Project Director - Documentation Integrity

Acadia Healthcare; Kenilworth (IL); On-site; USD 100,000 - 140,000; Full time

Benefits offered by this job

Competitive base salary

Bonus eligible

Medical, Dental, and Vision Insurance

401(k) Plan with Company Match

Paid Time Off and holidays

Company-paid Life and AD&D Insurance

Employee Assistance Program (EAP)

Job summary

Acadia Healthcare seeks a Project Director for Documentation Integrity to lead clinical documentation efforts across facilities with up to 100% travel. You will ensure medical necessity, compliance, and financial performance while guiding payor reimbursement and audit readiness.

This role requires nursing or clinical leadership and extensive documentation expertise. Travel extensively to support facilities, with evenings/weekends as needed.

Qualifications

• Bachelor’s degree in Nursing or clinical field required.
• At least 5 years’ supervisory experience in intake/utilization or case management preferred.
• RN, LPC, LCSW, or LMFT licenses required.
• Strong knowledge of payor guidelines and audit processes.
• Experience with documentation that supports payor reimbursement.

Responsibilities

• Provide on-site leadership to assess intake and utilization processes and compliance.
• Audit patient charts for accuracy, completeness, and regulatory compliance.
• Perform facility audits of clinical and financial information related to denial management.
• Ensure HIPAA compliance and participate in internal audits with corrective actions.
• Generate reports on audits and offer recommendations to improve documentation practices.
• Educate physicians and staff on current documentation and regulations.
• Support process improvement and action plans for compliance vulnerabilities.
• Collaborate with clinical services to ensure authorization via patient benefits.

Skills

Leadership

Regulatory knowledge

Payor guidelines

Auditing

Communication

Confidentiality

Education

Bachelor’s degree in Nursing or clinical degree

Tools

Medhost

Medhost dashboard

SharePoint

Job description

Overview

Project Director - Documentation Integrity

Location Information:

• 100% nationwide travel
• Long-term project assignments at Acadia facilities
• Extended stays away from home (weeks to months at a time)

About the Role

The Project Director - Documentation Integrity position supports UM Leaders and their department operations at assigned facilities, ensuring medical necessity, compliance, and financial performance. This role utilizes Behavioral Health treatment and medical necessity expertise, payer audit readiness, and documentation excellence to optimize reimbursement at facilities in collaboration with facility leaders and corporate partners. This employee will be responsible for providing expert guidance and advice on all aspects ofclinical documentation integrity,clinical protocols, and payor reimbursement and payor audit compliance inAcadia facilities.

This position involves up to 100% travel to support assigned facilities and may include evenings and weekends based on need.

Our Mission

Acadia Healthcare’s purpose is to Lead Care With Light and our mission is to be a world-class organization that sets the standard for excellence in the treatment of mental health and addiction concerns. We strive to maintain our standing as a thought leader in the behavioral healthcare industry, providing treatment that is synonymous with compassion and innovation.

Compensation & Benefits

We value your expertise and dedication—and we invest in your success.

• Competitive Base Salary commensurate with experience
• Bonus eligible
• Comprehensive Medical, Dental, and Vision Insurance
• 401(k) Plan with Company Match
• Paid Time Off (PTO) and recognized holidays
• Company-paid Basic Life and AD&D Insurance
• Employee Assistance Program (EAP) and mental wellness resources
• Opportunities for professional growth and advancement within Acadia’s nationwide network

Responsibilities

Essential Functions

• Provides on-site leadership to assess and analyze current Intake and Utilization processes, challenges and outcomes; including compliance and regulatory requirements are met
• Auditpatient chartsatassigned facilitiesto ensure accuracy, completeness, and compliance with regulatory standards and practice guidelines. Identify discrepancies or missing information and take corrective actionwith team members providing care at the facility.
• Performs facility audits of clinical and financial information related to denial management including length of stay, medical necessity documentation, precertification, concurrent authorizations, compliance with Medicare Certification/Recertification, Medicare Internal Audits, and compliance with EMTALA standards
• Ensure that all records and documentation practices comply with HIPAA regulations and other relevant healthcare laws and standards. Participate in internal audits and implement corrective actions as needed
• Conduct regular quality checks on medical records and scanned documents to maintain high standards of accuracy and completeness. Report any issues or concernsin real-time to care providers and clinical leaders at the facility.
• Generate and maintain reports on chart audits, compliance issues, and other relevant data. Provide insights and recommendations to improve record-keeping processes and documentation practices.
• Serves as resourceforeducation and training to physicians and clinical staff on current documentation andregulations
• Support the development and sustainment ofaction plans for the resolution of problematic issues or to address areas of compliance vulnerability
• Assist in the development of ProcessImprovement practices in facilities and maintenance of same including analysis of data and prioritization of effortsas needed
• Collaborates with clinical services to ensure clinical documentation provides rationale to ensure authorization is obtained via successful process and utilization of the patient’s individualized benefit is achieved
• Provides consultation and guidance regarding written level of care guidelines for a variety of payors
• Provides consultation and guidance regarding the appeal process. Assists facility UM staff in creating effective appeal letters
• Ensures proper use of Medhost, the Medhost dashboard, and Sharepoint.
• Maintains current knowledge of applicable regulations and regulatory update in the behavioral health field
• Performs other duties as assigned

Standard Expectations

• Complies with organizational policies, procedures, performance improvement initiatives and maintains organizational and industry policies regarding confidentiality
• Communicate clearly and effectively to person(s) receiving services and their family members, guests and other members of the health care team
• Develops constructive and cooperative working relationships with others and maintains them over time
• Encourages and builds mutual trust, respect and cooperation among team members.
• Maintains regular and predictable attendance

Qualifications

Education/Experience/Skill Requirements

• Bachelor’s degree in Nursing or other clinical degree required
• At least 5 years’ Supervisory experience in Intake and Utilization Management/Review or Case Management preferred
• Strong knowledge of payor clinical guidelines and audit processes, experience writing appeal letters, and strong working knowledge of documentation that meets payor reimbursement standards
• Significant behavioral healthcare experience in a variety of settings and service lines
• Knowledge of insurance billing requirements preferred
• Effective and accurate oral and written communication skills
• Possesses the ability to effectively influence facility leadership, teams and corporate partners to embrace required operational shifts by clearly articulating the long-term benefits of the new expectations
• Knowledge of office administration procedures with the ability to operate most standard office equipment
• Ability to work professionally with sensitive, proprietary data & information while maintaining confidentiality
• Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external
• Self-motivated with strong organizational skills and superior attention to detail
• Must be able to manage multiple tasks/projects simultaneously within inflexible time frames. Ability to adapt to frequent priority changes

Licenses/Designations/Certifications

• RN, LPC, LCSW, or LMFT is required

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.