The E.W. Scripps Company
Senior Director, Revenue Cycle - Clinical Documentation Integrity
The E.W. Scripps Company, San Diego, California, United States, 92189
This Senior Director position is eligible to participate in the Director Incentive Plan.
This position is in La Jolla and requires residence in San Diego County.
The
Senior Director, Revenue Cycle - Clinical Documentation Integrity
provides strategic leadership and operational oversight for systemwide
Coding, Clinical Documentation Integrity (CDI), and Health Information Management (HIM) , encompassing both
hospital and professional fee
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.
As we continue to build on this success, we are seeking an accomplished leader to join us as
Senior Director, Revenue Cycle - Clinical Documentation Integrity (CDI) . This critical leadership role will advance documentation accuracy, coding excellence, and information integrity across the Scripps system-spanning both
hospital
and
professional fee
settings.
The
Senior Director
will have enterprise accountability for the oversight and performance of
Clinical Documentation Integrity (CDI), Coding, and Health Information Management (HIM) , ensuring alignment of clinical, operational, and financial outcomes. This leader will manage teams responsible for
hospital and professional fee coding
and documentation, ensuring that every clinical encounter is accurately reflected to support quality care, regulatory compliance, and optimal reimbursement.
Key Responsibilities
Provide
strategic leadership
for CDI, Coding, and HIM operations across
inpatient, outpatient, and professional fee
environments to ensure accuracy, integrity, and compliance. Oversee professional fee and hospital coding operations, ensuring consistent application of CPT, HCPCS, and ICD-10 coding standards. Drive
cross-continuum collaboration
between CDI, coding, clinical operations, and physician practices to enhance documentation quality and revenue integrity. Leverage
professional fee expertise
to optimize workflows, coding accuracy, and payer compliance for physician and ambulatory services. Utilize
data-driven decision-making
and
Lean management principles
to improve productivity, reduce variation, and strengthen process efficiency. Partner with clinical, IT, and operational leaders to implement a
systemwide roadmap
for technology-enabled improvements that reduce provider burden and enhance documentation quality. Ensure compliance with all federal, state, and payer requirements while maintaining a culture of integrity, accountability, and continuous improvement. Serve as the executive sponsor for
enterprise HIM and documentation strategy , driving innovation and standardization across the care continuum. Ideal Candidate Profile
Proven experience leading
revenue cycle, CDI, coding, and HIM functions , including both
hospital and professional fee
domains, within a large, integrated health system. Deep knowledge of
professional fee coding and billing , including physician documentation, CPT/HCPCS coding, and payer reimbursement models. Demonstrated success in
strategic planning, cross-functional collaboration , and
process transformation
leveraging Lean or similar methodologies. Expertise in
technology-enabled performance improvement , including automation, AI-assisted coding, and EHR optimization. Strong communication and relationship management skills with the ability to engage providers, executives, and operational stakeholders. This is an exceptional opportunity to join one of the nation's most respected health systems and lead enterprise-level strategy for
clinical documentation integrity, coding, and professional fee excellence
- ensuring that Scripps continues to deliver the highest quality of care while optimizing financial performance and compliance. #LI-EE1
Qualifications Required Education / Experience / Specialized Skills
Bachelor's degree
in Health Information Management, Business, Finance, or a related healthcare field. Minimum of
10 years of progressive experience
in healthcare revenue cycle operations, including at least
5 years in senior leadership
within a multi-hospital or integrated health system. Demonstrated success leading large-scale
coding, clinical documentation integrity (CDI), or health information management (HIM)
operations. Deep knowledge of
professional fee and hospital revenue cycle processes , including payer requirements, reimbursement methodologies, and compliance regulations (Federal, State, County, and Commercial). Proven experience in
operations redesign, process improvement, and project management , with a strong focus on data-driven performance improvement. Expertise in
clinical documentation integrity
program development, physician engagement, and cross-functional collaboration. Exceptional analytical, critical-thinking, and communication skills, with the ability to influence at all levels of the organization. Preferred Education / Experience / Certifications
Master's degree
in Business Administration, Healthcare Administration, Finance, or related field. Experience with
Epic
or other large-scale electronic health record (EHR) and revenue cycle platforms. Professional certification(s) through
AHIMA
or
AAPC , such as:
RHIA
(Registered Health Information Administrator) RHIT
(Registered Health Information Technician) CCS
(Certified Coding Specialist) CPC
(Certified Professional Coder)
Comprehensive understanding of
ICD, CPT, and HCPCS
coding systems,
MS-DRG/APR-DRG
methodologies, and
risk adjustment/HCC
principles. Strong technical proficiency and experience in
professional fee/physician services operations , analytics, and reporting.
This position is in La Jolla and requires residence in San Diego County.
The
Senior Director, Revenue Cycle - Clinical Documentation Integrity
provides strategic leadership and operational oversight for systemwide
Coding, Clinical Documentation Integrity (CDI), and Health Information Management (HIM) , encompassing both
hospital and professional fee
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.
As we continue to build on this success, we are seeking an accomplished leader to join us as
Senior Director, Revenue Cycle - Clinical Documentation Integrity (CDI) . This critical leadership role will advance documentation accuracy, coding excellence, and information integrity across the Scripps system-spanning both
hospital
and
professional fee
settings.
The
Senior Director
will have enterprise accountability for the oversight and performance of
Clinical Documentation Integrity (CDI), Coding, and Health Information Management (HIM) , ensuring alignment of clinical, operational, and financial outcomes. This leader will manage teams responsible for
hospital and professional fee coding
and documentation, ensuring that every clinical encounter is accurately reflected to support quality care, regulatory compliance, and optimal reimbursement.
Key Responsibilities
Provide
strategic leadership
for CDI, Coding, and HIM operations across
inpatient, outpatient, and professional fee
environments to ensure accuracy, integrity, and compliance. Oversee professional fee and hospital coding operations, ensuring consistent application of CPT, HCPCS, and ICD-10 coding standards. Drive
cross-continuum collaboration
between CDI, coding, clinical operations, and physician practices to enhance documentation quality and revenue integrity. Leverage
professional fee expertise
to optimize workflows, coding accuracy, and payer compliance for physician and ambulatory services. Utilize
data-driven decision-making
and
Lean management principles
to improve productivity, reduce variation, and strengthen process efficiency. Partner with clinical, IT, and operational leaders to implement a
systemwide roadmap
for technology-enabled improvements that reduce provider burden and enhance documentation quality. Ensure compliance with all federal, state, and payer requirements while maintaining a culture of integrity, accountability, and continuous improvement. Serve as the executive sponsor for
enterprise HIM and documentation strategy , driving innovation and standardization across the care continuum. Ideal Candidate Profile
Proven experience leading
revenue cycle, CDI, coding, and HIM functions , including both
hospital and professional fee
domains, within a large, integrated health system. Deep knowledge of
professional fee coding and billing , including physician documentation, CPT/HCPCS coding, and payer reimbursement models. Demonstrated success in
strategic planning, cross-functional collaboration , and
process transformation
leveraging Lean or similar methodologies. Expertise in
technology-enabled performance improvement , including automation, AI-assisted coding, and EHR optimization. Strong communication and relationship management skills with the ability to engage providers, executives, and operational stakeholders. This is an exceptional opportunity to join one of the nation's most respected health systems and lead enterprise-level strategy for
clinical documentation integrity, coding, and professional fee excellence
- ensuring that Scripps continues to deliver the highest quality of care while optimizing financial performance and compliance. #LI-EE1
Qualifications Required Education / Experience / Specialized Skills
Bachelor's degree
in Health Information Management, Business, Finance, or a related healthcare field. Minimum of
10 years of progressive experience
in healthcare revenue cycle operations, including at least
5 years in senior leadership
within a multi-hospital or integrated health system. Demonstrated success leading large-scale
coding, clinical documentation integrity (CDI), or health information management (HIM)
operations. Deep knowledge of
professional fee and hospital revenue cycle processes , including payer requirements, reimbursement methodologies, and compliance regulations (Federal, State, County, and Commercial). Proven experience in
operations redesign, process improvement, and project management , with a strong focus on data-driven performance improvement. Expertise in
clinical documentation integrity
program development, physician engagement, and cross-functional collaboration. Exceptional analytical, critical-thinking, and communication skills, with the ability to influence at all levels of the organization. Preferred Education / Experience / Certifications
Master's degree
in Business Administration, Healthcare Administration, Finance, or related field. Experience with
Epic
or other large-scale electronic health record (EHR) and revenue cycle platforms. Professional certification(s) through
AHIMA
or
AAPC , such as:
RHIA
(Registered Health Information Administrator) RHIT
(Registered Health Information Technician) CCS
(Certified Coding Specialist) CPC
(Certified Professional Coder)
Comprehensive understanding of
ICD, CPT, and HCPCS
coding systems,
MS-DRG/APR-DRG
methodologies, and
risk adjustment/HCC
principles. Strong technical proficiency and experience in
professional fee/physician services operations , analytics, and reporting.