Executive Optum Insight Jobs in Colorado (NOW HIRING)

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.

As our Region Manager, Revenue Cycle Coding-CDI, you will drive strategic leadership and operational excellence across our medical coding and Clinical Documentation Improvement (CDI) teams. This pivotal role focuses on revenue cycle optimization, ensuring coding accuracy, and maintaining regulatory compliance throughout CommonSpirit Health (CSH). You'll be instrumental in achieving enterprise Key Performance Indicators (KPIs), enhancing financial integrity, and fostering a culture of high performance within our health information management (HIM) division.

Every day you will provide direct oversight and unwavering support to our coding and CDI professionals, setting clear performance expectations and fostering accountability. You will develop and implement innovative strategic plans designed to meet and exceed CSH enterprise KPIs, directly impacting our reimbursement accuracy and data quality. A significant part of your routine will involve sophisticated data analysis, generating comprehensive KPI performance reports and dashboards for presentation to executive leadership, providing actionable insights into our revenue cycle efficiency. Moreover, you will serve as a crucial liaison, building collaborative relationships with physicians, clinical quality teams, and patient financial services to ensure the utmost accuracy and integrity of inpatient medical records.

To be successful in this role, you will possess a proven track record in healthcare leadership, specifically within revenue cycle management, medical coding, and CDI program oversight. Strong analytical capabilities, evidenced by experience in data interpretation and performance reporting, are essential for driving informed decision-making. You must demonstrate exceptional communication and interpersonal skills to effectively collaborate with diverse stakeholders, from frontline coders to executive leadership. A deep understanding of coding guidelines, DRG methodologies, CDI best practices, and healthcare compliance is critical for safeguarding our financial performance and maintaining our commitment to quality patient care.

• Coding and CDI practices and regulatory requirements. Adhere to the ethical standards of coding as established by AAPC, AHIMA and/or ACDIS
• Ability to identify and determine resolution of complex issues. Assist CSH director in strategic planning. Ability to identify and interpret strategic and operational training/development needs
• Creates Coding and CDI steering committee presentations. Lead coding/CDI department meetings and ensure collaborative environment.
• Ability to communicate effectively, stay organized, and demonstrate effective leadership skills
• Strong oral communication skills and the ability to deliver presentations to large groups
• Collaborates with physicians, clinical quality, Coding/CDI Quality auditors and safety net vendors to discuss results, education and develop action plans for sustained improvement

Required

• Education & Certification: Associate's degree in Nursing or HIM required. Must possess RHIA certification, and obtain CDIP within 90 days of hire, along with CCS.
• Leadership Experience: 5+ years of recent management experience overseeing hospital-based coding and CDI teams, preferably within a large multi-facility organization.
• Complex Case Expertise: Proven experience in managing coding/CDI in a Level I/II trauma center or teaching hospital, involving complex conditions and procedures (e.g., cardiovascular, neurosurgery, orthopedics, obstetrics/NICU).
• Technical Acumen: Proficient with various leading encoder systems (e.g., Optum eCAC, Solventum) and EMR platforms (e.g., Epic, Cerner, Meditech).
• Strategic Oversight: Demonstrated ability to manage and optimize both coding and CDI functions for compliance and performance.
• Revenue Cycle Impact: Strong understanding of how coding and CDI contribute to revenue cycle integrity and KPIs.

Preferred

• Bachelors Other Bachelor’s degree in HIM
• Bachelors Of Nursing Bachelor’s degree in Nursing