executive
7+ years expLCMC Health is a healthcare organization that includes multiple medical centers and clinics. The Director, System CDI and Hospital Inpatient Coding is responsible for leading the Clinical Documentation Integrity program and Inpatient Coding functions to ensure accurate clinical documentation, compliance with regulations, and improved patient outcomes.
Health CareHealth DiagnosticsHospitalMedical
Responsibilities
Develop, implement, and monitor the CDI and Inpatient Coding strategies in alignment with organizational goals, regulatory requirements, and industry best practices
Recruit, hire, train, mentor, and evaluate CDI specialists and inpatient coders
Manage and optimize the daily operations of the CDI program, including concurrent and retrospective review processes
Develop and deliver education to physicians and other clinicians on documentation best practices, effective query writing, and the impact of documentation on quality, risk adjustment, and reimbursement
Oversee the physician query process, ensuring queries are clear, concise, compliant, and lead to documentation specificity for accurate code assignment
Monitor CDI metrics, identify trends, and implement interventions to improve documentation accuracy and completeness
Proactively engage clinicians to ensure documentation accurately captures present on admission (POA) indicators for Hospital-Acquired Conditions (HACs) and Patient Safety Indicators (PSIs)
Educate providers on the importance of documenting comorbidities to accurately reflect Severity of Illness (SOI), Risk of Mortality (ROM), Elixhauser Comorbidity Index, and Hierarchical Condition Categories (HCCs) for appropriate risk adjustment and quality metrics
Collaborate with Quality, Risk Management, and Case Management to ensure documentation supports patient care initiatives and reporting
Oversee the inpatient coding team, ensuring accurate and timely assignment of ICD-10-CM/PCS codes, CPT codes, and other necessary codes for billing and data collection
Implement and maintain coding policies and procedures in compliance with AHA Official Guidelines for Coding and Reporting, CMS regulations, and other relevant payer requirements
Monitor coding accuracy, productivity, and denial rates related to coding. Develop and implement action plans to address discrepancies
Stay current with coding guidelines, regulatory changes, and industry updates, disseminating information to the team and adapting processes as needed
Ensure compliance with all federal, state, and payer-specific coding and documentation regulations
Prepare for and participate in internal and external audits related to coding and documentation. Implement corrective actions as required
Develop and conduct internal coding and documentation audits to identify areas for improvement and ensure data integrity
Daily communication and collaboration with Quality, Risk Management, Physician Advisors, Medical Staff leaders, Nursing, Revenue Cycle, Compliance, and Information Technology departments to achieve CDI and coding objectives
Collaborate specifically with Quality and Risk Management teams to identify documentation gaps impacting publicly reported quality measures, PSIs, and HACs
Serve as a subject matter expert for documentation and coding, providing guidance and support across the organization
Utilize and optimize health information systems, including Electronic Health Records (EHR), Computer Assisted Coding (CAC), and CDI software
Advocate for and implement technological solutions to enhance efficiency and accuracy in CDI and coding processes
Generate and analyze data reports related to CDI impact (e.g., CMI, MCC/CC capture rates), coding accuracy, productivity, and financial performance
Specifically monitor and report on documentation's impact on SOI, ROM, PSI and HAC rates, and risk adjustment methodologies including Elixhauser and HCCs. Present findings and recommendations to leadership
Qualification
Required
A bachelor's degree in nursing or a closely related healthcare field is required
Registered Nurse is required
Certified Clinical Documentation Specialist (CCDS) or Clinical Documentation Improvement Practitioner (CDIP) required
Certified Coding Specialist (CCS) required
Minimum of 7-10 years of progressive experience in CDI roles within acute care multi-facility organization to include an academic medical center
Inpatient coding and/or CDI roles within an acute care hospital setting to include an academic medical center
Minimum of 5 years of leadership/management experience in CDI or inpatient coding
Extensive knowledge of ICD-10-CM/PCS coding guidelines, DRG reimbursement methodologies, and healthcare regulations
Demonstrated understanding of quality metrics, patient safety indicators (PSIs), hospital-acquired conditions (HACs), risk adjustment methodologies (e.g., Elixhauser, HCCs), and their impact on hospital performance
Proficiency with EHR systems, CDI software, and coding encoders
Preferred
Master's degree preferred
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred
Company
LCMC Health
LCMC Health is a provider of hospitals, medical centers & health centers for healthcare, medical diagnostics and treatment.
10001+ employees
H1B Sponsorship
LCMC Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (31)
Funding
Current Stage
Late StageLeadership Team
Greg Feirn
CEO
Recent News
New Orleans CityBusiness
2025-12-27
2025-12-03
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