Director, Clinical Documentation Integrity
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What you'll do
- Provide strategic leadership and oversight of Clinical Documentation Integrity operations.
- Develop and execute CDI program goals aligned with organizational objectives.
- Lead, coach, and develop CDI managers, supervisors, and team members.
- Drive improvements in documentation quality, CC/MCC capture, severity of illness (SOI), risk of mortality (ROM), and overall reimbursement accuracy.
- Partner with coding, quality, case management, compliance, revenue cycle, and physician leadership teams to optimize clinical documentation practices.
- Monitor CDI productivity, quality, and financial performance metrics.
- Develop physician education strategies and lead provider engagement initiatives.
- Analyze operational and financial data to identify trends, opportunities, and risks.
- Ensure compliance with all applicable regulatory, governmental, and organizational documentation standards.
- Support organizational growth initiatives, acquisitions, client implementations, and process improvement efforts.
- Utilize technology, analytics, and AI-enabled solutions to enhance program effectiveness and operational outcomes.
- Establish and maintain policies, procedures, and best practices supporting CDI excellence.
What they're looking for
- Bachelor's degree in Nursing, Health Information Management, Healthcare Administration, or related field, or equivalent experience.
- 7+ years of progressive Clinical Documentation Integrity experience.
- 5+ years of leadership experience managing CDI programs and teams.
- Experience in acute care hospital environments.
- Strong understanding of DRG reimbursement methodologies and inpatient clinical documentation standards.
- Proven experience driving physician engagement and documentation improvement initiatives.
Nice to have
- Master's degree in Healthcare Administration, Nursing, Business Administration, or related field.
- CCDS (Certified Clinical Documentation Specialist)
- CDIP (Certified Documentation Integrity Practitioner)
- RHIA
- RHIT
- CCS
- CCS-P
- RN License (active and in good standing)
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Thank you for considering a career at Ensemble!
Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.
Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!
O.N.E Purpose:
Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” Ensemble Difference Principles and consistently delivering outstanding results.
The Opportunity:
The Director, Clinical Documentation Integrity (CDI) is responsible for providing strategic leadership, operational oversight, and performance management for Ensemble's Clinical Documentation Integrity program. This leader will drive documentation excellence, accurate reimbursement, quality reporting initiatives, and regulatory compliance while partnering closely with physicians, coding leadership, case management, revenue cycle operations, and executive stakeholders.
This role requires a seasoned healthcare leader with deep expertise in inpatient CDI operations, physician engagement, quality metrics, reimbursement methodologies, and team development. The Director will foster a culture of continuous improvement, collaboration, and operational excellence across the CDI function.
This position is 100% onsite in Naples, Florida. We are open to candidates who are willing to relocate to the Naples area.
Essential Job Functions
Provide strategic leadership and oversight of Clinical Documentation Integrity operations.
Develop and execute CDI program goals aligned with organizational objectives.
Lead, coach, and develop CDI managers, supervisors, and team members.
Drive improvements in documentation quality, CC/MCC capture, severity of illness (SOI), risk of mortality (ROM), and overall reimbursement accuracy.
Partner with coding, quality, case management, compliance, revenue cycle, and physician leadership teams to optimize clinical documentation practices.
Monitor CDI productivity, quality, and financial performance metrics.
Develop physician education strategies and lead provider engagement initiatives.
Analyze operational and financial data to identify trends, opportunities, and risks.
Ensure compliance with all applicable regulatory, governmental, and organizational documentation standards.
Support organizational growth initiatives, acquisitions, client implementations, and process improvement efforts.
Utilize technology, analytics, and AI-enabled solutions to enhance program effectiveness and operational outcomes.
Establish and maintain policies, procedures, and best practices supporting CDI excellence.
Participate in executive leadership meetings and provide strategic recommendations regarding CDI performance and opportunities.
Employment Requirements / Qualifications
Required Education
Bachelor's degree in Nursing, Health Information Management, Healthcare Administration, or related field, or equivalent experience.
Preferred Education
Master's degree in Healthcare Administration, Nursing, Business Administration, or related field.
Required Experience
7+ years of progressive Clinical Documentation Integrity experience.
5+ years of leadership experience managing CDI programs and teams.
Experience in acute care hospital environments.
Strong understanding of DRG reimbursement methodologies and inpatient clinical documentation standards.
Proven experience driving physician engagement and documentation improvement initiatives.
Preferred Certifications
One or more of the following:
CCDS (Certified Clinical Documentation Specialist)
CDIP (Certified Documentation Integrity Practitioner)
RHIA
RHIT
CCS
CCS-P
RN License (active and in good standing)
Knowledge, Skills, and Abilities
Deep understanding of clinical documentation integrity practices and healthcare reimbursement.
Expertise in CMS regulations, quality reporting, risk adjustment, and compliance requirements.
Strong leadership, coaching, and team development capabilities.
Excellent communication and relationship-building skills.
Advanced analytical and problem-solving abilities.
Experience interpreting operational and financial performance data.
Demonstrated proficiency utilizing technology and AI-driven tools to improve productivity, quality, and decision-making.
Strong presentation and executive communication skills.
Ability to thrive in a fast-paced and evolving healthcare environment.
Why Join Ensemble?
Best in KLAS End-to-End Revenue Cycle Outsourcing
Top Workplace USA
Great Place to Work® Certified
Comprehensive medical, dental, and vision benefits
Retirement savings program
Paid time off and wellness resources
Professional certification and development opportunities
Career growth within an industry-leading organization
This position pays between $117,400 - $176,100 annually.
Join an award-winning company
Five-time winner of “Best in KLAS” 2020-2022, 2024-2025
Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024
22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024
Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024
Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023
Energage Top Workplaces USA 2022-2024
Fortune Media Best Workplaces in Healthcare 2024
Monster Top Workplace for Remote Work 2024
Great Place to Work certified 2023-2024
- Innovation
- Work-Life Flexibility
- Leadership
- Purpose + Values
Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:
- Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.
- Our Culture – Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.
- Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.
- Recognition – We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.
Ensemble is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble also prohibits harassment of applicants or employees based on any of these protected categories.
Due to business, operational, payroll, and regulatory requirements, this position is limited to individuals who reside and are authorized to work within the United States. Applications generated from outside the United States will not be considered. Individuals may reapply when located within the United States.
Ensemble provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact TA@ensemblehp.com.
This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role’s range.
Company
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