Director, Clinical Documentation, Integrity and Coding

Children's Hospital of Philadelphia-posted 26 days ago
$100,000 - $375,000/Yr
Full-time • Manager
Remote • Philadelphia, PA
5,001-10,000 employees
Hospitals
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Director of Clinical Documentation Integrity (CDI) & Coding Step into a transformative leadership role at Children's Hospital of Philadelphia (CHOP)-one of the nation's most respected pediatric healthcare systems. As the Director of CDI and Coding, you will shape the future of CHOP's enterprise-wide documentation and coding strategy, leading innovative programs that directly impact care quality, operational excellence, and revenue integrity across the organization. This is your opportunity to influence system-level change, drive best-in-class performance, and elevate a high-impact team at a world-class institution. Why This Role Is Exciting High visibility, high impact: Your leadership directly influences organizational quality, financial health, and provider experience. Innovation-friendly environment: Lead modernization efforts, implement cutting-edge tools, and reimagine workflows across CDI and coding. Strategic seat at the table: Serve as a key partner to clinical, operational, and revenue cycle leaders across CHOP. Grow and lead a talented workforce: Manage two leadership roles (Manager of CDI and Manager of Coding Operations) and a dynamic team of 70-80 internal and contingent staff. Mission-driven work: Contribute to CHOP's renowned mission of delivering exceptional care to children and families. What You Bring Broad, robust expertise in CDI, coding, and the healthcare revenue cycle. A passion for operational improvement, data analytics, and strategic leadership. Proven ability to lead large, diverse teams through change and transformation. Deep commitment to integrity, quality, collaboration, and organizational impact.

  • Provide an experience and environment of patient- and family-centered care.
  • Interpret the impact of broad organizational change and develop strategies for successful implementation.
  • Model ICARE values through all interactions.
  • Leverage leadership competencies to support self-development and the development of others.
  • Develop and manage operational initiatives with measurable outcomes.
  • Formulate goals, objectives, and strategies in collaboration with stakeholders.
  • Prepare and deliver reports to operational leadership outlining progress toward quarterly/annual goals, including financial, clinical, quality, and HR performance.
  • Actively seek opportunities to improve financial outcomes and engage staff in the process.
  • Establish annual financial goals and benchmark against high-performing systems to set performance targets.
  • Monitor and analyze financial data for decisions related to FTEs, staffing, and operational budgets.
  • Establish annual operating and capital budgets and demonstrate fiscal responsibility.
  • Create business plans, justify variances, and conduct cost-benefit analyses.
  • Provide guidance to managers on resource allocation based on volume, budget, space, and program priorities.
  • Communicate budget context and organizational financials to staff.
  • Provide leadership, direction, and coordination of operations, finance, and HR for areas of responsibility.
  • Manage and direct all activities within the department.
  • Continuously assess services, identify problems, and propose innovative improvements.
  • Maintain complete, accurate, compliant operational and service records.
  • Engage staff and stakeholders in continuous improvement efforts.
  • Ensure effective facilitation of improvement teams and develop meeting leadership skills.
  • Organize and prioritize time and resources effectively; delegate appropriately.
  • Stay current on trends and best practices, integrating them into CDI and Coding programs.
  • Set and enforce quality and productivity standards.
  • Develop and implement systems to improve performance and outcomes.
  • Demonstrate measurable results and create improvement action plans.
  • Monitor and enforce regulatory requirements.
  • Hold self and others accountable to policies and standards.
  • Ensure initiatives that improve patient satisfaction and family-centered care.
  • Develop and implement clinical outcome measures for quality improvement.
  • Use evidence-based practice and appreciative inquiry for program development.
  • Actively listen to staff and adapt communication styles to audience needs.
  • Facilitate meetings across CDI, Coding, Revenue Integrity, Revenue Cycle, and system-level stakeholders.
  • Communicate data and information clearly and concisely.
  • Share ideas and opinions in a nonjudgmental, professional manner.
  • Communicate with physicians, academic leaders, and senior administrators to coordinate programs.
  • Demonstrate empathy and concern while maintaining performance expectations.
  • Manage interdepartmental relationships across CDI, Coding, Health Information Operations, Revenue Integrity, and Revenue Cycle.
  • Foster an environment that values diverse opinions and perspectives.
  • Recognize how personal beliefs impact interactions and respond appropriately.
  • Create systems for recognizing and rewarding staff.
  • Create and sustain a workplace that supports professional growth and job satisfaction.
  • Interview and select talent matched to CDI and Coding needs.
  • Develop recruitment and retention strategies aligned with leadership culture.
  • Identify personal professional growth needs and pursue development.
  • Assess staff development needs, set goals, and provide resources.
  • Identify performance gaps and establish improvement plans.
  • Maintain membership in relevant professional organizations.
  • Integrate ethical standards and core values into daily operations.
  • Provide opportunities for leaders and staff to develop skills aligned with career goals.
  • Contribute to a learning environment with educational opportunities for staff, cross-functional teams, students, residents, fellows, and faculty.
  • Lead and/or serve on internal and external committees representing CDI and Coding programs.
  • Serve as a CHOP representative to support relationships with cross-functional teams.
  • Manage and meet quality and production targets for CDI and Coding.
  • Develop and maintain KPIs/SLAs and performance reports.
  • Prepare weekly and monthly metrics and updates.
  • Develop and implement CDI and Coding policies and procedures, including audit processes.
  • Monitor compliance with CMS guidelines, ICD-10, CPT, and CHOP policies.
  • Maintain quality assurance programs and communicate issues.
  • Identify opportunities to improve physician documentation.
  • Act as a subject matter expert in CMS regulations related to CDI, coding, and auditing.
  • Apply financial information in operational decision-making; support budgeting and performance monitoring.
  • Manage outsourced vendors and service-level agreements.
  • Communicate significant audit findings within two weeks to appropriate leadership.
  • Maintain clinical, billing, and compliance knowledge; complete required CEUs.
  • Prepare formal reports and present findings to clinical staff, managers, administration, and PARC staff.
  • Demonstrate strong verbal and written communication skills.
  • Use applications such as Word, Excel, and PowerPoint at an expert level.
  • Support other projects as needed.
  • Assist Revenue Analytics with month-end close.
  • Provide clinical care and billing guidance for contract negotiations.
  • Collaborate with Internal Audit and Billing Compliance on departmental reviews.
  • Partner with PFS and HIM Operations to resolve billing and collection issues.
  • At least five (5) years Management experience in medical coding, clinical documentation integrity in a medium or large healthcare facility. Required
  • Demonstrated creativity and flexibility.
  • Ability to operate in high-pressure situations.
  • Working knowledge of revenue cycle processes.
  • Innovative approach to problem resolution.
  • Ability to work collaboratively across Children's Hospital of Philadelphia entities and disciplines.
  • Broad knowledge of modern health care administration practices and principles within a managed care environment and/or an academic medical center.
  • Strong analytical ability to develop and evaluate options, recommend solutions, and solve complex problems.
  • Effective managerial and administrative leadership of coding operations and collaborative work with Clinical Documentation Integrity programs.
  • Knowledge of negotiation principles and techniques, including service contracts and equipment purchasing.
  • Strong organizational, planning, and project management abilities.
  • Experience delivering financial and programmatic presentations.
  • Ability to work independently and manage multiple simultaneous projects.
  • Self-awareness with the ability to recognize strengths and opportunities for growth.
  • Commitment to quality and excellence.
  • Effective leadership abilities, including:
  • Implementing change in a positive and forward-thinking way
  • Strategic planning and problem solving
  • Goal-setting and prioritization
  • Inspiring confidence and encouraging appropriate risk-taking
  • Exercising sound judgment and timely decision-making
  • Persuading others and building consensus
  • Communicating clearly in written and verbal formats
  • Building trust through open communication
  • Fostering collaboration and teamwork
  • Ensuring high levels of customer satisfaction across all stakeholders
  • Creating win/win relationships
  • Expert knowledge of coding rules.
  • Strong computer skills, including proficiency in Word, Excel, PowerPoint, and Visio.
  • Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) - upon hire - Required and
  • Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association (HFMA) - within 12 months - Required
  • Certified Clinical Documentation Specialist (CCDS) - Association of Clinical Documentation Integrity Specialists (ACDIS) - upon hire - Required or
  • Clinical Documentation Improvement Practitioner (CDIP) - American Health Information Management Association (AHIMA) - upon hire - Required
  • At least three (3) years Experience with an academic medical center. Preferred
  • At least six (6) months Experience with pediatrics services. Preferred
  • Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) - within 24 months - Preferred
  • This job is eligible for an incentive program.
  • At CHOP, we are committed to fair and transparent pay practices.
  • Factors such as skills and experience could result in an offer above the salary range noted in this job posting.
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