VP HIM, Coding & CDI- Johns Hopkins Health System

Position Description
The Vice President, Health Information Management, Coding & Clinical Documentation Integrity is responsible for providing leadership for all activities related Coding and Clinical Documentation Improvement of the Health System. This position is responsible for achieving the following fundamental objectives:

• Ensuring accurate and timely coding that complies with regulations and billing requirements.
• Ensuring accurate and timely clinical documentation.

The Vice President of Health Information Management, Coding & Clinical Documentation Improvement, will lead an enterprise-wide transformation of these functions. Reporting to the Chief Financial Officer, Cheryl Sadro, and serving on the Executive Operations and Enterprise Finance Leadership Team, this executive will be responsible for integrating HIM, Coding, and CDI into a unified organization while helping prepare the health system for evolving reimbursement models, AI-enabled documentation, and future growth.
This is an opportunity to shape strategy across one of the nation's premier academic health systems while partnering closely with physicians, finance, and operational leaders to improve documentation integrity, coding performance, and reimbursement outcomes.

Reporting Relationship
This role reports to the Senior Vice President and Chief Financial Officer for Johns Hopkins Medicine, and Executive Vice President and Chief Financial Officer for Johns Hopkins Health System.

Principal Accountabilities

1. Serve as a strategic advisor to senior leadership, offering insight into internal and external factors that may influence short‑ and long‑term coding, and documentation operational performance.
2. Collaborate closely with the broader executive team to ensure alignment across the organization.
3. Contribute to enterprise‑wide planning and decision‑making, applying expertise and industry best practices to support the organization’s mission and strategic goals.
4. Lead the delivery of efficient, effective documentation and coding services and act as a catalyst for operational improvement across departments and service lines.
5. Build and develop a high‑performing coding and CDI teams through clear expectations, coaching, succession planning, and a culture of continuous learning.
6. Oversee planning, development, and stewardship for the organization or assigned business units.
7. Partner with clinical, administrative, and operational leaders to identify and implement performance improvement initiatives that enhance quality, service, efficiency, and cost effectiveness.
8. Cultivate strong relationships across the organization and develop metrics to monitor and sustain the impact of key initiatives.
9. Advise leaders on the development and management of operating and capital budgets.
10. Work collaboratively with functions such as Medical Executive Boards, Regulatory Finance, Revenue Cycle Management, Supply Chain, contracting, payer relations, and accounting to set expectations, coordinate activities, and drive continuous improvement.
11. Support leadership in real time on daily, weekly, and monthly operational and financial priorities.
12. Drive performance improvement efforts, ensuring transparency, alignment, and accountability across shared services and operational areas.
13. Apply and promote process improvement methodologies.
14. Monitor financial performance across departments, identifies trends and risks, and develops corrective action plans as needed.
15. Ensure timely, accurate financial and statistical reporting for senior leadership and highlights areas requiring attention.
16. Build credibility and strong working relationships at all levels of the organization.
17. Stay current on regulations and industry trends that impact financial management and ensure leadership is informed.
18. Lead and develop a responsive, analytical, and collaborative financial and decision‑support team.

Experience and Qualifications

1. 10+ years of progressively responsible related experience with 7+ years of senior management experience with significant business impact on business unit or support organization
2. Master’s degree required in related field
3. Significant senior management experience in healthcare CDI, planning, budget management, reporting, general accounting, financial controls, and information systems, or equivalent.
4. Experience in a large health system preferred.
5. Sitting CDI experience required.
6. Demonstrated revenue cycle experience preferred.
7. Demonstrated success serving in a complex, multi-stakeholder environment.
8. Proven record of recruiting and developing a high-performing, diverse, and inclusive CDI team. Ability to effectively mentor and develop a team.
9. Analytical, negotiation, presentation, and leadership skills.
10. Proficient skills in directing, monitoring, evaluating, and motivating the performance of professional and management staff.
11. Effective oral and written communication skills required to work with faculty and hospital administrative staff
12. Elevated level of proficiency and demonstrated effectiveness in problem-solving and implementing innovative programs related to increased departmental and organizational operating efficiency while utilizing hospital resources in a fiscally responsible manner.
13. Knowledge of current physician and hospital reimbursement and clinical issues confronting academic medical centers.
14. Proven organizational skills and political savviness.
15. Ability to develop strong relationships with physicians and patient care service professionals.
16. Demonstrated effectiveness in managing and directing departmental operations and management/supervisory personnel in evaluating, training, and motivating performance.
17. Ability to accomplish results through demonstrated ability to delegate effectively and to establish clear guidelines for accountability.
18. Effectiveness at building consensus and providing strong leadership in a team environment, with high professional and personal integrity.
19. Ability to prioritize work and be resilient in today’s ever-changing healthcare environment and economy.
20. Demonstrated ability to serve as a change agent. Ability to form credible and strong relationships with key stakeholders to collaborate effectively and gain buy-in.
21. Driver of performance improvement as opposed to maintenance of “status quo.” Commitment to consistently seeking ways to be better and maximize and diversify revenue.
22. Possession of a strategic thought process, and effective executor with a competitive mindset.

Salary Range: Minimum $/visit - Maximum $/visit. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount, salary discussions will occur during candidate screening calls, before any subsequent compensation discussion is held between the candidate and any hiring authority.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.