Aledade, Inc. logo
Aledade, Inc.

With Primary Care. For Primary Care.

Director of Clinical Documentation Integrity, CDI

Medical writerMedical writerFull TimeRemoteLeadTeam 501-1,000Since 2014H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

1 day ago

Salary

Not specified

Seniority

Lead

Bachelor Degree8 yrs expEnglish

Job Description

• 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.

Job Requirements

  • 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)

Benefits

  • 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!

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