Vice President, CDI
Jobtailor
Lead the strategy, growth, operational performance, and market reputation of the Inpatient and Outpatient CDI practice Design, standardize, and evolve CDI program models, 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 review, and audit-ready documentation Engage C-suite and physician leaders as a recognized CDI subject-matter expert Translate CDI performance into quality, reimbursement integrity, physician workflow, and organizational reputation outcomes Lead change management across clinical and revenue-cycle stakeholders Own KPI frameworks, set targets, monitor trends, and drive corrective action Use data and analytics to identify documentation gaps, benchmark performance, and quantify financial, quality, and compliance impact Establish audit and quality-assurance routines for query integrity, coding accuracy, and regulatory defensibility Represent CDI capabilities during new business growth opportunities and lead solution design and scoping for prospective engagements Partner with sales throughout targeting, discovery, proposal, pursuit, and close Shape value propositions, ROI narratives, proposals, statements of work, pricing assumptions, and pursuit strategy Support renewals and organic expansion within existing accounts Recruit, develop, mentor, and retain CDI leaders, specialists, and consulting associates Set productivity standards and manage performance through coaching and accountability Oversee onboarding, competency validation, inter-rater reliability, continuing education, compliant query policies, escalation pathways, and documentation-of-record practices Manage operating budget, utilization, and resource allocation across engagements Collaborate with HIM, coding, revenue integrity, quality, and compliance functions Monitor regulatory changes including IPPS/OPPS, ICD-10-CM/PCS,
MS-DRG/APR-DRG
, and HCC/RAF updates, translating implications into program action Requirements Extensive experience leading and developing CDI programs at large health systems, including large academic medical centers Active licensure as a Registered Nurse (RN) or physician (MD/DO) is required At least one recognized CDI/coding certification is required, such as CCDS, CDIP, or CCS Demonstrated command of CDI methodology across the documentation-to-reimbursement continuum, including 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 Ability to work across multiple client time zones Ability to present in on-site executive and physician settings Consulting engagement experience leading CDI program design, implementation, and/or improvement for external client organizations Experience leading Outpatient CDI initiatives in complex, risk-bearing environments, including Medicare Advantage, ACOs, capitated and value-based arrangements, HCC/RAF optimization, and prospective review 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 Core Competencies Demonstrates expertise in leading and developing Clinical Documentation Improvement (CDI) programs, with a strong focus on operational performance, compliance, and quality outcomes. Proficient in engaging stakeholders, managing change, and utilizing data analytics to drive program success and financial integrity. Highest-signal resume keywords CDI Program Development Registered Nurse (RN) or Physician (MD/DO) License CDI/Coding Certification (CCDS, CDIP, CCS) Executive Communication and Influence Outpatient CDI Initiatives in Value-Based Settings ATS Optimization Keywords Hard Skills CDI Methodology Documentation-to-Reimbursement Continuum MS-DRG/APR-DRG HCC/RAF Optimization Data Analytics Quality Assurance KPI Frameworks Change Management Budget Management Consulting Engagements Soft Skills Leadership Coaching Mentoring Collaboration Communication Certifications & Qualifications CCDS CDIP CCS Industry Keywords Inpatient and Outpatient CDI Risk-Adjusted Settings Value-Based Care Payer Audits Regulatory Compliance Tools & Technologies CDI Technology Platforms NLP/Computer-Assisted Documentation Analytics Tooling #J-18808-Ljbffr Jobtailor- 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...SuggestedRemote work
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