Description

Responsible for the strategic and operational leadership of Essentia Health’s (EH) **Inpatient and Outpatient Clinical Documentation Improvement (CDI)** programs across all regions. This role requires advanced clinical and coding expertise, along with a deep understanding of complex disease processes, healthcare reimbursement, and regulatory compliance. Oversees the design, implementation, and continuous improvement of a comprehensive CDI program that supports accurate, complete, and compliant documentation for both inpatient and outpatient encounters. **Partners with coding, Utilization Management and the Physician Advisor program** to ensure documentation reflects medical necessity, supports appropriate resource use, and aligns with clinical and regulatory standards. Provides hands-on expertise in documentation integrity and collaborates with regional and site-specific executive leadership to sustain a concurrent CDI model. Facilitates strong engagement with physicians, advanced practitioners, coding professionals, and other key stakeholders to promote documentation excellence and ensure appropriate reimbursement for services rendered. Builds and maintains collaborative relationships with internal teams, external consultants, and physician leaders to achieve established CDI goals and performance metrics.

Requirements

Educational Requirements:

Bachelor’s degree in nursing, health information management, or other related healthcare field
 

Required Qualifications:

5 years of experience in a clinical documentation improvement program with at least 3 years of experience in CDI leadership in an acute care hospital

Licensure/Certifications requirements:

Registered Health Information Administrator (RHIA) or Registered Nurse (RN). Prefer additional certification as Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP)
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