Vice President, CDI

The Vice President, Clinical Documentation Integrity (CDI) is a business unit leader accountable for the strategy, growth, operational performance, and market reputation of the organization's Inpatient and Outpatient CDI practice. Serving academic health systems and other complex provider organizations as core clients, this leader sets the vision for CDI program design and delivery while positioning the practice for expansion into a broader, consulting-oriented services model.

This role blends clinical documentation expertise, executive presence, and commercial acumen. The VP is the face of the practice with client executives and prospects, the architect of scalable CDI program models, the steward of program performance and quality, and a close operating partner to the sales organization in pursuing and winning new business. Success is measured by client outcomes, program integrity and compliance, team development, and profitable growth of the practice.

• Design, standardize, and continuously evolve the practice's Inpatient and Outpatient CDI program models, including operating playbooks, workflows, query standards, staffing models, and technology enablement.
• Establish Outpatient CDI capabilities for risk-adjusted and value-based settings, including HCC capture, prospective (point-of-care) review, and audit-ready documentation practices.

• Engage C-suite and physician leaders (CMO, CMIO, CFO, VP of Revenue Cycle, service-line chiefs) with credibility and presence as a recognized subject-matter expert in CDI.
• Translate CDI performance into the language of quality, reimbursement integrity, physician workflow, and organizational reputation to secure executive sponsorship.
• Lead change management across clinical and revenue-cycle stakeholders — shaping behavior, provider engagement, and adoption in complex, often matrixed academic environments.

• Continuously evaluate program metrics and performance to identify opportunities for improvement, expansion, and additional client value.
• Own the practice's KPI framework across Inpatient and Outpatient CDI setting targets, monitoring trends, and driving corrective action.
• Use data and analytics to surface documentation gaps, benchmark client performance against peers, and quantify financial, quality, and compliance impact.
• Establish audit and quality-assurance routines to safeguard query integrity, coding accuracy, and defensibility under payer and regulatory review.

• Recruit, develop, mentor, and retain a high-performing team.
• Set performance expectations and productivity standards (e.g., records reviewed per FTE, query volume and quality) and manage them with coaching and accountability.
• Oversee onboarding, ongoing competency validation, inter-rater reliability, and continuing education aligned to evolving coding guidelines and payer rules and establish and enforce compliant query policies, escalation pathways, and documentation-of-record practices consistent with AHIMA/ACDIS guidance.
• Manage the practice's operating budget, utilization, and resource allocation across engagements to deliver on financial and quality targets and collaborate with HIM, coding, revenue integrity, quality, and compliance functions to ensure end-to-end alignment of the documentation-to-reimbursement continuum.
• Stay current on regulatory change (IPPS/OPPS updates, ICD-10-CM/PCS, MS-DRG and APR-DRG methodology, HCC/RAF model changes) and translate implications into program action.

• Minimum 8 years' CDI experience as well as leading and developing CDI programs at large health systems, including large academic medical centers, and all associated operational, clinical, and stakeholder complexity.
• Active licensure as a Registered Nurse (RN) or physician (MD/DO) is required.
• At least one recognized CDI/coding certification is required (e.g., CCDS, CDIP, or CCS). Additional certifications (e.g., CCDS-O, CRC, CDEO, CDI-related credentials) are viewed favorably.
• Demonstrated command of CDI methodology across the documentation-to-reimbursement continuum — compliant queries, MS-DRG/APR-DRG, CC/MCC, SOI/ROM, CMI, mortality/PSI/HAC, and coding integrity.
• Progressive leadership experience with accountability for teams, budgets, and measurable program outcomes.
• Exceptional executive…