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Clinical Documentation Improvement Director

Clinical Documentation Improvement Director

Job Description


The National Clinical Documentation Improvement Director is a full time executive responsible for the strategic and operational planning, design, implementation, and oversight of CHI’s National Clinical Documentation Improvement (CDI) Center of Excellence.  The CDI Center of Excellence aims to improve the overall quality and completeness of both electronic and paper-based clinical documentation in adherence to industry best practices. The National CDI Director will develop strong partnerships and interface with executive management and key physician leaders to reach the goals and objectives of the CDI Center of Excellence, which include achieving the highest quality of clinical documentation to produce the most accurate codified information for patient safety, measureable outcomes, and accurate reimbursement. The ideal candidate will also be aware of the upcoming ICD-10 transition and impact to documentation requirements.

Key Responsibilities:

  • Program Standardization:  Ensure standardization throughout the existing CDI programs according to industry leading practices.  Develop and maintain organization-wide policies and guidelines that provide structure for the individual CDI Programs.
  • CDI Expertise:  Knowledgeable of industry trends and leading practices for CDI programs.  Provide expert advice to CHI’s CDI Programs to develop, implement and monitor procedures that support organizational goals and business objectives related to the CDI programs.
  • Clinical Documentation:  Facilitate modifications to clinical documentation to ensure accurate depiction of the level of clinical services and patient severity to support appropriate reimbursement and capturing of clinical severity for the level of service rendered to all hospitalized patients.

•         Strategic Planning:  Provide strategic planning and direction for the development and enhancement of CDI program services through the National CDI Center of Excellence.  Develop collaborative relationships with internal resources, consultants, auditors, and physician champions to develop and achieve the established plan.

•         Program Governance:  Work with CHI leadership to implement a CDI national governance structure responsible for achieving clinical and operational excellence, and expected deliverables in relation to the CDI Center of Excellence.  Provide leadership support and integrate with other departments/programs such as HIM/Coding, OneCare, and clinical care departments.

•         Metrics and Reporting:  Develop a meaningful scorecard, dashboard metrics, peer group comparisons, and service specific data that are actionable.  Implement tracking tools to benchmark against best practices, to maintain forward momentum, and to establish timelines for actions.

•         CDI Program Goals:  Establish, review, and update short- and long-term National CDI goals.  Ensure alignment of goals with CHI values and objectives.  Monitor and track the progress of CDI program, and report findings to executive leadership.

Job Requirements

  • Bachelor's degree required
  • MSN or Master’s degree in related field preferred
  • Certified Clinical Documentation Specialist (CCDS) or Certified Coding Specialist (CCS) credential preferred

  • Ten plus years of experience in a Clinical Documentation Improvement Program, with at least five years of experience as a CDI Director or Manager in a large acute care hospital setting.

  • • Expertise in the area of clinical documentation to ensure the completeness of the patient records using multidisciplinary and interdisciplinary teams.
    • High degree of clinical knowledge and hospital coding knowledge (i.e., APR-DRG, MS-DRG, Medicare, Medicaid & Managed Care) in order to design and develop strategies to yield improvements to documentation that will improve overall patient quality, capture severity, assess acuity and determine risk of mortality.
    • Up to date knowledge of ICD-10 mandate and the impact of code set transition (e.g., potential impact on data quality for prospective payments, utilization, and reimbursement).
    • Exceptional project management and organizational skills, with the demonstrated ability to drive multiple concurrent projects to completion in a complex, consensus-oriented environment.
    • Self-directed and motivated with strong analytical skills, systematic and orderly planning abilities, and high attention to details.
    • Excellent written and verbal communication skills, including the ability to present ideas and concepts effectively to physicians, employees and leadership.
    • Ability to work effectively and interact with all levels of management including executive leadership.
    • Ability to establish and manage complex and effective relationships.
    • Customer-focused attitude and ability to work proactively and efficiently with appropriate urgency.

    Additional Responsibilities: • Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
    • Adheres to and exhibits our core values:
    Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.
    Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.
    Compassion: Feeling with others, being one with others in their sorrows and joys, rooted in the sense of solidarity as members of the human community.
    Excellence: Outstanding achievement, merit, virtue; continually surpassing standards to achieve/maintain quality.
    • Maintains confidentiality and protects sensitive data at all times
    • Adheres to organizational and department specific safety standards and guidelines
    • Works collaboratively and supports efforts of team members
    • Demonstrates exceptional customer service and interacts effectively with physicians, patients, residents, visitors, staff and the broader health care community Catholic Health Initiatives and its organizations are Equal Opportunity Employers.CBCHI

  • Shift:  1

  • Scheduled Hours per 2-week Pay Period:  80

  • Weekends Required:  None

  • Status:  Full Time
  • Job Snapshot

    Employment Type Full-Time
    Job Type Management
    Education 4 Year Degree
    Experience At least 5 year(s)
    Manages Others Not Specified
    Industry Healthcare - Health Services
    Required Travel Not Specified
    Job ID 1400014109
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    Clinical Documentation Improvement Director

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