Director of Clinical Documentation Integrity

About the role

The Director of Clinical Documentation Integrity leads the Health System’s Clinical Documentation Improvement (CDI) program, ensuring accurate, high‑quality patient records that reflect true clinical status and support appropriate reimbursement.

Key responsibilities

• Develop and execute annual CDI workplans aligned with system‑wide initiatives and report outcomes to senior leadership.
• Provide education, orientation, mentoring, and ongoing training for CDI specialists and physicians across service lines.
• Conduct quality audits, chart reviews, and query compliance checks to ensure adherence to state and regulatory guidelines.
• Collaborate with coding, quality, care management, and external consultants to synchronize CDI efforts.
• Maintain departmental training materials, web‑based platforms, and quarterly newsletters.

Required profile

• Bachelor’s degree in Healthcare Administration, Health Information Management, Nursing or related field; Master’s degree preferred.
• Current Florida RN license or MD with extensive CDI experience; required CDI certifications (CCDS, CDIP, CPC, CCS).
• Minimum five years of clinical experience in a hospital setting and prior CDI experience.

Required skills

• Proficiency with ICD‑9‑CM, ICD‑10‑CM/PCS coding systems.
• Knowledge of APR DRG, MS DRG, mortality, PSI and HAC metrics.
• Experience conducting chart audits and developing educational programs.