Clinical Documentation Integrity Manager

Summary

Join Honest Health as their Clinical Documentation Integrity (CDI) Manager and play a key role in developing and executing risk adjustment activities and provider education. Lead a team of CDI Specialists, reviewing patient medical records and ensuring accuracy. You will collaborate with physicians and other healthcare professionals to ensure accurate clinical information. Develop policies and procedures, hire and mentor CDI Specialists, and conduct large-scale trainings. This role requires a Bachelor's degree or equivalent experience, extensive medical coding and risk adjustment experience, and several certifications. Honest Health offers a competitive compensation package including bonuses, paid time off, paid holidays, continuing medical education reimbursement, 401k matching, and comprehensive health benefits.

Requirements

• Bachelor’s degree or equivalent experience
• 10+ years medical coding and/or risk adjustment experience
• 5+ years of provider engagement and education experience
• 3+ years of people management experience
• CRC required
• CPC, CCS, CCS-P, RHIT, or RHIA, required
• CDEO or CCDS-O, required within 1 year of hire
• CPMA, required within 1 year of hire
• AAPC Approved Instructor, required
• Demonstrated proficiency in current and emerging technologies
• Ability to work independently with excellent time management skills
• Independently identify bottlenecks, inefficiencies in workflows, challenges/barriers to outcomes and proactively implement resolutions
• Demonstrated proficiency in computer skills, i.e., Microsoft Windows, Outlook, Internet browsers, Microsoft Teams with intermediate to advanced level Excel, Word, and PowerPoint
• Excellent communication skills, both verbal and written
• Strong people skills and ability to build supportive relationships with providers
• Outstanding organizational skills and an ability to operate efficiently and independently
• CMS HCC Risk Adjustment experience, required
• High attention to detail required

Responsibilities

• Work collaboratively with physicians, Advanced Practice Practitioners, other healthcare professionals, and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes, and quality are captured for the level of service rendered to all patients
• In coordination with the CDI Director, plan, assign, and direct the work of the CDI Specialists with data analytics informing the strategies developed for our provider partners with optimal efficiency
• Develop and recommend policies and written procedures to clarify and communicate standard practices
• Hire, mentor, and coach CDI Specialists of varying abilities and levels to execute and oversee our services in prospective, concurrent, and retrospective activities
• Develop and facilitate large scale trainings for all disciplines in the practice setting around CDI for risk and quality (CPT II reporting)
• Collaborate with CDI Director to execute our coder and physician education and development programs
• Actively demonstrates the organization’s mission and core values and conducts oneself at all times in a manner consistent with these values
• Must demonstrate the ability to identify areas of improvement opportunities, create and initiate solutions, and implement action plans
• Must empower team members to achieve goals and demonstrate the capacity to excel in a fast-paced and changing environment to meet the expectations and needs of our internal and external partners
• Perform other related responsibilities as assigned

Benefits

• Competitive base pay with bonuses
• Paid time off starting at 4 weeks for full time employees
• 12 paid holidays per year
• Reimbursement for continuing medical education
• 401k with match
• Health, dental, and vision insurance
• Family friendly policies that support paid parental leave and flexible work arrangements
• Robust commitment to training and development that starts with onboarding and continues throughout your career with Honest