Senior Director of Clinical Documentation Integrity Strategy
About The Position
The Senior Director of Clinical Documentation Integrity Strategy is the enterprise leader responsible for the strategic vision, governance, operational performance, and future direction of clinical documentation integrity, diagnosis accuracy, provider documentation excellence, coding quality, and clinical data integrity across HealthPartners. The role provides executive leadership for inpatient and ambulatory documentation programs, diagnosis accuracy strategies, coding integrity initiatives, and clinical documentation technologies. These programs support revenue integrity, quality measurement, value-based care performance, regulatory compliance, and population health outcomes. The Senior Director aligns documentation, coding, reimbursement, quality, and risk adjustment strategies across an integrated care delivery and health plan organization to ensure accurate representation of patient health status across care settings. The Senior Director partners with physician and operational leaders, health plan leaders, finance, quality, population health, contracting, information technology, and analytics teams. The role optimizes enterprise performance across fee-for-service, shared savings, global risk, Medicare Advantage, Medicaid, ACA Exchange, and emerging payment models. It also drives innovation through analytics, artificial intelligence, automation, and technology-enabled transformation to prepare HealthPartners for changes in regulation, reimbursement, and healthcare delivery. HealthPartners is a nonprofit integrated health care organization providing health insurance in six states and care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. It also conducts research and education through HealthPartners Institute.
Requirements
- Bachelor's degree in Healthcare Administration, Health Information Management, Nursing, Business Administration, Finance, Public Health, or a related field.
- Ten or more years of progressively responsible healthcare leadership experience.
- Five or more years of leadership experience managing leaders and complex organizational functions.
- Significant experience leading clinical documentation integrity, diagnosis accuracy, coding, revenue cycle, quality improvement, health information management, or related healthcare operations.
- Experience leading enterprise initiatives in large, highly matrixed healthcare organizations.
- Experience operating within both fee-for-service and value-based reimbursement models.
- Applicable healthcare, coding, CDI, risk adjustment, nursing, or health information credentials relevant to education and experience.
- Expert knowledge of clinical documentation integrity, coding methodologies, diagnosis accuracy, risk adjustment, and revenue cycle operations.
- Strong understanding of CMS-HCC, HHS-HCC, CDPS, ACG, and other population risk methodologies.
- Comprehensive knowledge of healthcare reimbursement models, quality measurement programs, population health strategies, and regulatory requirements.
- Executive leadership, strategic planning, organizational transformation, and change management capabilities.
- Exceptional communication, collaboration, influence, and relationship management skills.
- Ability to translate complex financial, analytical, operational, and regulatory concepts into actionable business strategies.
- Demonstrated success leading multidisciplinary teams and enterprise-wide initiatives.
Nice To Haves
- Master's degree in Business Administration, Healthcare Administration, Public Health, Health Informatics, Nursing, or a related field.
- Experience within an integrated healthcare delivery system and health plan organization.
- Experience supporting Medicare Advantage, Medicaid, ACA Exchange, commercial risk adjustment, and value-based care programs.
- Experience leading technology modernization, artificial intelligence, automation, and analytics transformation initiatives.
- Experience supporting both hospital and ambulatory operations.
- One or more of the following credentials: CCDS, CDIP, RHIA, RHIT, CCS, CCS-P, CPC, CRC, or RN.
- Advanced understanding of healthcare quality programs, alternative payment models, and value-based care arrangements.
- Knowledge of emerging clinical documentation technologies, artificial intelligence, natural language processing, and computer-assisted coding solutions.
Responsibilities
- Establish and lead enterprise strategy for clinical documentation integrity, diagnosis accuracy, coding quality, and clinical data integrity across all care settings.
- Provide executive leadership and governance aligning documentation, reimbursement, quality, population health, compliance, and value-based care objectives.
- Advise executive leadership on documentation integrity, diagnosis accuracy, regulatory trends, and reimbursement implications.
- Oversee inpatient and ambulatory documentation integrity, diagnosis accuracy, provider documentation excellence, and related operational programs.
- Improve operational effectiveness through standardized governance, optimized workflows, workforce planning, and performance management.
- Ensure compliance, accuracy, efficiency, and sustainable operational outcomes.
- Lead enterprise strategies to improve diagnosis accuracy, risk adjustment performance, and the integrity of clinical data used for reimbursement, quality measurement, and population health management.
- Partner across care delivery, health plan, finance, quality, contracting, and population health functions to optimize performance under fee-for-service and value-based payment models.
- Establish performance measures and reporting strategies for documentation quality, coding integrity, diagnosis accuracy, financial outcomes, quality performance, and clinician engagement.
- Use analytics and actionable insights to support strategic decision-making and continuous improvement.
- Communicate performance trends, risks, and recommendations to executive leadership.
- Lead evaluation and implementation of technologies that advance documentation integrity, coding quality, and diagnosis accuracy.
- Develop organizational capabilities in artificial intelligence, automation, advanced analytics, and emerging healthcare technologies.
- Prepare the organization to navigate evolving regulatory, reimbursement, and healthcare delivery requirements.
Benefits
- Comprehensive benefits supporting health, time off, retirement planning, and continuous learning opportunities.
- Work-life balance support.
- Inclusive work environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
