Health System Director of Coding Quality & Clinical Documentation Integrity at NYU Langone Health

New York, New York, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Aug, 26

Salary

327475.37

Posted On

09 May, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Coding Quality Management, Clinical Documentation Integrity, Internal Auditing, Vendor Management, Regulatory Compliance, ICD-10-CM/PCS, CPT, HCPCS, Revenue Cycle Management, KPI Development, Case Mix Index Optimization, DRG Accuracy, EHR Optimization, Computer-Assisted Coding, Data Analytics, Strategic Planning

Industry

Hospitals and Health Care

Description

NYU Langone Health is a fully integrated health system that consistently achieves the best patient outcomes through a rigorous focus on quality that has resulted in some of the lowest mortality rates in the nation. Vizient Inc. has ranked NYU Langone the No. 1 comprehensive academic medical center in the country for three years in a row, and U.S. News & World Report recently placed nine of its clinical specialties among the top five in the nation. NYU Langone offers a comprehensive range of medical services with one high standard of care across 6 inpatient locations, its Perlmutter Cancer Center, and over 320 outpatient locations in the New York area and Florida. With $14.2 billion in revenue this year, the system also includes two tuition-free medical schools, in Manhattan and on Long Island, and a vast research enterprise with over $1 billion in active awards from the National Institutes of Health. For more information, go to NYU Langone Health [http://nyulangone.org/], and interact with us on LinkedIn [https://www.linkedin.com/company/nyulangonehealth/?viewAsMember=true], Glassdoor [https://www.glassdoor.com/Reviews/NYU-Langone-Health-Reviews-E121521.htm], Indeed [https://www.indeed.com/cmp/Nyu-Langone-Health/reviews], Facebook [http://facebook.com/NYULangone], Twitter [http://twitter.com/nyulangone], YouTube [http://www.youtube.com/user/nyulmc] and Instagram [http://instagram.com/nyulangone]. Position Summary: We have an exciting opportunity to join our team as a Health System Director of Coding Quality & Clinical Documentation Integrity (CDI). In this role, the successful candidate The Director of Coding Quality & Clinical Documentation Integrity (CDI) is responsible for leading enterprise-wide coding and CDI quality programs, including internal audit functions and oversight of outsourced/offshore coding and CDI vendors. This role ensures the highest standards of coding accuracy, documentation integrity, regulatory compliance, and audit readiness while optimizing vendor performance, cost efficiency, and service delivery. The Director partners closely with revenue cycle, compliance, physician leadership, and external vendors to drive measurable improvements in quality outcomes, denials reduction, and financial performance. Job Responsibilities: Leadership and Strategy * Develop and execute the vision and strategic roadmap for Coding and CDI programs aligned with organizational goals. * Provide leadership and direction for multidisciplinary teams including Coding, CDI, and QA staff. * Partner with executive leadership, compliance, finance, and clinical stakeholders to drive documentation and coding excellence. * Establish KPIs, benchmarks, and performance dashboards to monitor program effectiveness. Operational Oversight * Oversee daily operations of coding and CDI functions, including inpatient, outpatient, and specialty services. * Ensure consistent application of coding guidelines (ICD-10-CM/PCS, CPT, HCPCS) and CDI practices. * Manage global/offshore coding and CDI vendors, ensuring alignment with internal standards and SLAs. * Optimize workflows, staffing models, and productivity across geographically dispersed teams. Quality Assurance & Compliance * Lead internal QA programs for coding and CDI, including audit design, execution, and reporting. * Ensure compliance with regulatory requirements (e.g., CMS, OIG, payer-specific guidelines). * Identify trends, risks, and opportunities through audit findings and implement corrective action plans. * Maintain audit readiness and support external audits and regulatory reviews. Education & Continuous Improvement * Develop and implement education programs based on QA findings, regulatory updates, and performance gaps. * Promote a culture of continuous improvement, accountability, and clinical accuracy. * Collaborate with physician advisors and educators to enhance provider engagement and documentation quality. Technology & Innovation * Partner with IT and informatics teams to optimize EHR, CAC (Computer-Assisted Coding), and CDI software tools. * Leverage data analytics and automation to improve accuracy, efficiency, and scalability. * Evaluate and implement new technologies to support global operations and QA processes. Financial & Performance Management * Monitor and improve case mix index (CMI), DRG accuracy, and reimbursement integrity. * Analyze financial impact of coding and documentation trends. * Manage resource allocation. Minimum Qualifications: To qualify you must have a Bachelor's of Science in HIM or related field plus 10 years progressive HIM experience at an academic medical center Preferred Qualifications: Master's degree + RHIA/RHIT, CCS, CCDS/CDIP Qualified candidates must be able to effectively communicate with all levels of the organization. NYU Langone Health provides its staff with far more than just a place to work. Rather, we are an institution you can be proud of, an institution where you'll feel good about devoting your time and your talents. At NYU Langone Health, we are committed to supporting our workforce and their loved ones with a comprehensive benefits and wellness package. Our offerings provide a robust support system for any stage of life, whether it's developing your career, starting a family, or saving for retirement. The support employees receive goes beyond a standard benefit offering, where employees have access to financial security benefits, a generous time-off program and employee resources groups for peer support. Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care. The benefits and wellness package is designed to allow you to focus on what truly matters. Join us and experience the extensive resources and services designed to enhance your overall quality of life for you and your family. NYU Langone Health is an equal opportunity employer and committed to inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration. We require applications to be completed online. View Know Your Rights: Workplace discrimination is illegal [https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12ScreenRdr.pdf]. NYU Langone Health provides a salary range to comply with the New York state Law on Salary Transparency in Job Advertisements. The salary range for the role is $222,017.06 - $327,475.37 Annually. Actual salaries depend on a variety of factors, including experience, specialty, education, and hospital need. The salary range or contractual rate listed does not include bonuses/incentive, differential pay or other forms of compensation or benefits. To view the Pay Transparency Notice, please click here [https://cdn-static.findly.com/wp-content/uploads/sites/290/2017/04/pay-transp_formattedESQA508c.pdf]

Responsibilities

Lead enterprise-wide coding and Clinical Documentation Integrity (CDI) programs, including internal audits and the oversight of offshore vendors. Partner with executive leadership and clinical stakeholders to ensure coding accuracy, regulatory compliance, and financial performance.