Director of Clinical Documentation Integrity (CDI), Remote
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Job Location:
Arlington, TX - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
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 Aledades risk adjustment coding and clinical documentation programs. Reporting to senior leadership the Director oversees a high-performing team of coding professionals who support over 3000 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.
Primary Duties:
- Directs the execution of Aledades 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
- Bachelors 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 Aledades 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
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 weve 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 youre eager to join a collaborative inclusive and remote-first culture - youve 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 dont 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 AledadesApplicant Privacy Policy available at may use automated tools including artificial intelligence (AI) to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process please contact us.
Required Experience:
Director
Key Skills
About Company
Aledade works with independent practices, health centers, and clinics to build and lead Accountable Care Organizations (ACOs) anchored in primary care.
