Senior Director of Clinical Documentation Integrity Strategy

HealthPartners is hiring a Senior Director of Clinical Documentation Integrity Strategy. They serve as the enterprise leader responsible for the strategic vision, operational performance, governance, and future direction of clinical documentation integrity, diagnosis accuracy, provider documentation excellence, coding quality, and clinical data integrity across HealthPartners.

This position provides executive leadership for inpatient and ambulatory documentation programs, diagnosis accuracy strategies, coding integrity initiatives, and clinical documentation technologies that support revenue integrity, quality measurement, value-based care performance, regulatory compliance, and population health outcomes. As a key leader within an integrated care delivery and health plan organization, the Senior Director aligns documentation, coding, reimbursement, quality, and risk adjustment strategies to ensure the complete and accurate representation of patient health status across all care settings.

The Senior Director partners extensively with physician leadership, operational leaders, health plan leaders, finance, quality, population health, contracting, information technology, and analytics teams to optimize enterprise performance across fee-for-service, shared savings, global risk, Medicare Advantage, Medicaid, ACA Exchange, and emerging payment models. This leader drives innovation through advanced analytics, artificial intelligence, automation, and technology-enabled transformation to position HealthPartners for future regulatory, reimbursement, and healthcare delivery changes.

MINIMUM QUALIFICATIONS

• Education, Experience or Equivalent Combination:
• Bachelor's degree in Healthcare Administration, Health Information Management, Nursing, Business Administration, Finance, Public Health, or a related field.
• Ten (10) or more years of progressively responsible healthcare leadership experience.
• Five (5) or more years of leadership experience managing leaders and complex organizational functions.
• Significant experience leading clinical documentation integrity, diagnosis accuracy, coding, revenue cycle, quality improvement, health information management, or related healthcare operations.
• Experience leading enterprise initiatives in large, highly matrixed healthcare organizations.
• Experience operating within both fee-for-service and value-based reimbursement models.
• Licensure/ Registration/ Certification:
• Applicable healthcare, coding, CDI, risk adjustment, nursing, or health information credentials as relevant to education and experience.
• Knowledge, Skills, and Abilities:
• Expert knowledge of clinical documentation integrity, coding methodologies, diagnosis accuracy, risk adjustment, and revenue cycle operations.
• Strong understanding of CMS-HCC, HHS-HCC, CDPS, ACG, and other population risk methodologies.
• Comprehensive knowledge of healthcare reimbursement models, quality measurement programs, population health strategies, and regulatory requirements.
• Demonstrated executive leadership, strategic planning, organizational transformation, and change management capabilities.
• Exceptional communication, collaboration, influence, and relationship management skills.
• Ability to translate complex financial, analytical, operational, and regulatory concepts into actionable business strategies.
• Demonstrated success leading multidisciplinary teams and enterprise-wide initiatives.

PREFERRED QUALIFICATIONS

• Master's degree in Business Administration, Healthcare Administration, Public Health, Health Informatics, Nursing, or related field.
• Experience within an integrated healthcare delivery system and health plan organization.
• Experience supporting Medicare Advantage, Medicaid, ACA Exchange, commercial risk adjustment, and value-based care programs.
• Experience leading technology modernization, artificial intelligence, automation, and analytics transformation initiatives.
• Experience supporting both hospital and ambulatory operations.
• Licensure/ Registration/ Certification:
• One or more of the following: CCDS, CDIP, RHIA, RHIT, CCS, CCS-P. CPC, CRC, RN
• Knowledge, Skills, and Abilities:
• Advanced understanding of healthcare quality programs, alternative payment models, and value-based care arrangements.
• Knowledge of emerging clinical documentation technologies, artificial intelligence, natural language processing, and computer-assisted coding solutions.

ESSENTIAL DUTIES

• (30%) Enterprise Strategy and Governance
• Establish and lead the enterprise strategy for clinical documentation integrity, diagnosis accuracy, coding quality, and clinical data integrity across all care settings.
• Provide executive leadership and governance that aligns documentation, reimbursement, quality, population health, compliance, and value-based care objectives.
• Serve as the senior advisor to executive leadership on documentation integrity, diagnosis accuracy, regulatory trends, and reimbursement implications.
• (25%) Operational Leadership and Performance
• Provide enterprise oversight for inpatient and ambulatory documentation integrity, diagnosis accuracy, provider documentation excellence, and related operational programs.
• Drive operational effectiveness through standardized governance, optimized workflows, workforce planning, and performance management.
• Ensure organizational compliance, accuracy, efficiency, and sustainable operational outcomes.
• (20%) Value-Based Care and Clinical Data Integrity
• Lead enterprise strategies that improve diagnosis accuracy, risk adjustment performance, and the integrity of clinical data used for reimbursement, quality measurement, and population health management.
• Partner across care delivery, health plan, finance, quality, contracting, and population health functions to optimize performance under fee-for-service and value-based payment models.
• (15%) Analytics, Quality, and Organizational Performance
• Establish performance measures and reporting strategies that monitor documentation quality, coding integrity, diagnosis accuracy, financial outcomes, quality performance, and clinician engagement.
• Utilize analytics and actionable insights to support strategic decision-making and continuous improvement.
• Communicate performance trends, risks, and recommendations to executive leadership.
• (10%) Innovation and Transformation
• Lead the evaluation and implementation of technologies that advance documentation integrity, coding quality, and diagnosis accuracy.
• Develop organizational capabilities related to artificial intelligence, automation, advanced analytics, and emerging healthcare technologies.
• Position the organization to successfully navigate evolving regulatory, reimbursement, and healthcare delivery requirements.

At HealthPartners we believe in the power of good – good deeds and good people working together. As part of our team, you’ll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.

We’re a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.

At HealthPartners, everyone is welcome, included and valued. We’re working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.

Benefits Designed to Support Your Total Health

As a HealthPartners colleague, we’re committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.

Join us in our mission to improve the health and well-being of our patients, members, and communities.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.