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Aledade

Director of Clinical Documentation Integrity (CDI), Remote

Aledade

14d ago

0WritingUnited Stateshimalayas
Clinical-DocumentationCDIHealthcare-CodingRevenue-Cycle-ManagementRisk-AdjustmentsDirector

Job Description

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.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 environment5+ years of program management, project leadership and execution experience in a healthcare or product related setting5+ 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 skillsBachelor’s degree in a related fieldRelevant 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 scaleSophisticated physician and practice engagement skillsStrong management and mentorship capabilities, as a manager of direct reports and leader of 20+ team membersStrong project management capabilities, including demonstrated ability defining, measuring, reporting on, and achieving key metrics of successDemonstrated success collaborating across other departments and functions to achieve common goalsAbility 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 teamPhysical 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 requiredWho 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 rolesHealth, dental and vision insurance paid up to 80% for employees, dependents and domestic partnersRobust time-off plan (21 days of PTO in your first year)Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parentsSix weeks paid sabbatical after six years of serviceEducational Assistant Program and Clinical Employee Reimbursement Program401(k) with up to 4% matchStock optionsAnd much more!At Aledade, we don’t just accept differences, we celebrate