Senior Dir Enterprise Hospital Revenue Cycle (CDI Coding Val, HIM, AR)

SUMMARY

The Senior Director, Health Information Management, Clinical Documentation Integrity (CDI), Hospital Coding & Hospital Accounts Receivable provides strategic and operational leadership for Health Information Management (HIM), hospital coding, medical records, and hospital accounts receivable functions across the organization. This executive role is responsible for ensuring accurate, timely, and compliant clinical documentation, coding, medical record integrity, and hospital AR performance supported by Epic HB.

The Senior Director partners closely with clinical leadership, revenue cycle, compliance, finance, and IT to optimize documentation quality, coding accuracy, billing readiness, cash flow, and regulatory compliance while supporting enterprise financial and operational goals and operational excellence. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include:

• Instill Trust and Value Differences
• Patient and Community Focus and Collaborate

RESPONSIBILITIES

KEY RESPONSIBILITIES

Enterprise Leadership & Strategy

• Provide executive leadership for HIM, hospital coding, CDI, medical records, and hospital AR functions
• Develop and implement integrated strategies aligning documentation integrity, coding accuracy, billing readiness, and AR performance
• Establish governance, policies, and standards to ensure regulatory compliance and operational consistency

Health Information Management (HIM) & Medical Records

• Oversee HIM operations including record completion, deficiency management, release of information (ROI), record retention, and data governance
• Ensure integrity, privacy, and security of the medical record in compliance with HIPAA and regulatory requirements
• Partner with IT and clinical teams to optimize Epic documentation workflows and data quality

Clinical Documentation Integrity (CDI)

• Lead enterprise CDI programs to ensure complete, accurate, and compliant provider documentation
• Partner with physician and clinical leadership to improve documentation practices and engagement
• Monitor CDI performance metrics including CC/MCC capture, SOI, ROM, and case mix index (CMI)

Hospital Coding Operations

• Oversee inpatient and outpatient hospital coding operations across all facilities
• Ensure compliance with ICD-10-CM/PCS, CPT, HCPCS, MS-DRG/APR-DRG, and payer-specific requirements
• Direct coding audits, quality assurance, education, and corrective action plans
• Collaborate with CDI, HIM, and AR teams to reduce rework, delays, and denials

Hospital Accounts Receivable

• Provide executive oversight of hospital AR performance, including billing readiness, follow-up, and aging reduction
• Partner with Revenue Cycle and Finance leadership to improve cash flow and reduce days in AR
• Identify documentation and coding-related drivers of AR delays, denials, and underpayments
• Support denial prevention and resolution efforts related to hospital claims

Epic HB Optimization

• Serve as executive owner for Epic HB documentation, coding, and billing workflows
• Partner with IT and Epic teams on optimization, upgrades, governance, and issue resolution
• Ensure Epic configurations support compliant documentation, accurate coding, and efficient billing

Compliance, Audits & Risk Management

• Ensure compliance with federal, state, and payer-specific documentation and coding regulations
• Partner with Compliance and Legal teams on audits, appeals, and regulatory inquiries
• Implement controls to mitigate compliance risk and revenue leakage

Analytics & Reporting

• Establish KPIs and dashboards related to documentation quality, coding accuracy, AR aging, and compliance
• Analyze trends and performance data to drive improvement initiatives
• Present performance results, risks, and recommendations to executive leadership

People Leadership

• Lead, mentor, and develop directors, managers, and multidisciplinary teams across HIM, CDI, Coding, and Hospital AR
• Establish performance expectations, productivity standards, and continuous improvement frameworks
• Foster a culture of accountability, collaboration, and regulatory excellence

Performance Standards

• Effective utilization of resources
• Management of continuous quality improvement
• High quality, high value patient-focused services
• Resource productivity and fiscal responsibility
• Development and implementation of effective quality programs
• Customer satisfaction and positive feedback from peers, direct reports, and staff
• Year-over-year performance improvement

Qualifications / Education

• Bachelor’s degree in business, Health Information Management, Finance, Healthcare Administration, or related field
• 10+ years of progressive leadership experience in hospital coding, CDI, and revenue cycle management, including offshoring and outsourcing of work/resources within healthcare
• Proven track record managing large, complex coding and CDI operations
• Strong knowledge of CPT, ICD-10, HCPCS coding, and payer billing requirements
• Strong knowledge of hospital reimbursement, documentation standards, and regulatory requirements
• Experience with Epic HB billing systems (required)
• Experience leading others in a large, highly complex and ever-changing organization
• Excellent leadership, communication, and interpersonal skills
• Analytical mindset with strong problem-solving abilities and proficiency in data analysis tools
• Ability to work collaboratively across departments and influence senior executives
• Professional certifications such as RHIA, RHIT, CCS, CCDS, CDIP, CHFP, or equivalent

Working Conditions

• Office-based role with potential hybrid remote work arrangements
• Requires occasional travel to other facilities, corporate offices, or industry conferences as needed

Pay Range

$162,988.80 - $268,881.60

Location

BHCS 15 LaSalle Square - 15 LaSalle Square Providence, Rhode Island 02903

Work Type

8:00 - 5:00

Work Shift

Day

Daily Hours

8 hours

Driving Required

No

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.