Description

Healthy legs feel better.

Metro Vein Centers is a rapidly growing healthcare practice specializing in state-of-the-art vein treatments. Our industry-leading team of board-certified physicians is on a mission to meaningfully improve people’s quality of life by relieving the often painful and highly treatable symptoms of vein disease—such as varicose veins and heavy, aching, swollen legs. We currently operate 60+ clinics throughout 7 states with a vision of becoming the go-to vein care choice for patients nationwide.

How You’ll Make a Difference

The Director of Clinical Documentation will play a critical role in enhancing the quality, accuracy, and compliance of clinical documentation across the organization. Reporting to the Chief Revenue Officer and partnering closely with the Compliance Officer, coding leadership, physician champions, and operations, this leader will oversee documentation audits, manage payer audit responses, and serve as a key resource for physicians and clinicians.

With a deep understanding of regulatory requirements, payer guidelines, and EMR documentation best practices, this individual will be the organization’s subject matter expert on clinical documentation, ensuring high standards of compliance and quality. The Director will drive organization-wide education efforts, lead documentation improvement initiatives, and identify system-level trends that impact coding, billing, and quality reporting.

Key Responsibilities

• Serve as the primary lead for all internal and external documentation audits, including payer audits.
• Conduct proactive documentation audits to assess completeness, accuracy, and compliance with payer and regulatory guidelines.
• Collaborate with coding leadership to ensure documentation supports accurate and compliant coding.
• Partner with the Compliance Officer to evaluate and strengthen documentation processes and mitigate risk.
• Identify trends and performance opportunities across clinical teams and individual providers; use data to drive change and training initiatives.
• Facilitate both group and 1:1 education sessions with physicians and clinical staff to reinforce best practices and address deficiencies.
• Monitor regulatory and payer policy changes, and translate them into practical guidance and training for clinical and operational teams.
• Serve as the organizational subject matter expert (SME) on clinical documentation improvement and compliance.
• Evaluate EMR templates, smart phrases, and other provider documentation tools to ensure alignment with current clinical and billing requirements.
• Collaborate with physician champions to implement sustainable improvements in documentation and foster a culture of accuracy and accountability.
• Prepare and present reports for leadership on audit findings, education impact, and strategic documentation initiatives.
  
  

Competencies

• Clinical Documentation Expertise
• Audit Leadership
• Educator Mindset
• Cross-Functional Collaboration
• Analytical Thinking
• Regulatory Awareness
• Communication and Influence
  
  

Required Education And Experience

• Bachelor’s degree or equivalent experience in the healthcare field
• 7+ years of experience in clinical documentation improvement (CDI), health information management, Coding, or compliance
• 3+ years of experience leading documentation audits or payer audit responses
• Demonstrated experience educating and partnering with physicians and clinical staff
• Strong knowledge of payer guidelines, audit processes, and clinical documentation requirements
• Familiarity with EMR customization, documentation templates, and physician workflow optimization
  
  

Preferred Education And Experience

• RN, RHIA, RHIT, or CCS credentials
• Experience in outpatient or specialty care settings
• Experience with Athena EMR
• Prior experience in a growing multi-site healthcare organization
• Familiarity with vein care or vascular specialties
  
  

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.