Senior Manager, Coding, CDI & Data Quality

🔥 16 minutes ago

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City of Hope

WebsiteLinkedInAll Job Openings

10,000+ employees

🧬 Biotechnology

🔬 Science

🤝 Non-profit

💰 $5.4M Grant - City of Hope on 2024-05

Biotechnology • Science • Non-profit

City of Hope is a nonprofit, NCI-designated comprehensive cancer center and research hospital near Los Angeles that provides patient care, conducts translational biomedical research, and offers education and clinical trials across a national network. It focuses on cancer, diabetes, and other life‑threatening diseases, combining clinical services, laboratory science, training and community outreach to develop new treatments and support patients and families.

📋 Description

• 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.

🎯 Requirements

• Bachelor’s degree in Health Information Management, Health Administration, Nursing, or 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.

🏖️ Benefits

• Comprehensive Benefits