Jobs · Maryland

Director, Clinical Documentation Integrity

MedStar Health · Columbia, MD · 2 wk ago
HybridFull-time

About the role

The Director of Clinical Documentation Integrity leads and strengthens MedStar Health’s Clinical Documentation Integrity (CDI) program. This role oversees initiatives that improve the accuracy and quality of clinical documentation, support regulatory compliance, and promote appropriate reimbursement and patient outcomes. The director works with physician advisors, medical staff leadership, and teams across MedStar Health to support ongoing education, promote ethical documentation practices, and identify opportunities to improve CDI processes and standards throughout the organization. MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 33,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team.

Responsibilities

  • Oversee initiatives to improve accuracy and quality of clinical documentation.
  • Support regulatory compliance and appropriate reimbursement.
  • Promote patient outcomes through better documentation.
  • Collaborate with physician advisors, medical staff leadership, and cross‑functional teams.
  • Support ongoing education and promote ethical documentation practices.
  • Identify opportunities to improve CDI processes and standards organization‑wide.

Requirements

Education: Bachelor's degree; Master's degree preferred; completion of coding courses in ICD‑10‑CM/PCS.

Experience: Minimum of five years experience in an acute care setting as a clinical documentation specialist, including documentation review, coding, and DRG analysis; 3‑4 years of director, manager, or supervisor level experience in CDI; experience working with physicians and clinical professionals; one year of relevant professional‑level work experience may be substituted for one year of required education.

Licenses and Certifications: CDIP credential from AHIMA or CCDS credential from ACDIS; CCS credential from AHIMA (preferred) or CICAAPC from AAPC (preferred); CPC credential from AAPC (preferred) or Registered Nurse, Medical Doctor, Licensed Practical Nurse, Doctor of Osteopathic Medicine (preferred).

Benefits

  • Supportive and inclusive work environment.
  • Comprehensive health and wellness benefits.
  • Generous PTO.
  • Tuition assistance.
  • Retirement plans.
  • Many other benefits focused on wellbeing.

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