VP, Clinical Documentation Integrity – CDI

This is a fully remote position, open to applicants in United States.

📋 Description

• Develop and direct the enterprise CDI vision, long-term strategy, operational model, and capability roadmap for Honest Health.

• Clarify the role of CDI within clinical operations, value-based care, partner performance, technology, compliance, and provider engagement.

• Create enterprise governance, decision-making rights, policies, and performance standards for CDI initiatives.

• Ensure executive accountability for the performance, quality, scalability, and effectiveness of the CDI portfolio.

• Set objectives, key performance indicators (KPIs), dashboards, and executive reporting mechanisms.

• Identify enterprise opportunities and prioritize CDI initiatives based on clinical, coding, operational, and financial data.

• Provide strategic oversight for new CDI programs, partnerships, markets, technologies, and service offerings.

• Manage compliance, monitoring, auditing, escalation, and corrective action processes.

• Develop a strategy for provider documentation education, engagement, adoption, and performance improvement.

• Represent CDI in strategic partner discussions, performance evaluations, and complex issue resolutions.

• Define the technology and data strategy for CDI, including documentation platforms, analytics, workflow tools, reporting, and EHR integration.

• Assess automation, advanced analytics, and emerging technologies for clinical documentation.

• Build, lead, mentor, and cultivate a high-performing CDI organization.

• Advise executive leadership on CDI performance metrics, opportunities, capability requirements, and potential risks.

• Collaborate with Clinical, Compliance, Legal, Technology, Product, Analytics, Operations, Finance, and Market leaders.

• Represent CDI in enterprise planning, operational reviews, investment decisions, and strategic initiatives.

⛳️ Requirements

• A Bachelor’s degree in health information management, healthcare administration, nursing, business, or a relevant field is required.

• Current CPC, CCS, CCS-P, RHIT, RHIA, or other comparable nationally recognized coding or health information credentials are required.

• Outpatient CDI, clinical documentation, auditing, or compliance credentials are preferred.

• A minimum of 10 years of progressive experience in clinical documentation integrity, risk-adjustment coding, coding quality, or related healthcare operations.

• At least 7 years of leadership experience, including managing leaders and multi-layered teams.

• Experience in establishing or significantly enhancing enterprise CDI capabilities, governance, and performance management practices.

• Comprehensive knowledge of CMS risk-adjustment coding, HCC documentation, ICD-10 coding, auditing, and relevant compliance standards.

• Experience supporting value-based care organizations, provider organizations, health systems, health plans, or other complex healthcare delivery environments.

• Proven experience leading large-scale operational, technology, or workflow transformations.

• Experience in developing executive-level strategies, operational plans, budgets, business cases, and performance reports.

• Strong executive presence and effective communication skills with senior leaders, clinicians, partners, and governing bodies.

• Ability to thrive in a high-growth environment characterized by changing priorities and organizational structures.

• Willingness to travel as required by business and partner needs.

🏝️ Benefits

• Short-term incentives for eligible positions.

• Comprehensive benefits package offered.

• Reasonable accommodations available for applicants with disabilities.