Director Clinical Documentation Integrity (CDI) and Coding

SHIFT:

Day (United States of America)

Seeking Breakthrough Makers

Children’s Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.

CHOP’s Commitment to Diversity, Equity, and Inclusion

CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.

We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.


A Brief Overview

The Director of Clinical Documentation Integrity (CDI) and Coding is responsible for the direction of the operational, financial, programmatic, and personnel activities of Children's Hospital of Philadelphia Clinical Documentation Integrity and Coding programs. The Director ensures that the departmental mission is well defined and communicated to staff, that the key service goals and objectives are set and plans to attain them are established and followed in each of the sections. This individual represents the department in planning efforts involving space, equipment staff, systems, services, expenses, cost monitoring and control, operational monitoring, regulatory compliance, and future programs and services. The Director works closely with a variety of clinical and non-clinical stakeholders, coordinating the activities of Clinical Documentation Integrity and Coding across the system.

The Director for Clinical Documentation Integrity and Coding is responsible for a diverse, growing department requiring skills in data-driven decision-making, project and portfolio management, system redesign, process improvement/lean management, and customer relationship management. The position requires a deep knowledge of industry best practices in technology and workflow. The Director will use these skills and experience to partner with stakeholders to develop an organization-level roadmap of process and technology improvements to reduce provider burden and maximize patient experience while increasing efficiency. This position is responsible for the strategic direction of Clinical Documentation Integrity and Coding across the health system centered on improved accuracy and efficiency.

The range of duties for this position are broad, varied, and will change over time, the responsibility is directing the day-to-day operations in a manner that supports compliance with Pennsylvania laws and Administrative Code, CMS Medicare Conditions of Participation, AHA Official Coding Guidelines, HIPAA regulations, The Joint Commission, Federal Rules of Civil Procedure, budgeting, financial management and human resource management of Children's Hospital of Philadelphia Clinical Documentation Integrity and Coding programs.

This position also has a broad understanding of all areas of the revenue cycle; including but not limited to Patient Financial Services (PFS), Health Information Management (HIM), Revenue Integrity (RI), and Reimbursement Services.

This role will report to the Associate Vice President of Revenue Integrity and Health Information Management.

What you will do

1) Departmental Leader

• Provides an experience and environment of patient-and family-centered care.
• Interprets impact of broad scope organizational change for staff and develops change strategies for successful implementation.
• Models ICARE values through all interactions.
• Leverages leadership competencies to develop themselves and others.
• Develops and manages operational initiatives with measurable outcomes.
• Formulates objectives, goals, and strategies collaboratively with other stakeholders.
• Prepares and delivers reports to operational leadership outlining progress toward meeting quarterly/annual goals and objectives, to include performance related to finance, clinical activity, quality, and human resources.

2) Financial Manager

• Actively seeks opportunities to improve financial outcomes, engaging staff in the process.
• Establishes annual financial goals and actively uses benchmarking to high performing systems in similar area of expertise to set quarterly/annual targets.
• Monitors and analyzes financial data and util