Senior Dir Enterprise Hospital Revenue Cycle (CDI Coding Val, HIM, AR)

SUMMARY:
The Senior Director, Health Information Management, Clinical Documentation Integrity (CDI), Hospital
Coding & Hospital Accounts Receivable provides strategic and operational leadership for Health
Information Management (HIM), hospital coding, medical records, and hospital accounts receivable
functions across the organization. This executive role is responsible for ensuring accurate, timely, and
compliant clinical documentation, coding, medical record integrity, and hospital AR performance supported
by Epic HB.
The Senior Director partners closely with clinical leadership, revenue cycle, compliance, finance, and IT to
optimize documentation quality, coding accuracy, billing readiness, cash flow, and regulatory compliance
while supporting enterprise financial and operational goals.
and operational excellence.
Brown University Health employees are expected to successfully role model the organization's values of
Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with
patients, customers and one another.
In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us
how we work together and how we get things done. The core Success Factors include:
Instill Trust and Value Differences
Patient and Community Focus and Collaborate
RESPONSIBILITIES:
KEY RESPONSIBILITIES:
Enterprise Leadership & Strategy
Provide executive leadership for HIM, hospital coding, CDI, medical records, and hospital
AR functions
*
Develop and implement integrated strategies aligning documentation integrity, coding
accuracy, billing readiness, and AR performance
*
Establish governance, policies, and standards to ensure regulatory compliance and
operational consistency
*
Health Information Management (HIM) & Medical Records
Oversee HIM operations including record completion, deficiency management, release of
information (ROI), record retention, and data governance
*
Ensure integrity, privacy, and security of the medical record in compliance with HIPAA and
regulatory requirements
*
* Partner with IT and clinical teams to optimize Epic documentation workflows and data quality
Clinical Documentation Integrity (CDI)
Lead enterprise CDI programs to ensure complete, accurate, and compliant provider
documentation
*
Partner with physician and clinical leadership to improve documentation practices and
engagement
*
Monitor CDI performance metrics including CC/MCC capture, SOI, ROM, and case mix
index (CMI)
*
Hospital Coding Operations
* Oversee inpatient and outpatient hospital coding operations across all facilities
Job Description
Job Profile: Senior Dir Enterprise Hospital
Revenue Cycle (CDI Coding Val, HIM, AR)
09:21 AM
02/06/2026
Page 2 of 3
Ensure compliance with ICD-10-CM/PCS, CPT, HCPCS, MS-DRG/APR-DRG, and payerspecific
requirements
*
* Direct coding audits, quality assurance, education, and corrective action plans
* Collaborate with CDI, HIM, and AR teams to reduce rework, delays, and denials
Hospital Accounts Receivable
Provide executive oversight of hospital AR performance, including billing readiness, followup,
and aging reduction
*
Partner with Revenue Cycle and Finance leadership to improve cash flow and reduce days
in AR
*
Identify documentation and coding-related drivers of AR delays, denials, and
underpayments
*
* Support denial prevention and resolution efforts related to hospital claims
Epic HB Optimization
* Serve as executive owner for Epic HB documentation, coding, and billing workflows
* Partner with IT and Epic teams on optimization, upgrades, governance, and issue resolution
Ensure Epic configurations support compliant documentation, accurate coding, and efficient
billing
*
Compliance, Audits & Risk Management
Ensure compliance with federal, state, and payer-specific documentation and coding
regulations
*
* Partner with Compliance and Legal teams on audits, appeals, and regulatory inquiries
* Implement controls to mitigate compliance risk and revenue leakage
Analytics & Reporting
Establish KPIs and dashboards related to documentation quality, coding accuracy, AR
aging, and compliance
*
* Analyze trends and performance data to drive improvement initiatives
* Present performance results, risks, and recommendations to executive leadership
People Leadership
Lead, mentor, and develop directors, managers, and multidisciplinary teams across HIM,
CDI, Coding, and Hospital AR
*
Establish performance expectations, productivity standards, and continuous improvement
frameworks
*
* Foster a culture of accountability, collaboration, and regulatory excellence
Performance Standards
* Effective utilization of resources
* Management of continuous quality improvement
* High quality, high value patient-focused services
* Resource productivity and fiscal responsibility
* Development and implementation of effective quality programs
* Customer satisfaction and positive feedback from peers, direct reports, and staff
* Year-over-year performance improvement
Qualifications / Education
* Bachelor's degree in business, Health Information Management, Finance,
Job Profile: Senior Dir Enterprise Hospital
Revenue Cycle (CDI Coding Val, HIM, AR)
09:21 AM
02/06/2026
Page 3 of 3
Healthcare Administration, or related field; -
10+ years of progressive leadership experience in hospital coding, CDI, and revenue cycle
management, including offshoring and outsourcing of work/resources within healthcare.
*
* Proven track record managing large, complex coding and CDI operations.
* Strong knowledge of CPT, ICD-10, HCPCS coding, - and payer billing requirements.
Strong knowledge of hospital reimbursement, documentation standards, and regulatory
requirements
*
* Experience with Epic HB billing systems (required
* Experience leading others in a large, highly complex and ever-changing organization.
* Excellent leadership, communication, and interpersonal skills.
Analytical mindset with strong problem-solving abilities and proficiency in data analysis
tools.
*
* Ability to work collaboratively across departments and influence senior executives.
* Professional certifications such as RHIA, RHIT, CCS, CCDS, CDIP, CHFP, or equivalent
* Working Conditions
* Office-based role with potential hybrid -remote work arrangements.
Requires occasional travel to other facilities, corporate offices, or industry conferences as
needed.

Pay Range:

EEO Statement:

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

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Driving Required: