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*The Director Revenue Cycle Inpatient Clinical Documentation Improvement & Payer Audit is a Local Southeastern, MI role with flexible Hybrid opportunity if living in Michigan. Our HFH office for this position is located in Troy, MI for any in Office time*

Henry Ford Health (HFH), one of the leading healthcare systems in Michigan, continues to grow and innovate, driven in part by its joint venture with Ascension, launched on October 1, 2024. As we expand, we are seeking a highly skilled and experienced Clinical Documentation Improvement (CDI) Program Director to provide concentrated daily oversight of Inpatient Clinical Documentation Improvement and Payer Audit teams.

The Program Director will partner with clinicians, coders, payers, and other members of the healthcare team to ensure accurate and timely clinical documentation in the medical record. Through collaboration with members of the team and revenue cycle leadership, identifies departmental and business unit priorities, establishes goals, and implements strategies designed to foster a culture of innovation, employee engagement, and exceptional business performance. Role also includes payer collaboration and denials management including oversight of documentation requests both pre and post payment.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Daily Operations

+ Continuously surveils industry technology for applicability to all areas of clinical documentation. Partners with leaders from other business units to understand and mitigate barriers.

+ Oversight of analysis of employee/operational performance; recommends changes and efficiencies.

+ Provides periodic monitoring and analysis of productivity metrics to ensure service standards are being met and individual workflows are appropriate.

+ Manages CPT//ICD-10 code usage to ensure accurate, effective, communication with physicians regarding coding trends and accurate coding to maximize reimbursement.

+ Collaborates with clinical partners and other stakeholders on documentation improvement strategies. Identifies performance gaps and creates action plans to mitigate.

+ Prepares annual budget and manages expenses and staffing levels.

+ Recruits and develops leaders, builds a culture of high performance and engaged workforce.

+ Participates in data collection for performance measures, investigates opportunities, and implements solutions for optimization.

+ Demonstrates belief in the mission of Henry Ford Health through the ability to articulate, interpret, and incorporate its mission into departmental goals and objectives.

+ Establishes priorities and long and short-term strategic goals of the department with the assistance of the management team. Ensures staff is aligned with the goals and objectives related to Revenue Cycle for the organization.

+ Actively participates in various committees such as, Revenue Cycle Coding Council, Compliance, etc.

+ May develop and/or lead committees/teams related to coding or documentation, denials, regulatory changes, performance improvement, and compliance.

+ Ensures that information systems support current and future needs of the department.

+ Works closely with information technology in transition planning including, but not limited to, testing, installation, and education of staff to produce and maintain high quality data integrity.

+ Creates and manages strategic partnerships with vendors and third-party systems to ensure optimization of costs and quality.

+ Monitors performance of external vendors with monthly performance metrics and standards compared to benchmarks.

+ Ensures concurrent Clinical Documentation Improvement activities are following local, state, and federal guidelines.

+ Responsible for leadership within clinical teams to promote documentation standardization for the health system.

+ Collaborates with HFHS departments to ensure services performed are charged and posted in a timely and compliant manner.

+ Maintains revenue cycle accountability to the business units.

+ Oversees/directs the development of policies and procedures for the department.

+ Supports the standards set forth in the HFH Code of Conducts by creating an atmosphere of commitment to legal and ethical standards.

+ Creates and manages strategic partnerships with on shore and off-shore vendors and third-party systems to ensure optimization of costs and quality.

+ Creates a process for escalation of payer opportunities including managed care, legal and other stakeholders.

+ Serves as an internal consultant on industry best practice, denials, payer performance, CMS regulations, documentation, and compliance.

+ Performs other related duties as assigned.

Compliance

+ Responsible for maintaining regulatory compliance with external agencies and state and federal regulations for medical record and coding related standards for each business unit and the health system. Ensures staff is kept informed and educated on process and regulatory changes.

+ Assures support services function meets all current regulatory compliance and HIPAA transaction requirements and keeps current with MS-DRG and ICD- 10/CPT coding rules and regulations.

+ Works with risk management, legal counsel, and administrative staff, key departments, providers, and committees to ensure that the organization maintains appropriate compliance including privacy and security and confidentiality policies, procedures, forms, coding, and materials that reflect current organizational practices and regulatory requirements at the local, state, and national levels.

EDUCATION/EXPERIENCE REQUIRED:

+ Bachelor’s degree in Health Information Management, Accounting, Business Administration, Finance, or other business related field.

+ Five years management experience required.

+ Knowledge of best practices related to revenue cycle operations.

+ Experience at a large, complex, integrated healthcare organization, preferred.

+ Communication skills and the ability to interact effectively with staff.

+ Ability to manage, coordinate, and lead simultaneously. Ability to estimate time frames and meet projected deadlines.

+ Ability to work with a variety of individuals in executive, managerial and staff level positions.

+ Ability to work independently.

+ Ability to understand and lead change.

+ Goal- oriented, exceptional interpersonal skills, change management and political skill.

+ Demonstrate experience in all areas of medical record functions, including privacy & compliance regulations.

CERTIFICATIONS/LICENSURES REQUIRED:

+ RN, CPC, CCS, CCS-P, RHIT, or RHIA, preferred.

Additional Information

+ Organization: Corporate Services

+ Department: Ascension CDI - DRG

+ Shift: Day Job

+ Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers .

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.