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Medical College of Wisconsin · 1 day ago

Director, Revenue Integrity & Professional Billing Clinical Documentation Integrity (CDI)

Milwaukee, WI

Full-time

Onsite

Lead/Staff, Director/Executive

5+ years exp

The Medical College of Wisconsin is seeking a Director of Revenue Integrity & Professional Billing CDI, responsible for optimizing clinical documentation, professional billing accuracy, and revenue cycle performance. This strategic leader will oversee initiatives aimed at reducing denials, enhancing charge capture, and ensuring compliance with payer and regulatory requirements.

EducationHigher EducationMedical

Responsibilities

Lead and mentor teams including RNs, coders, documentation specialists, and managers across Denials Prevention, CDI, Provider Education, and Auditing

Foster a culture of accountability, collaboration, and continuous improvement

Conduct performance evaluations and support professional development

Oversee daily operations of CDI program

Ensure alignment with organizational goals, compliance standards, and payer requirements

Develop and implement strategies, policies, and procedures to improve revenue cycle performance

Optimize Epic clinical documentation templates and functionality for accurate charge capture

Develop specialty-specific education programs to improve documentation, coding and billing accuracy

Ensure adherence to industry regulations, coding guidelines, and reimbursement methodologies

Serve as a subject matter expert related to clinical documentation and provide education and training as needed

Utilize data analytics to identify trends, monitor KPIs, and drive performance improvements

Develop dashboards and reports to communicate program impact and opportunities

Lead cross-functional meetings and present outcomes to senior leadership

Collaborate with compliance, coding, clinical, and revenue cycle leadership

Serve as liaison between providers, coders, and operational teams

Qualification

Clinical Documentation ImprovementEpic DocumentationData AnalyticsLeadershipRevenue Cycle ManagementCPTICD-10 KnowledgeExcelTableauPower BIPersuasive CommunicationMulti-taskingProvider EducationCollaboration

Required

Bachelor's degree in Nursing, Health Information Management, Healthcare Administration, Program Management or related field

Five (5) years of leadership experience in revenue cycle operations, clinical documentation, coding, healthcare administration, program management or related field

Strong leadership and persuasive communication skills

Proficiency in clinical and financial data analysis

Expertise in Epic documentation, coding, and charge capture workflows

Advanced skills in Excel, Tableau, Power BI, or similar tools

Deep understanding of CPT, ICD-10, professional claims processing, and payer behavior

Ability to manage multiple priorities in a fast-paced environment