Director, Revenue Integrity & Professional Billing Clinical Documentation Integrity (CDI)

Position Description :

The Director of Revenue Integrity & Professional Billing CDI is a strategic leader responsible for optimizing clinical documentation, professional billing accuracy, and revenue cycle performance. This role oversees CDI efforts to assure Denials Prevention, Clinical Documentation Improvement, Provider Education, and Professional Services Auditing. The Director will lead initiatives to reduce denials, enhance charge capture, and ensure compliance with payer and regulatory requirements. This position requires strong leadership, analytical acumen, and the ability to collaborate across departments to drive documentation excellence and revenue integrity.

Hybrid position : primarily remote, with periodic onsite attendance expected for key business needs such as team collaboration, strategic meetings, or essential in-person activities.

Responsibilities :

Leadership & Team Oversight

• Lead and mentor teams including RNs, coders, documentation specialists, and managers across Denials Prevention, CDI, Provider Education, and Auditing.
• Foster a culture of accountability, collaboration, and continuous improvement.
• Conduct performance evaluations and support professional development.

Program & Operational Management

Documentation Optimization & Provider Education

Analytics & Strategic Initiatives

Stakeholder Engagement

Knowledge - Skills - Abilities :

Preferred Schedule :

Full-time role with expectations for coverage during core business hours and flexibility required as necessary to accommodate business needs.

Position Requirements :

Minimum Qualifications :

Appropriate experience may be substituted for education on an equivalent basis

Minimum Required Education : Bachelor's degree in Nursing, Health Information Management, Healthcare Administration, Program Management or related field.

Minimum Required Experience : Five (5) years of leadership experience in revenue cycle operations, clinical documentation, coding, healthcare administration, program management or related field.

Preferred Qualifications :

Preferred Education : Master's degree in Business Administration, Healthcare Administration, Nursing, or related discipline.

Preferred Experience : Progressive responsibility in healthcare administration.

Preferred Certification / Licensure(s) : CPC, CPC-A, CCS-P, CCA, RHIT, RHIA, CDIP, CCDS, or CPMA. Nursing degree (RN) strongly encouraged.

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Why MCW?

For a full list of positions see : www.mcw.edu / careers

For a brief overview of our benefits see : https : / / www.mcw.edu / departments / human-resources / benefits

MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination

The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity / expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants, or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.