"Alerted.org

*This Senior Director position is eligible to participate in the Director Incentive Plan.*

*This position is in La Jolla and requires residence in San Diego County. *

The*Senior Director, Revenue Cycle – Clinical Documentation Integrity*provides strategic leadership and operational oversight for systemwide*Coding, Clinical Documentation Integrity (CDI), and Health Information Management (HIM)*, encompassing both*hospital and professional fee*services. This role is responsible for advancing documentation quality, coding accuracy, and compliance to ensure the integrity of clinical and financial data across the Scripps Health system. Through cross-functional collaboration, data-driven decision-making, and innovative process improvement, the Senior Director drives excellence in revenue cycle performance, supports clinical and operational goals, and promotes exceptional patient and provider experience.

As we continue to build on this success, we are seeking an accomplished leader to join us as*Senior Director, Revenue Cycle – Clinical Documentation Integrity (CDI)*. This critical leadership role will advance documentation accuracy, coding excellence, and information integrity across the Scripps system—spanning both*hospital*and*professional fee*settings.

The*Senior Director*will have enterprise accountability for the oversight and performance of*Clinical Documentation Integrity (CDI), Coding, and Health Information Management (HIM)*, ensuring alignment of clinical, operational, and financial outcomes. This leader will manage teams responsible for*hospital and professional fee coding*and documentation, ensuring that every clinical encounter is accurately reflected to support quality care, regulatory compliance, and optimal reimbursement.

*Key Responsibilities*

* Provide*strategic leadership*for CDI, Coding, and HIM operations across*inpatient, outpatient, and professional fee*environments to ensure accuracy, integrity, and compliance.

* Oversee professional fee and hospital coding operations, ensuring consistent application of CPT, HCPCS, and ICD-10 coding standards.

* Drive*cross-continuum collaboration*between CDI, coding, clinical operations, and physician practices to enhance documentation quality and revenue integrity.

* Leverage*professional fee expertise*to optimize workflows, coding accuracy, and payer compliance for physician and ambulatory services.

* Utilize*data-driven decision-making*and*Lean management principles*to improve productivity, reduce variation, and strengthen process efficiency.

* Partner with clinical, IT, and operational leaders to implement a*systemwide roadmap*for technology-enabled improvements that reduce provider burden and enhance documentation quality.

* Ensure compliance with all federal, state, and payer requirements while maintaining a culture of integrity, accountability, and continuous improvement.

* Serve as the executive sponsor for*enterprise HIM and documentation strategy*, driving innovation and standardization across the care continuum.

*Ideal Candidate Profile*

* Proven experience leading*revenue cycle, CDI, coding, and HIM functions*, including both*hospital and professional fee*domains, within a large, integrated health system.

* Deep knowledge of*professional fee coding and billing*, including physician documentation, CPT/HCPCS coding, and payer reimbursement models.

* Demonstrated success in*strategic planning, cross-functional collaboration*, and*process transformation*leveraging Lean or similar methodologies.

* Expertise in*technology-enabled performance improvement*, including automation, AI-assisted coding, and EHR optimization.

* Strong communication and relationship management skills with the ability to engage providers, executives, and operational stakeholders.

This is an exceptional opportunity to join one of the nation’s most respected health systems and lead enterprise-level strategy for*clinical documentation integrity, coding, and professional fee excellence*- ensuring that Scripps continues to deliver the highest quality of care while optimizing financial performance and compliance.

#LI-EE1

*Required Education / Experience / Specialized Skills*

* *Bachelor’s degree*in Health Information Management, Business, Finance, or a related healthcare field.

* Minimum of*10 years of progressive experience*in healthcare revenue cycle operations, including at least*5 years in senior leadership*within a multi-hospital or integrated health system.

* Demonstrated success leading large-scale*coding, clinical documentation integrity (CDI), or health information management (HIM)*operations.

* Deep knowledge of*professional fee and hospital revenue cycle processes*, including payer requirements, reimbursement methodologies, and compliance regulations (Federal, State, County, and Commercial).

* Proven experience in*operations redesign, process improvement, and project management*, with a strong focus on data-driven performance improvement.

* Expertise in*clinical documentation integrity*program development, physician engagement, and cross-functional collaboration.

* Exceptional analytical, critical-thinking, and communication skills, with the ability to influence at all levels of the organization.

*Preferred Education / Experience / Certifications*

* *Master’s degree*in Business Administration, Healthcare Administration, Finance, or related field.

* Experience with*Epic*or other large-scale electronic health record (EHR) and revenue cycle platforms.

* Professional certification(s) through*AHIMA*or*AAPC*, such as:

o *RHIA*(Registered Health Information Administrator)

o *RHIT*(Registered Health Information Technician)

o *CCS*(Certified Coding Specialist)

o *CPC*(Certified Professional Coder)

* Comprehensive understanding of*ICD, CPT, and HCPCS*coding systems,*MS-DRG/APR-DRG*methodologies, and*risk adjustment/HCC*principles.

* Strong technical proficiency and experience in*professional fee/physician services operations*, analytics, and reporting.

**Job:** **Business Office*

**Organization:** **Scripps Health Corp*

**Title:** *Senior Director, Revenue Cycle - Clinical Documentation Integrity*

**Location:** *Central San Diego County-SAN DIEGO-SCRIPPS CORPORATE OFFICES*

**Requisition ID:** *252005806*