Senior Director, Revenue Cycle - Clinical Documentation Integrity jobs in United States
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Scripps Health · 3 days ago

Senior Director, Revenue Cycle - Clinical Documentation Integrity

Scripps Health is a leading health system with a strong commitment to quality care and operational excellence. The Senior Director, Revenue Cycle – Clinical Documentation Integrity is responsible for providing strategic leadership and operational oversight for systemwide coding, clinical documentation integrity, and health information management, ensuring the integrity of clinical and financial data across the organization.

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H1B Sponsor Likelynote

Responsibilities

Provide strategic leadership for CDI, Coding, and HIM operations across inpatient, outpatient, and professional fee environments to ensure accuracy, integrity, and compliance
Oversee professional fee and hospital coding operations, ensuring consistent application of CPT, HCPCS, and ICD-10 coding standards
Drive cross-continuum collaboration between CDI, coding, clinical operations, and physician practices to enhance documentation quality and revenue integrity
Leverage professional fee expertise to optimize workflows, coding accuracy, and payer compliance for physician and ambulatory services
Utilize data-driven decision-making and Lean management principles to improve productivity, reduce variation, and strengthen process efficiency
Partner with clinical, IT, and operational leaders to implement a systemwide roadmap for technology-enabled improvements that reduce provider burden and enhance documentation quality
Ensure compliance with all federal, state, and payer requirements while maintaining a culture of integrity, accountability, and continuous improvement
Serve as the executive sponsor for enterprise HIM and documentation strategy, driving innovation and standardization across the care continuum

Qualification

Clinical Documentation IntegrityRevenue Cycle ManagementCoding StandardsHealth Information ManagementData-driven Decision MakingLean Management PrinciplesEHR OptimizationProject ManagementAnalytical SkillsRelationship ManagementProcess ImprovementTechnical ProficiencyStrategic PlanningCommunication SkillsCross-functional Collaboration

Required

Bachelor's degree in Health Information Management, Business, Finance, or a related healthcare field
Minimum of 10 years of progressive experience in healthcare revenue cycle operations, including at least 5 years in senior leadership within a multi-hospital or integrated health system
Demonstrated success leading large-scale coding, clinical documentation integrity (CDI), or health information management (HIM) operations
Deep knowledge of professional fee and hospital revenue cycle processes, including payer requirements, reimbursement methodologies, and compliance regulations (Federal, State, County, and Commercial)
Proven experience in operations redesign, process improvement, and project management, with a strong focus on data-driven performance improvement
Expertise in clinical documentation integrity program development, physician engagement, and cross-functional collaboration
Exceptional analytical, critical-thinking, and communication skills, with the ability to influence at all levels of the organization

Preferred

Master's degree in Business Administration, Healthcare Administration, Finance, or related field
Experience with Epic or other large-scale electronic health record (EHR) and revenue cycle platforms
Professional certification(s) through AHIMA or AAPC, such as: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder)
Comprehensive understanding of ICD, CPT, and HCPCS coding systems, MS-DRG/APR-DRG methodologies, and risk adjustment/HCC principles
Strong technical proficiency and experience in professional fee/physician services operations, analytics, and reporting

Company

Scripps Health

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Scripps Health is a nonprofit health care system based in San Diego, California.

H1B Sponsorship

Scripps 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 (3)
2024 (2)
2023 (7)
2022 (1)
2021 (2)
2020 (4)

Funding

Current Stage
Late Stage
Total Funding
$0.44M
Key Investors
National Institutes of HealthHearst Foundations
2024-12-05Grant· $0.32M
2022-01-19Grant· $0.12M

Leadership Team

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Clark Kegley
Chief Technology Officer
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Company data provided by crunchbase