Manager, Clinical Documentation Integrity, Remote

Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care.
We are searching for a Clinical Documentation Integrity Manager to join the team. This manager will be an exemplar of regulatory compliance and will lead a team of CDI Specialists. The manager will oversee CDI, coding and billing teams as services are deployed at the national, market, practice, and individual provider-level. There will be opportunity to travel periodically to practices as well as engage in remote work. The CDI Manager must be detail-oriented, service-minded, possess strong verbal and written communication skills, and be fluent in (or willing and able to master) Google Suite tools.

Primary Duties:

• Plans, organizes, and manages the system wide Coding and CDI (Clinical Documentation Integrity) performance functions.
• Manages the activities of and provides leadership to the Coding and CDI teams.
• People manage a team of 5-10 CDI staff. 
• Provide guidance and support and build effective teams (both internally and with vendors) to achieve established goals within established budgets.
• Manage and monitor the effectiveness of the coding and billing programs; develop key indicators to effectively monitor performance and identify and implement process improvement strategies necessary to meet annual targets. 
• Manages coding and CDI quality, productivity, workflow and performance activities. 
• Acts as a liaison and subject matter expert for internal and external customers in coding, billing, risk adjustment and CDI.
• Monitors coding and CDI performance to meet regulatory, legal and risk management implications of health information, coding, and documentation compliance guidelines.
• Manages adherence to the policies and procedures governing coding and reimbursement in compliance with federal and state laws and regulatory guidelines. 
• Design, build, scale and oversee activities, programs, interventions and solutions based on market needs. 
• Actively participates in the evaluation, selection, and maintaining of information systems supporting coding and CDI.
• Use data to identify practices that could benefit from Aledade services. 
• Partner with practices to understand billing and coding workflows and identify opportunities for process improvement.
• Manage & lead billing and coding related projects, including tracking key metrics across initiatives and driving cross-functional team collaboration.
• Identify trends across practices and provide feedback on the best course of action to improve billing and coding practices.

Minimum Qualifications:

• Bachelor's degree in Health Information Management or related healthcare field or 10 years of experience in lieu of the degree.
• Minimum 4-6 years of experience in a health plan or health system setting.
• Minimum of 3 years of experience in Risk Adjustment.
• Minimum of 3+ years of management experience.
• Ability to influence, provide customer service, and work collaboratively with internal and external customers, including physicians.
• Ability to establish and maintain effective working relationships across the company.
• Complete understanding of acuity levels for specific patient populations and strong clinical knowledge with the ability to interpret clinical documentation.
• Critical thinking skills to problem solve and communicate with physicians on clinical issues.
• Analytical ability necessary to conduct basic research, analyze and interpret data, evaluate processes and propose solutions. 
• Extensive knowledge of regulations and guidelines pertaining to documentation and coding. 
• Ability to prioritize work, meet deadlines, and produce quality results on time with strong attention to detail.
• Excellent written and oral communication skills including excellent presentation skills and the ability to communicate effectively with all levels of management and medical providers. 

Preferred Skills & Abilities:

• Master’s degree in health related fields.
• One of the following active credentials issued by the American Health Information Management Association (AHIMA) or current Registered Nurse (RN) license:


• RHIA – Registered Health Information Administrator
• RHIT – Registered Health Information Technician
• RN – Registered Nurse
• One or more of the following active credentials:
• Certified Coding Specialist (CCS) - AHIMA
• Certified Documentation Improvement Practitioner (CDI