Director, Clinical Documentation Integrity, Remote
Bethesda, MD, United States
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.
We are searching for a Director of Clinical Documentation Integrity (CDI). This person will be responsible for leading Aledade’s clinical documentation integrity team, which supports 1,400+ independent practices to improve the completeness and accuracy of their diagnosis documentation.
This role will report to the Vice President of Risk Stratification, within Aledade’s Performance department.
Primary Duties: Recruit, manage, retain, & coach CDI specialists to educate independent primary care practices and community health centers, with the goal of improving diagnosis documentation integrity, accuracy, & completeness
Develop, execute, & report on a cross-Aledade CDI education strategy
Serve as a subject matter expert for Aledade’s risk stratification-related technical services and products
Serve as a subject matter expert for Aledade staff and practices on coding and billing challenges
In collaboration with the Business Intelligence team, design and maintain CDI education reporting for both internal and external use
In collaboration with the Impact Analytics team, design impact evaluations of our CDI education offerings
Analyze CDI educator performance and act on learnings from Business Intelligence and Impact Analytics efforts to drive continuous program improvement and manage team and employee performance
Act 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: 7+ years of CDI-related experience, with experience in both an ambulatory clinical workflow setting and on a payer or value-based care company’s CDI team
Risk adjustment documentation and coding expertise, including 7+ years of experience in billing and coding of clinical services in ambulatory care
5+ years of program management, project leadership and execution experience in a healthcare or product related setting
Demonstrated knowledge and experience with risk adjustment methodologies such as CMS-HCC, HHS-HCC, 3M, Milliman, etc.
Deep subject matter expertise in coding compliance
Demonstrated leadership ability in prior workplace, including managing several direct reports with teams under them +5 years
Strong Excel / Google Sheets and PPT / Google Slides skills, including strong data analysis, KPI reporting, & executive presentation skills
Bachelor’s degree, CPC (or equivalent)
Preferred Qualfications: CPCO (or equivalent)
Deep subject matter expertise in billing and coding workflows
Deep subject matter expertise in CDI education, risk adjustment principles and accurate and complete diagnosis documentation and coding best practices
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
Ability to articulate, measure, and report on diagnosis documentation and risk adjustment’s financial impact to Aledade ACO member practices
Ability to analyze and interpret data related to risk adjustment including payer reports, practice billing information, and technology utilization
Commitment to compliance management and risk mitigation efforts, including proven track record of effective response to potential risks and compliance with applicable regulations and contract terms
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 payers, 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 year2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & 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'sApplicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
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 payers, 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 year2 Paid Volunteer Days & 11 paid holidays
12 weeks paid Parental Leave for all new parents
6 weeks paid sabbatical after 6 years of service
Educational Assistant Program & 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'sApplicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants
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