Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients.  We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. 

The Director of Clinical Documentation Integrity (CDI) is a strategic leadership role responsible for the design, execution, and operational excellence of Aledade’s risk adjustment coding and clinical documentation programs. Reporting to senior leadership, the Director oversees a high-performing team of coding professionals who support over 1,400 independent primary care practices. 

The primary objective of this position is to bridge the gap between clinical care and data accuracy. This involves creating scalable, physician-centric educational programs that provide guidance and education to ensure accurate and complete diagnosis documentation, reflecting a true clinical picture of the patient population. This role requires  deep subject matter expertise in HCC coding, value-based care, and physician-centric operations.

\n

• Directs  the execution of Aledade’s CDI strategy across partner practices while leading a multidisciplinary team of coders, auditors and analysts to ensure operational excellence and talent development.
• Collaborates  with Market Leaders and field teams to align CDI initiatives with regional goals, ensuring seamless service delivery, while navigating specific market nuances.
• Designs framework for coding operations and documentation improvement across diverse care settings, including the oversight of vendor relationships to ensure adherence to industry-leading benchmarks and standards.
• Establishes and monitors operational KPIs and performance quality to  foster a culture of accountability, service excellence, and continuous improvement.
• Ensures strict adherence to CMS, HHS, and OIG guidelines by leading internal audit programs and overseeing the coding Quality Assurance (QA) unit, ensuring all guidance is clinically valid and compliant.
• Serves as a practice-facing spokesperson for Aledade on the importance of complete and accurate diagnosis documentation and the benefits to Aledade, partner practices, their clinicians, and their patients, including message development and refinement.

Minimum Qualifications:

• 8 + years of Coding/CDI-related leadership experience, with a heavy focus on risk adjustment coding and education in a value-based care or payer environment
• 5+ years of program management, project leadership and execution experience in a healthcare or product related setting
• 5+ years of management experience    
• Expert knowledge and experience with risk adjustment methodologies such as CMS-HCC, HHS-HCC, 3M, Milliman, etc.
• Deep understanding of CMS guidelines, compliance requirements, and audit processes.
• Proven success leading large-scale coding and education teams and managing complex vendor relationships.
• Strong Excel / Google Sheets and PPT / Google Slides skills, including strong data analysis, KPI reporting, & executive presentation skills
• Bachelor’s degree in a related field
• Relevant coding certification required (e.g., CPC, CRC, CCS)

Preferred Qualifications:

• Strong vision and belief in moving upstream to address diagnosis documentation challenges, including leveraging technology to achieve consistent results at scale
• Sophisticated physician and practice engagement skills
• Strong management and mentorship capabilities, as a manager of direct reports and leader of 20+ team members
• Strong project management capabilities, including demonstrated ability defining, measuring, reporting on, and achieving key metrics of success
• Demonstrated success collaborating across other departments and functions to achieve common goals
• Ability to contribute to both strategic decision-making as a leader within Aledade’s Risk Stratification function, as well as direct the operations of a large CDI team

Physical Requirements:

• Sitting for prolonged periods of time.
• Extensive use of computers and keyboard.
• Occasional walking and lifting may be required.
• Up to 10% of travel required

\n

Who We Are:

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. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?

At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles

Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners

Robust time-off plan (21 days of PTO in your first year)

Two paid volunteer days and 11 paid holidays

12 weeks paid parental leave for all new parents

Six weeks paid sabbatical after six years of service

Educational Assistant Program and Clinical Employee Reimbursement Program

401(k) with up to 4% match

Stock options

And much more!

At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at  https://www.aledade.com/privacy-policy-applicants