Director, CDI & Coding

City of Hope

Duarte, CA

Job posting number: #7287513 (Ref:10027467)

Posted: October 19, 2024

Salary / Pay Rate: $76.77 - $128.21 / hour

Application Deadline: Open Until Filled

Job Description

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, andtreatment facilitiesin 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 Director of CDI and Coding has oversight and responsibility for the CDI and Coding and Data Quality functions for the system. This role will execute the strategy for the provision of CDI and coding and provide leadership and direction for the CDI and Coding teams across the system. Works with the CDI and coding management team to develop and establish policies and procedures to support compliant coding and billing for services. Establishes key metrics for inpatient, ambulatory surgery and outpatient coding processes for benchmarking purposes. Serves as a liaison between the CDI team and the medical staff. The incumbent is pivotal in leveraging their clinical knowledge and position to provide education to the CDI Staff, the medical staff, APPs, and other clinicians on matters related to proper and adequate documentation practices, improvement of clinical protocols, medical necessity and associated clinical documentation, level of care progression, and denials management. This work is done in collaboration with the Health Information Management (HIM) department leaders, the CDI Governance Committee, key stakeholders involved in the revenue cycle and payer strategies, improvement of hospital Quality measures, reduce denials and protect the integrity of the documentation within the Electronic Medical Record (EMR).

As a successful candidate, you will:

  • Acts as a liaison between the health information management department's clinical documentation improvement professionals and the hospital’s medical staff to facilitate accurate and complete documentation for coding and abstracting of clinical data, capture of severity, acuity, and risk of mortality, in addition to DRG assignment.
  • Educate physicians and APPs on documentation concepts, bridging the gap between clinical language and documentation requirements.
  • Works with COH Foundation regarding HCC coding and documentation.
  • Serves on various committees such as Case Management/Utilization Management, Sepsis, QA & I, Quality Improvement including Complication/PSI Coding, CDI Touch Base Committee, CDI Governance, ADCC, Medical Record Committee and Denial Management
  • Conducts clinical reviews through the query escalation process on cases referred by HIM Management and other healthcare professionals to meet regulatory requirements in accordance with the hospital objectives for assuring quality patient care and effective, efficient utilization of health care services.
  • Provides clinical direction for development and implementation of chronic condition care management programs, including integration of and compliance with payor mandated procedures, coordination of referral processes, and comparison to benchmarks of all utilization data and timely reporting of same to staff and management.
  • Collaborates with physician leadership in clinical departments to define clinical criteria for CDI team to use when determining whether to query or not. (i.e. Dietary, Cardiology etc.).

Your qualifications should include:

  • Board Certified MD or DO with an active California license.
  • 7 years of clinical experience.
  • 5 years of experience in a leadership capacity.
  • Clinical Documentation Improvement Training.
  • MD/DO.

City of Hope is an equal opportunity employer. To learn more about our commitment to diversity, equity and inclusion, please click here.

Salary / Pay Rate Information:
Pay Rate: $76.77 - $128.21 / hour

The estimated pay scale represents the typical [salary/hourly] range City of Hope reasonably expects to pay for this position, with offers determined based on several factors which may include, but not be limited to, the candidate’s experience, expertise, skills, education, job scope, training, internal equity, geography/market, etc. This pay scale is subject to change from time to time.



City of Hope is a community of people characterized by our diversity of thought, background and approach, but tied together by our commitment to care for and cure those with cancer and other life-threatening diseases. The innovation that our diversity produces in the areas of research, treatment, philanthropy and education has made us national leaders in this fight. Our unique and diverse workforce provides us the ability to understand our patients' needs, deliver compassionate care and continue the quest for a cure for life-threatening diseases. At City of Hope, diversity and inclusion is a core value at the heart of our mission. We strive to create an inclusive workplace environment that engages all of our employees and provides them with opportunities to develop and grow, both personally and professionally. Each day brings an opportunity to strengthen our work, leverage our different perspectives and improve our patients’ experiences by learning from others. Diversity and inclusion is about much more than policies and campaigns. It is an integral part of who we are as an institution, how we operate and how we see our future.


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More Info

Job posting number:#7287513 (Ref:10027467)
Application Deadline:Open Until Filled
Employer Location:City of Hope
Duarte,California
United States
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