The Senior Director, HIM, Coding & CDI provides enterprise leadership for health information management, coding, and clinical documentation integrity across a regional regional health system (4-5 hospitals, ~$2B net patient revenue), supporting acute care services only. This role is accountable for operational performance, regulatory compliance, quality outcomes, and financial integrity related to documentation and coding practices for acute inpatient services. The Senior Director balances strategic oversight with hands-on leadership to ensure consistent standards, scalable processes, and sustained performance across all facilities. The role partners closely with Revenue Cycle, Compliance, Quality, Case Management, and Clinical Leadership to support accurate clinical documentation, compliant coding, and optimized reimbursement while maintaining patient-centered and clinically aligned practices. Key Responsibilities Enterprise Leadership & Operations • Provide operational and strategic leadership for HIM, Coding, and CDI across all acute care facilities and employed physician practices, as applicable. • Establish and maintain consistent system-wide standards for documentation, coding, abstraction, and record integrity while allowing flexibility for local workflows. • Lead day-to-day operational performance with direct visibility into productivity, quality, turnaround times, denial trends, and documentation opportunities. • Serve as the primary escalation point for HIM, Coding, and CDI operational issues within the revenue cycle. Regulatory Compliance & Risk Management • Ensure compliance with federal, state, and regulatory requirements (e.g., CMS, Joint Commission, state regulations, payer contracts). • Oversee internal and external audits related to coding, documentation, and record management; lead corrective action plans as needed. • Partner with Compliance and Legal teams to proactively identify and mitigate documentation or coding-related risk. Financial & Performance Management • Monitor key performance indicators including DNFB, coding accuracy, CDI impact, case mix index (CMI), physician response rates, and denial prevention. • Analyze trends in revenue integrity, documentation quality, and coding outcomes; translate insights into targeted improvement initiatives. • Manage departmental budgets, staffing models, and vendor relationships appropriate for a mid-size system. Physician & Clinical Partnership • Collaborate closely with physicians, physician advisors, nursing leadership, and clinical teams to improve documentation quality and clinical clarity. • Support physician education programs focused on documentation integrity, severity of illness, and risk adjustment. • Act as a trusted partner to clinical leaders, emphasizing collaboration over enforcement in a smaller, relationship-driven environment. Talent, Structure & Capability Building • Lead and develop managers, supervisors, and frontline team members across HIM, Coding, and CDI. • Design staffing and coverage models that balance cost, quality, and responsiveness within a smaller system footprint. • Build scalable training, onboarding, and competency programs to support cross-functional coverage and succession planning. • Foster a culture of accountability, continuous improvement, and professional development. Governance & Continuous Improvement • Develop and maintain policies, procedures, and standard work appropriate to system scale and complexity. • Lead process improvement initiatives to streamline workflows, reduce variation, and improve handoffs across the revenue cycle. • Use data and frontline feedback to continuously refine operating models without unnecessary bureaucracy. Required Qualifications • Bachelor's degree required; Master's degree preferred (Health Information Management, Healthcare Administration, or related field). • 8-10+ years of progressive experience in HIM, Coding, and/or CDI within an acute care or integrated health system. • Demonstrated leadership experience in a multi-hospital or system-level role. • Strong working knowledge of inpatient coding, CDI, regulatory requirements, and revenue integrity. • Ability to operate effectively in a lean, hands-on leadership environment. Required Certifications (one or more) • RHIA • CCS or CCS-P preferred This position plays a critical role in protecting revenue integrity, supporting clinical accuracy, and enabling a high-functioning revenue cycle within a mid-size health system. The estimated salary range for this job is $160,000 - $215,000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors, including but not limited to specific skills or certifications, years of experience, market changes and required travel. This job is also eligible to participate in Huron's annual incentive compensation program, which reflects Huron's pay for performance philosophy and Huron's benefit plans which include medical, dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future. Position Level Senior Director Country United States of America