Associate Director, Clinical Documentation Integrity

Career Roadmap

FUNCTION: Health Information Management

SUB-FUNCTION: Clinical Documentation Improvement

CAREER BAND: People Leader Managerial

CAREER LEVEL: M3

Scope of Position

The Associate Director, Clinical Documentation Integrity (CDI) provides a key role in advancing the long-term success of the Clinical Documentation Improvement program at the medical center. The position is responsible for providing education, support, and mentoring at a medical center level as well as establishing and attaining system targets for performance metrics related to improved case-mix and quality measures. The Associate Director is also responsible for managing systems and operations for an effective CDI division, query metrics, division productivity, and organizational impact. The position is accountable for execution of program objectives including improving the accuracy of the medical record to facilitate an accurate case mix index (CMI), expected mortality rate and other quality metrics.

Position Summary

The Associate Director position oversees the entire CDI team including, but not limited to, CDI specialists and Lead CDI team members. The position will be responsible for reporting out all audit results for the CDI division including query rate, response rate, accuracy rate and productivity. The position will oversee day-to-day operations of the department including working with key stakeholders coding, revenue cycle, utilization management and CDI physician advisors.

Minimum Qualifications

For Hire:

• Bachelors degree requiredin Nursing, Health Information Management, or a related healthcare field;Masters degree preferred.
• Current Certified Clinical Documentation Specialist (CCDS) certification required or must be obtained within one (1) year of hire.
• Minimum of seven (7) years of progressive leadership experience.
• For nursing candidates:Must hold avalid, unrestricted nursing licenseand possessat least five (5) years of acute care nursing experience.
• For non-nursing candidates:Must possess at least five (5) years of clinical/professional experiencerelevant to the health-related degree held.