Director of CDI & Second-Level Review Excellence

Main Line Health; Newtown (PA); On-site; USD 114,000 - 176,000; Full time

Benefits offered by this job

Tuition Reimbursement (up to $6,000/yr

Flexible PTO

Free employee parking

Job summary

Main Line Health is seeking a Director of Clinical Documentation Improvement and Second Level Review to provide system-wide CDI/SLR leadership. You will guide strategy, standardize reviews, and ensure documentation supports quality outcomes, reimbursement integrity, and regulatory compliance.

The role requires seven to ten years of leadership in CDI, HIM, coding, or related fields, with multi-site program experience and strong knowledge of ICD-10-CM/PCS, DRGs, and risk adjustment.

Qualifications

• Bachelor’s degree required.
• Master’s degree preferred.
• RHIA/RHIT/CDDS/CDIP/RN or equivalent certification required.
• CCS certification preferred.
• Experience leading multi-site CDI programs.
• Strong knowledge of ICD-10-CM/PCS, DRGs, quality reporting, risk adjustment, reimbursement, and regulatory requirements.

Responsibilities

• Leads CDI and SLR strategy, goals, standards, and system-wide initiatives.
• Oversees concurrent and retrospective CDI reviews to ensure documentation reflects acuity, medical necessity, and resource utilization.
• Directs post-discharge SLR processes for accurate code assignment, DRG validation, and data integrity.
• Ensures compliance with federal, state, payer, and accreditation requirements.
• Oversees physician and provider documentation education strategies.
• Supports coaching, mentoring, succession planning, and a culture of accountability.
• Collaborates with Revenue Cycle, Quality, Medical Staff, Compliance, and executives.

Skills

Strategic Leadership

Program Oversight

Clinical Documentation Improvement

Regulatory Compliance

Executive Presentation

Physician Engagement

Collaboration

Talent Development

Education

Bachelor’s degree

Master’s degree in Health Administration / Health Informatics

RHIA

RHIT

CCDS

CDIP

RN

CCS

Job description

Main Line Health is seeking a Director of Clinical Documentation Improvement and Second Level Review to provide system-wide CDI/SLR leadership. You will guide strategy, standardize reviews, and ensure documentation supports quality outcomes, reimbursement integrity, and regulatory compliance.

The role requires seven to ten years of leadership in CDI, HIM, coding, or related fields, with multi-site program experience and strong knowledge of ICD-10-CM/PCS, DRGs, and risk adjustment.