Senior Director, Revenue Cycle - Clinical Documentation Integrity en Scripps Health Corp

%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EThis Senior Director position is eligible to participate in the Director Incentive Plan.%3C/strong%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EThis position is in La Jolla and requires residence in San Diego County.%26nbsp;%3C/strong%3E%3Co:p%3E%3C/o:p%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3Cspan style=%22font-family:%27Arial%27,sans-serif;%22%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EThe %3Cstrong%3ESenior Director, Revenue Cycle – Clinical Documentation Integrity%3C/strong%3E provides strategic leadership and operational oversight for systemwide %3Cstrong%3ECoding, Clinical Documentation Integrity (CDI), and Health Information Management (HIM)%3C/strong%3E, encompassing both %3Cstrong%3Ehospital and professional fee%3C/strong%3E 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.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EAs we continue to build on this success, we are seeking an accomplished leader to join us as %3Cstrong%3ESenior Director, Revenue Cycle – Clinical Documentation Integrity (CDI)%3C/strong%3E. This critical leadership role will advance documentation accuracy, coding excellence, and information integrity across the Scripps system—spanning both %3Cstrong%3Ehospital%3C/strong%3E and %3Cstrong%3Eprofessional fee%3C/strong%3E settings.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EThe %3Cstrong%3ESenior Director%3C/strong%3E will have enterprise accountability for the oversight and performance of %3Cstrong%3EClinical Documentation Integrity (CDI), Coding, and Health Information Management (HIM)%3C/strong%3E, ensuring alignment of clinical, operational, and financial outcomes. This leader will manage teams responsible for %3Cstrong%3Ehospital and professional fee coding%3C/strong%3E and documentation, ensuring that every clinical encounter is accurately reflected to support quality care, regulatory compliance, and optimal reimbursement.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EKey Responsibilities%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EProvide %3Cstrong%3Estrategic leadership%3C/strong%3E for CDI, Coding, and HIM operations across %3Cstrong%3Einpatient, outpatient, and professional fee%3C/strong%3E environments to ensure accuracy, integrity, and compliance.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EOversee professional fee and hospital coding operations, ensuring consistent application of CPT, HCPCS, and ICD-10 coding standards.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EDrive %3Cstrong%3Ecross-continuum collaboration%3C/strong%3E between CDI, coding, clinical operations, and physician practices to enhance documentation quality and revenue integrity.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3ELeverage %3Cstrong%3Eprofessional fee expertise%3C/strong%3E to optimize workflows, coding accuracy, and payer compliance for physician and ambulatory services.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EUtilize %3Cstrong%3Edata-driven decision-making%3C/strong%3E and %3Cstrong%3ELean management principles%3C/strong%3E to improve productivity, reduce variation, and strengthen process efficiency.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EPartner with clinical, IT, and operational leaders to implement a %3Cstrong%3Esystemwide roadmap%3C/strong%3E for technology-enabled improvements that reduce provider burden and enhance documentation quality.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EEnsure compliance with all federal, state, and payer requirements while maintaining a culture of integrity, accountability, and continuous improvement.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EServe as the executive sponsor for %3Cstrong%3Eenterprise HIM and documentation strategy%3C/strong%3E, driving innovation and standardization across the care continuum.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EIdeal Candidate Profile%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EProven experience leading %3Cstrong%3Erevenue cycle, CDI, coding, and HIM functions%3C/strong%3E, including both %3Cstrong%3Ehospital and professional fee%3C/strong%3E domains, within a large, integrated health system.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EDeep knowledge of %3Cstrong%3Eprofessional fee coding and billing%3C/strong%3E, including physician documentation, CPT/HCPCS coding, and payer reimbursement models.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EDemonstrated success in %3Cstrong%3Estrategic planning, cross-functional collaboration%3C/strong%3E, and %3Cstrong%3Eprocess transformation%3C/strong%3E leveraging Lean or similar methodologies.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EExpertise in %3Cstrong%3Etechnology-enabled performance improvement%3C/strong%3E, including automation, AI-assisted coding, and EHR optimization.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EStrong communication and relationship management skills with the ability to engage providers, executives, and operational stakeholders.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EThis is an exceptional opportunity to join one of the nation’s most respected health systems and lead enterprise-level strategy for %3Cstrong%3Eclinical documentation integrity, coding, and professional fee excellence%3C/strong%3E - ensuring that Scripps continues to deliver the highest quality of care while optimizing financial performance and compliance.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cdiv ccp_infra_version=%223%22 ccp_infra_timestamp=%221761598493801%22 ccp_infra_user_hash=%223948734649%22 ccp_infra_copy_id=%22026b999e-acfc-45ba-87de-ca08ee02e569%22 data-ccp-timestamp=%221761598493801%22%3E%3Cmeta http-equiv=%22Content-Type%22 content=%22text/html; charset=utf-8%22%3E%3Cmeta name=%22ProgId%22 content=%22Excel.Sheet%22%3E%3Cmeta name=%22Generator%22 content=%22Microsoft Excel 15%22%3E%3Cstyle%3Etable%0A {mso-displayed-decimal-separator:%22%5C.%22;%0A mso-displayed-thousand-separator:%22%5C,%22;}%0Atr%0A {mso-height-source:auto;}%0Acol%0A {mso-width-source:auto;}%0Atd%0A {padding-top:1px;%0A padding-right:1px;%0A padding-left:1px;%0A 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%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3ERequired Education / Experience / Specialized Skills%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EBachelor’s degree%3C/strong%3E in Health Information Management, Business, Finance, or a related healthcare field.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EMinimum of %3Cstrong%3E10 years of progressive experience%3C/strong%3E in healthcare revenue cycle operations, including at least %3Cstrong%3E5 years in senior leadership%3C/strong%3E within a multi-hospital or integrated health system.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EDemonstrated success leading large-scale %3Cstrong%3Ecoding, clinical documentation integrity (CDI), or health information management (HIM)%3C/strong%3E operations.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EDeep knowledge of %3Cstrong%3Eprofessional fee and hospital revenue cycle processes%3C/strong%3E, including payer requirements, reimbursement methodologies, and compliance regulations (Federal, State, County, and Commercial).%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EProven experience in %3Cstrong%3Eoperations redesign, process improvement, and project management%3C/strong%3E, with a strong focus on data-driven performance improvement.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EExpertise in %3Cstrong%3Eclinical documentation integrity%3C/strong%3E program development, physician engagement, and cross-functional collaboration.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l0 level1 lfo1;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EExceptional analytical, critical-thinking, and communication skills, with the ability to influence at all levels of the organization.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EPreferred Education / Experience / Certifications%3Co:p%3E%3C/o:p%3E%3C/strong%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cul style=%22margin-top:0in;%22 type=%22disc%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3EMaster’s degree%3C/strong%3E in Business Administration, Healthcare Administration, Finance, or related field.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EExperience with %3Cstrong%3EEpic%3C/strong%3E or other large-scale electronic health record (EHR) and revenue cycle platforms.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EProfessional certification(s) through %3Cstrong%3EAHIMA%3C/strong%3E or %3Cstrong%3EAAPC%3C/strong%3E, such as:%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3Cul style=%22margin-top:0in;%22 type=%22circle%22%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level2 lfo2;tab-stops:list 1.0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3ERHIA%3C/strong%3E (Registered Health Information Administrator)%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level2 lfo2;tab-stops:list 1.0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3ERHIT%3C/strong%3E (Registered Health Information Technician)%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level2 lfo2;tab-stops:list 1.0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3ECCS%3C/strong%3E (Certified Coding Specialist)%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level2 lfo2;tab-stops:list 1.0in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Cstrong%3ECPC%3C/strong%3E (Certified Professional Coder)%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3C/ul%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EComprehensive understanding of %3Cstrong%3EICD, CPT, and HCPCS%3C/strong%3E coding systems, %3Cstrong%3EMS-DRG/APR-DRG%3C/strong%3E methodologies, and %3Cstrong%3Erisk adjustment/HCC%3C/strong%3E principles.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3Cli class=%22MsoNormal%22 style=%22mso-list:l1 level1 lfo2;tab-stops:list .5in;%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3EStrong technical proficiency and experience in %3Cstrong%3Eprofessional fee/physician services operations%3C/strong%3E, analytics, and reporting.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/li%3E%3C/ul%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Co:p%3E%26nbsp;%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22%3E%3Cspan style=%22font-family:%26quot;Arial%26quot;,sans-serif;font-size:11.0pt;%22%3E%3Cspan style=%22line-height:115%;%22%3E%3Co:p%3E%26nbsp;%3C/o:p%3E%3C/span%3E%3C/span%3E%3C/p%3E Solicitar ahora