Director, CDI & SLR Strategy

Main Line Health; Newtown Square (Delaware County); On-site; USD 170,000 - 205,000; Full time

Benefits offered by this job

Flexible PTO program

Employee discounts

Employee parking free

Job summary

Main Line Health in Newtown Square seeks a Director of Clinical Documentation Improvement and Second Level Review to lead system-wide CDI and SLR programs. You will oversee literacy in documentation accuracy, drive physician engagement, and ensure coding aligns with clinical risk and reimbursement needs.

Responsibilities include strategic leadership, program oversight, and collaboration with Revenue Cycle, Compliance, and executive leadership.

Qualifications

• Minimum seven to ten years of progressive leadership experience in Clinical Documentation Improvement, Health Information Management, Coding, Revenue Cycle, or Clinical Quality.
• Experience leading multi-site CDI programs.
• Strong knowledge of ICD-10-CM/PCS coding, MS-DRGs, APR-DRGs, quality reporting methodologies, risk adjustment, reimbursement systems, and regulatory compliance requirements.
• Experience presenting to executive leadership, physicians, and governing committees.

Responsibilities

• Strategic Leadership and Program Oversight for CDI and SLR.
• Oversees CDI and SLR strategy, goals, standards, and system-wide initiatives.
• Directs documentation integrity, quality reporting, reimbursement, and compliance.
• Oversees concurrent and retrospective CDI reviews to reflect acuity and medical necessity.
• Leads post-discharge SLR processes for accurate code assignment and DRG validation.
• Establishes review methodologies for high-risk DRGs and diagnoses.
• Ensures compliance with federal, state, payer, and accreditation requirements.
• Directs audits, external responses, corrective actions, and risk mitigation.
• Oversees physician and provider documentation education strategies.
• Supports coaching, mentoring, and succession planning.
• Collaborates with Revenue Cycle, Quality, Medical Staff, Compliance, and executives.

Skills

CDI leadership

Regulatory compliance

Executive communication

Multi-site leadership

Physician engagement

Education

Bachelor's degree

Master's degree (preferred)

Job description

Main Line Health in Newtown Square seeks a Director of Clinical Documentation Improvement and Second Level Review to lead system-wide CDI and SLR programs. You will oversee literacy in documentation accuracy, drive physician engagement, and ensure coding aligns with clinical risk and reimbursement needs.

Responsibilities include strategic leadership, program oversight, and collaboration with Revenue Cycle, Compliance, and executive leadership.