Vice President, CDI

HURC; Short Hills (NJ); Híbrido; USD 250.000 - 350.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Travel opportunities

Remote or hybrid role

Descripción de la vacante

HURC is seeking a Vice President, Clinical Documentation Integrity (CDI) to lead the inpatient and outpatient CDI practice for the organization, shaping strategy, growth, and service delivery across academic health systems and other complex providers.

The role blends clinical CDI expertise with executive presence and commercial acumen, serving as the practice’s face to client executives and prospects, and partnering with sales to expand into consulting-oriented services.

Formación

• Minimum 8 years' CDI experience with leadership of CDI programs in large health systems including academic medical centers.
• Active licensure as an RN or physician is required.
• At least one recognized CDI/coding certification (e.g., CCDS, CDIP, CCS) required.
• Demonstrated command of CDI methodology across documentation-to-reimbursement continuum.
• Progressive leadership experience with accountability for teams and budgets.
• Exceptional executive communication with ability to influence stakeholders.
• Bachelor's degree required; advanced degree preferred.
• EPIC experience.

Responsabilidades

• Design, standardize, and evolve CDI program models for Inpatient and Outpatient settings.
• Establish outpatient CDI capabilities for risk-adjusted and value-based care settings.
• Engage C-suite and physician leaders with credibility as a CDI expert.
• Translate CDI performance into quality and reimbursement insights and secure executive sponsorship.
• Lead change management across clinical and revenue-cycle stakeholders in academic environments.
• Evaluate program metrics and drive improvements and client value.
• Own KPI framework and drive performance against targets.
• Use data to identify gaps, benchmark performance, and quantify impact.
• Establish audit and quality routines to safeguard query integrity and compliance.
• Recruit, develop, and retain a high-performing team; set expectations and coach.

Conocimientos

CDI leadership

Executive engagement

Change management

Data analytics

Program development

Regulatory knowledge

EPIC experience

Educación

RN licensure

MD/DO

CCDS/CDIP/CCS certification

Bachelor's degree

MSN/MHA/MBA

Herramientas

EPIC

Descripción del empleo

The Vice President, Clinical Documentation Integrity (CDI) is a business unit leader accountable for the strategy, growth, operational performance, and market reputation of the organization's Inpatient and Outpatient CDI practice. Serving academic health systems and other complex provider organizations as core clients, this leader sets the vision for CDI program design and delivery while positioning the practice for expansion into a broader, consulting-oriented services model.

This role blends clinical documentation expertise, executive presence, and commercial acumen. The VP is the face of the practice with client executives and prospects, the architect of scalable CDI program models, the steward of program performance and quality, and a close operating partner to the sales organization in pursuing and winning new business. Success is measured by client outcomes, program integrity and compliance, team development, and profitable growth of the practice.

Essential Duties & Responsibilities

Program Development — Inpatient & Outpatient CDI

• Design, standardize, and continuously evolve the practice's Inpatient and Outpatient CDI program models, including operating playbooks, workflows, query standards, staffing models, and technology enablement.
• Establish Outpatient CDI capabilities for risk-adjusted and value-based settings, including HCC capture, prospective (point-of-care) review, and audit-ready documentation practices.

Executive Interaction & Change Leadership

• Engage C-suite and physician leaders (CMO, CMIO, CFO, VP of Revenue Cycle, service-line chiefs) with credibility and presence as a recognized subject-matter expert in CDI.
• Translate CDI performance into the language of quality, reimbursement integrity, physician workflow, and organizational reputation to secure executive sponsorship.
• Lead change management across clinical and revenue-cycle stakeholders — shaping behavior, provider engagement, and adoption in complex, often matrixed academic environments.

Program Metrics, Performance & Continuous Improvement

• Continuously evaluate program metrics and performance to identify opportunities for improvement, expansion, and additional client value.
• Own the practice's KPI framework across Inpatient and Outpatient CDI setting targets, monitoring trends, and driving corrective action.
• Use data and analytics to surface documentation gaps, benchmark client performance against peers, and quantify financial, quality, and compliance impact.
• Establish audit and quality-assurance routines to safeguard query integrity, coding accuracy, and defensibility under payer and regulatory review.

Team Leadership & CDI Operations Management

• Recruit, develop, mentor, and retain a high-performing team.
• Set performance expectations and productivity standards (e.g., records reviewed per FTE, query volume and quality) and manage them with coaching and accountability.
• Oversee onboarding, ongoing competency validation, inter-rater reliability, and continuing education aligned to evolving coding guidelines and payer rules and establish and enforce compliant query policies, escalation pathways, and documentation-of-record practices consistent with AHIMA/ACDIS guidance.
• Manage the practice's operating budget, utilization, and resource allocation across engagements to deliver on financial and quality targets and collaborate with HIM, coding, revenue integrity, quality, and compliance functions to ensure end-to-end alignment of the documentation-to-reimbursement continuum.
• Stay current on regulatory change (IPPS/OPPS updates, ICD-10-CM/PCS, MS-DRG and APR-DRG methodology, HCC/RAF model changes) and translate implications into program action.

Required Qualifications & Experience

• Minimum 8 years' CDI experience as well as leading and developing CDI programs at large health systems, including large academic medical centers, and all associated operational, clinical, and stakeholder complexity.
• Active licensure as a Registered Nurse (RN) or physician (MD/DO) is required.
• At least one recognized CDI/coding certification is required (e.g., CCDS, CDIP, or CCS). Additional certifications (e.g., CCDS-O, CRC, CDEO, CDI-related credentials) are viewed favorably.
• Demonstrated command of CDI methodology across the documentation-to-reimbursement continuum — compliant queries, MS-DRG/APR-DRG, CC/MCC, SOI/ROM, CMI, mortality/PSI/HAC, and coding integrity.
• Progressive leadership experience with accountability for teams, budgets, and measurable program outcomes.
• Exceptional executive communication and presence, with a track record of influencing physician and C-suite stakeholders and driving change.
• Bachelor's degree required; advanced degree (MSN, MHA, MBA, or clinical doctorate) preferred.
• EPIC experience

Preferred Qualifications & Experience

• Consulting engagement experience leading CDI program design, implementation, and/or improvement for external client organizations.
• Experience leading IP CDI initiatives; MS-DRG/APR-DRG, CC/MCC, SOI/ROM, CMI, mortality/PSI/HAC.
• Experience building, leading and/or establishing pediatric CDI programs within children’s hospitals and/or large networked acute care specialty centers.
• Experience supporting business development and sales pursuits, including solution design, proposals, and executive client presentations.
• Familiarity with leading CDI technology platforms, NLP/computer-assisted documentation, and analytics tooling.
• Experience preparing organizations for and defending payer, RAC, and RADV audits.

Remote or hybrid role with travel up to approximately 50%, dependent on client engagements, pursuits, and business needs.

Requires the ability to work across multiple client time zones and to present in on-site executive and physician settings.