Join the transformative team at City of Hope, where we're changing lives and making a real difference in the fight against cancer, diabetes, and other life-threatening illnesses. City of Hope's growing national system includes its Los Angeles campus, a network of clinical care locations across Southern California, a new cancer center in Orange County, California, and treatment facilities in Atlanta, Chicago and Phoenix. Our dedicated and compassionate employees are driven by a common mission: To deliver the cures of tomorrow to the people who need them today. The Senior Manager, Coding, Clinical Documentation Integrity (CDI) & Data Quality provides strategic leadership and operational oversight for coding, CDI, and data quality functions across the organization. This role is responsible for establishing and driving performance standards related to coding and abstracting accuracy, documentation integrity, regulatory compliance, revenue cycle outcomes, charge capture, data collection, and reporting functions. This leader will oversee the development and execution of coding quality and documentation improvement strategies, including audit programs, education initiatives, and performance improvement efforts across inpatient and outpatient settings. Partnering closely with HIMS leadership, clinical teams, finance, and revenue cycle stakeholders, the Senior Manager will ensure accurate clinical data capture, compliance with regulatory requirements, optimized reimbursement, and strong performance across key operational metrics. This role also fosters a culture of collaboration, engagement, and continuous improvement across coding and data quality functions. As a successful candidate, you will:
- Lead and oversee coding, CDI, charge capture, charge movement, and data quality operations across the organization.
- Develop operational plans, annual goals, and performance metrics focused on coding productivity, accuracy, compliance, and documentation integrity.
- Provide subject matter expertise in ICD-10-CM/PCS, CPT/HCPCS, DRGs, APR-DRGs, APCs, and related coding and billing practices.
- Maintain accountability for coding quality, productivity, accounts receivable performance, and regulatory compliance outcomes.
- Lead, train, and develop coding and CDI managers, lead-level staff, and team members while fostering a high-performing, engaged team culture.
- Direct coding quality, CDI, and data integrity initiatives, including internal and external audit strategy, preparation, review, and response.
- Partner with clinical, finance, revenue cycle, compliance, and operational leaders to improve coding accuracy, documentation integrity, and financial performance.
- Oversee internal and external data reporting, analytics, and regulatory submissions while identifying trends and opportunities for performance improvement.
- Ensure systems supporting coding and data quality functions are optimized, including encoder, abstracting, EHR, and reporting tools.
- Support education for clinical and ancillary teams on documentation requirements, medical necessity, and accurate code assignment practices.
Qualifications
Your qualifications should include:
- Bachelor's degree in Health Information Management, Health Administration, Nursing, or a related healthcare field.
- Seven years of progressive leadership experience in coding, CDI, and/or data quality within an acute care or healthcare system environment.
- Demonstrated experience leading complex teams, multiple functional areas, or programs related to coding, CDI, and/or data quality.
- Strong experience with coding compliance, auditing, clinical documentation improvement initiatives, performance metrics, and process improvement efforts.
- Experience partnering with revenue cycle, finance, clinical leadership, and operational stakeholders to drive documentation integrity and financial performance.
- AHIMA ICD-10 coding and/or CDI training or equivalent certification.
- One of the following certifications required: CCS, RHIA, RHIT, or CDIP and/or CCDS with strong inpatient and/or outpatient acute care coding experience.
- Advanced knowledge of ICD-10-CM/PCS, CPT/HCPCS, DRGs, APR-DRGs, APC methodologies, coding compliance, auditing, and clinical documentation integrity programs.
- Strong analytical, communication, leadership, and problem-solving skills with the ability to engage physicians, operational leaders, and executive stakeholders.
- Proficiency with Microsoft Office, EHR systems, encoder/grouper applications, coding/auditing platforms, and reporting or analytics tools.
City of Hope employees' pay is based on the following criteria: work experience, qualifications, and work location. City of Hope is an equal opportunity employer. To learn more about our Comprehensive Benefits, please CLICK HERE.
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