The Director of Clinical Documentation Improvement (CDI) and Second Level Review (SLR) provides system-wide leadership for clinical documentation integrity and post-discharge review operations.
Posted Sep 23 · 7 years of experience
Shift and hours
Monday through Friday days Shift: M-F Days
Unit and setting
Hospital
License
RN license
Term
Permanent
Do you qualify?
Certification
RHIA, RHIT, CCDS, CDIP, RN, or equivalent certificationRHIA, RHIT, CCDS, CDIP, RN, or equivalent certification required
Education
Bachelor's degreeBachelor's degree required.
Experience
7 to 10 years of progressive leadership experience in Clinical Documentation Improvement, Health Information Management, Coding, Revenue Cycle, or Clinical QualityMinimum seven to ten years of progressive leadership experience in Clinical Documentation Improvement, Health Information Management, Coding, Revenue Cycle, or Clinical Quality
Experience
leading multi-site CDI programsDemonstrated experience leading multi-site CDI programs
Experience
presenting to executive leadership, physicians, and governing committeesExperience presenting to executive leadership, physicians, and governing committees
Also asks
knowledge of ICD-10-CM/PCS coding, MS-DRGs, APR-DRGs, quality reporting methodologies, risk adjustment, reimbursement systems, and regulatory compliance requirementsStrong knowledge of ICD-10-CM/PCS coding, MS-DRGs, APR-DRGs, quality reporting methodologies, risk adjustment, reimbursement systems, and regulatory compliance requirements
Master's degree in Health Administration, Business Administration, Nursing, Health Informatics, or related fieldMaster's degree in Health Administration, Business Administration, Nursing, Health Informatics, or related field preferred.
This position is eligible for up to $6,000 per year based upon your Full or Part Time status.
Benefits
BenefitsTuition reimbursement up to $6,000 per year based on Full or Part Time statusThis position is eligible for up to $6,000 per year based upon your Full or Part Time status.
BenefitsFlexible PTO program with no set number of days per year and no wait period
BenefitsEmployee discounts to activities, services, and vendors
Lead CDI and SLR strategy, goals, standards, and system-wide initiativesLeads CDI and SLR strategy, goals, standards, and system-wide initiatives.
Day to day
Serve as subject matter expert for documentation integrity, quality reporting, reimbursement, and complianceServes as a subject matter expert for documentation integrity, quality reporting, reimbursement, and compliance
Day to day
Oversee concurrent and retrospective CDI reviews for acuity, SOI/ROM, medical necessity, and resource utilizationOversees concurrent and retrospective CDI reviews to ensure documentation reflects acuity, SOI/ROM, medical necessity, and resource utilization.
Day to day
Lead improvement efforts focused on documentation accuracy, physician engagement, query compliance, and outcomesLeads improvement efforts focused on documentation accuracy, physician engagement, query compliance, and outcomes.
Day to day
Lead post-discharge SLR processes for code assignment, DRG validation, SOI/ROM assignment, and quality data integrityLeads post-discharge SLR processes for accurate code assignment, DRG validation, SOI/ROM assignment, and quality data integrity.
Day to day
Establish focused review methodologies for high-risk, high-volume, and high-impact DRGs and diagnosesEstablishes focused review methodologies for high-risk, high-volume, and high-impact DRGs and diagnoses.
Day to day
Ensure compliance with federal, state, payer, and accreditation requirements related to documentation and codingEnsures compliance with federal, state, payer, and accreditation requirements related to documentation and coding.
Day to day
Direct audits, external review responses, corrective action plans, and compliance risk mitigation strategiesDirects audits, external review responses, corrective action plans, and compliance risk mitigation strategies.
Day to day
Oversee physician and provider documentation education strategiesOversees physician and provider documentation education strategies.
Day to day
Support coaching, mentoring, succession planning, and a culture of accountability and collaborationSupports coaching, mentoring, succession planning, and a culture of accountability and collaboration
Day to day
Collaborate with Revenue Cycle, Quality, Medical Staff, Compliance, Case Management, Utilization Review, Finance, Information Systems, and executive leadersCollaborates with Revenue Cycle, Quality, Medical Staff, Compliance, Case Management, Utilization Review, Finance, Information Systems, and executive leaders.
Hours stated
M-F Days
The workplace
Main Line Health
Health system employer
Parking
free employee parkingAnd employee parking is always free!
Could you be our next Director of Clinical Documentation Improvement and Second Level Review?
Why work as a Director of Clinical Documentation Improvement and Second Level Review with Main Line Health?
Make an Impact!
The Director of Clinical Documentation Improvement (CDI) and Second Level Review (SLR) provides system-wide leadership for clinical documentation integrity and post-discharge review operations. This role ensures clinical documentation accurately supports quality outcomes, SOI/ROM, patient safety indicators, reimbursement integrity, and regulatory compliance. Responsibilities include:
Strategic Leadership and Program Oversight
Leads CDI and SLR strategy, goals, standards, and system-wide initiatives.
Serves as a subject matter expert for documentation integrity, quality reporting, reimbursement, and compliance
Clinical Documentation Improvement Oversight
Oversees concurrent and retrospective CDI reviews to ensure documentation reflects acuity, SOI/ROM, medical necessity, and resource utilization.
Leads improvement efforts focused on documentation accuracy, physician engagement, query compliance, and outcomes.
Second Level Review Oversight
Leads post-discharge SLR processes for accurate code assignment, DRG validation, SOI/ROM assignment, and quality data integrity.
Establishes focused review methodologies for high-risk, high-volume, and high-impact DRGs and diagnoses.
Quality, Regulatory, and Compliance Management
Ensures compliance with federal, state, payer, and accreditation requirements related to documentation and coding.
Oversees physician and provider documentation education strategies.
Leadership and Talent Development
Supports coaching, mentoring, succession planning, and a culture of accountability and collaboration
Collaboration and Organizational Partnerships
Collaborates with Revenue Cycle, Quality, Medical Staff, Compliance, Case Management, Utilization Review, Finance, Information Systems, and executive leaders.
Develop and Grow Your Career!
Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status.
Join the Team!
Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care.
Position-Specific Benefits include
This position is eligible for Main Line Health's Flexible PTO program. With this, you have the freedom and flexibility to take paid time off as needed: no set number of days per year allotted to your position, and no wait period to begin using your Flexible PTO. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free!
Position
Director, HIM Revenue Cycle
Shift
M-F Days
Experience
Minimum seven to ten years of progressive leadership experience in Clinical Documentation Improvement, Health Information Management, Coding, Revenue Cycle, or Clinical Quality
Demonstrated experience leading multi-site CDI programs
Strong knowledge of ICD-10-CM/PCS coding, MS-DRGs, APR-DRGs, quality reporting methodologies, risk adjustment, reimbursement systems, and regulatory compliance requirements
Experience presenting to executive leadership, physicians, and governing committees
Education
Bachelor's degree required.
Master's degree in Health Administration, Business Administration, Nursing, Health Informatics, or related field preferred.
Licensures/
Certifications
RHIA, RHIT, CCDS, CDIP, RN, or equivalent certification required
