CDI Practice Leader (Director) (Healthcare)

Monroe Consulting Group; Philippines; On-site; PHP 1,800,000 - 3,000,000; Full time

Job summary

Monroe Consulting Group Philippines is partnering with a leading healthcare organization to hire a Senior Operations Leader - Clinical Documentation Improvement (CDI) in the Philippines. The role drives operational excellence, clinical documentation integrity, and strategic client partnerships within a high-performing healthcare services environment.

The leader will oversee end-to-end CDI delivery, governance, analytics, and AI-enabled improvements, collaborating with cross-functional teams to

Qualifications

• Active, unrestricted US Registered Nurse (USRN) license and Bachelor's degree in Nursing (BSN).
• Minimum of 12 years of experience in US Healthcare Operations.
• At least 3 years of leadership experience within CDI or related clinical operations.

Responsibilities

• Lead end-to-end delivery for Clinical Documentation Improvement and related healthcare service lines.
• Drive operational excellence, governance, risk management, and business continuity initiatives.

Skills

Leadership

Healthcare operations

Analytics

Communication

Education

BSN

US RN license

Tools

CDI methodologies

MS-DRGs / ICD-10-CM/PCS

Job description

Monroe Consulting Group Philippines is partnering with a leading organisation in the Healthcare industry to hire a Senior Operations Leader - Clinical Documentation Improvement (CDI). This opportunity is based in the Philippines and offers the chance to drive operational excellence, clinical documentation integrity, and strategic client partnerships within a high-performing healthcare services environment.

Position Overview

Lead end-to-end operational delivery for Clinical Documentation Improvement and related healthcare service lines, ensuring excellence across quality, productivity, compliance, and client outcomes.

Play a critical role in driving strategic growth, operational transformation, and continuous improvement through leadership, innovation, analytics, and AI-enabled solutions.

Key Responsibilities

• Lead overall delivery performance across quality, productivity, turnaround time (TAT), utilisation, SLA compliance, client satisfaction, and financial KPIs.
• Drive operational excellence, governance practices, risk management initiatives, and business continuity programmes.
• Lead cross-functional teams to execute strategic initiatives and support account growth opportunities.
• Manage and develop Team Leaders, CDI Specialists, Quality Auditors, Trainers, and support functions through coaching, mentoring, and performance management.
• Establish succession planning and leadership development programmes to strengthen organisational capability.
• Serve as the primary operational leader and trusted adviser for assigned client accounts.
• Present executive-level performance reviews, governance updates, QBRs, and RCA/CAPA reports to clients and stakeholders.
• Ensure adherence to AHIMA, ACDIS, CMS, HIPAA, ICD-10-CM/PCS, and client-specific regulatory requirements.
• Oversee audit readiness, quality calibration programmes, physician documentation improvement initiatives, and documentation integrity efforts.
• Utilise analytics, automation, and AI-enabled technologies to improve productivity, quality, and operational outcomes.
• Drive Lean, Six Sigma, and continuous improvement initiatives to enhance performance and efficiency.
• Monitor workforce planning, resource utilisation, financial performance, and operational capacity to support business objectives.
• Foster a culture of accountability, innovation, collaboration, and operational excellence across the organisation.

Key Requirements

Qualifications & Experience

• Active, unrestricted US Registered Nurse (USRN) licence and Bachelor's degree in Nursing (BSN).
• Minimum of 12 years of experience in US Healthcare Operations.
• At least 3 years of leadership experience within Clinical Documentation Improvement (CDI) or related clinical operations.
• Demonstrated experience managing large-scale healthcare operations, service delivery, and client relationships.
• Strong understanding of operational financials, workforce planning, and business performance management.
• Experience leading continuous improvement, process optimisation, and organisational transformation initiatives.
• AHIMA CCS or AAPC CIC certification preferred.
• CCDS (Certified Clinical Documentation Specialist) or CDIP (Certified Documentation Integrity Practitioner) certification preferred.

Technical / Functional Expertise

• Strong knowledge of CDI methodologies, MS-DRGs, SOI/ROM, ICD-10-CM/PCS, CMS guidelines, physician documentation practices, and healthcare compliance standards.
• Ability to leverage data, technology, automation, and AI-enabled solutions to drive operational performance.
• Expertise in healthcare regulatory and compliance requirements, including AHIMA, ACDIS, CMS, HIPAA, and client-specific standards.

Soft Skills & Leadership Competencies

• Excellent leadership, stakeholder management, presentation, analytical, and communication skills.
• Strong business acumen with the ability to influence executive stakeholders and manage strategic client partnerships.
• Proven capability to coach, mentor, and develop high-performing teams.
• Strong focus on accountability, innovation, collaboration, and operational excellence.