Director of System Professional Billing Clinical Documentation Integrity

Overview

UF Health System

UF Health is seeking a strategic leader to oversee the Professional Billing (PB) Clinical Documentation Integrity (CDI) program across the health system. The PB CDI Director will partner with clinical and operational leaders to drive system-wide improvements in documentation quality, risk adjustment (HCC-RAF), and evaluation and management (E/M) coding accuracy. This role provides leadership and guidance to the PB CDI Manager and team of CDIS, ensuring effective processes, team engagement, and alignment with organizational goals.

• Lead PB CDI strategy, implementation, and evaluation across UF Health.
• Collaborate with hospital departments and the UF Health System CDI Director to drive accurate and complete clinical documentation.
• Monitor and improve E/M and HCC-RAF metrics.
• Oversee and support the PB CDI Manager and CDIS team to ensure continuous improvement and goal achievement.

• Licensed RN, LPN or MD and CCS-P, CPC, CRC, CDEO, or other coding credential certification required. Will consider experienced candidates who are non-clinical based on their OP CDI & Leadership experience.
• Minimum 3 years experience in outpatient clinical documentation improvement required.
• Minimum 2 years managerial/director experience in a large healthcare system.
• Strong critical thinking skills and the ability to review the medical record to identify information not yet documented but supported by clinical indicators or clinical clues.
• Utilizing critical thinking and sound judgment in decision-making processes, balancing reimbursement considerations with regulatory compliance.
• Ability to motivate employees to attain program and organizational goals. Ability to function in a highly impactful, fast-paced environment.
• Flexibility in prioritization a must.
• Understanding of E/M level selection and risk adjustment methodology (such as HCCs) including inpatient, emergency department, and outpatient visits in the professional setting.
• Clear Understanding of coding guidelines for compliance purposes.