CDI Enablement Manager

🔥 18 horas atrás

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $90.000 - $135.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

Candidatar-se

Encontrar Vagas Remotas Similares

Receber Emails de Vagas Remotas

📊 Verifique sua pontuação de currículo para esta vaga

Melhore suas chances de conseguir uma entrevista verificando sua pontuação de currículo antes de se candidatar.

Enviar Currículo

Vytalize Health

SiteLinkedInTodas as Vagas

201 - 500 funcionários

🤝 B2B

☁️ SaaS

⚕️ Seguro de Saúde

💰 $100.000.000 Series C - Vytalize Health em 2023-02

B2B • SaaS • Healthcare Insurance

A Vytalize Health é uma empresa de tecnologia e serviços de saúde que auxilia consultórios de atenção primária e Organizações de Cuidados Responsáveis (ACOs) na transição para o cuidado baseado em valor. Ela combina análises orientadas por dados, suporte clínico virtual e domiciliar, além de serviços de gestão de cuidados para melhorar os resultados dos pacientes, viabilizar serviços remotos aprovados pelo Medicare para condições crônicas e ajudar práticas a obter economias compartilhadas em contratos baseados em valor. A Vytalize faz parcerias com médicos independentes, consultórios em grupo, centros de saúde comunitários e ACOs existentes para fornecer capacitação clínica, fluxos de trabalho adaptados às práticas e insights de desempenho.

Descrição

• Deliver targeted, intervention-based education with prioritization driven by practice performance data • Facilitate one-on-one provider education sessions, including DSP documentation coaching, ICD-10-CM specificity guidance, and clinical scenario-based learning • Participate in Pod meetings, RMO sessions, and practice-facing touchpoints to deliver vignette-style CDI education and reinforce documentation best practices • Design and maintain practice-specific education plans based on coding data, RAF trend analysis, and recapture opportunity outputs • Support provider understanding of point-of-care tools, suspect delivery outputs, and documentation expectations tied to CDI (Clinical Documentation Integrity) program goals • Respond to education needs and engagement escalations for practices with persistent documentation gaps • Monitor performance against practice-specific education plans, and propose and act upon improvement plans • Lead provider-facing webinars and educational sessions • Build and maintain the CDI clinical content library, including condition-specific advisories, documentation tip sheets, and slide-ready education modules, for use by RMO and CDI staff • Develop specialty-specific and prevalence-adjusted educational materials that align with CMS documentation standards and reflect real clinical scenarios • Collaborate with the VP, CDI & Coding Operations and QA Lead to ensure all clinical content reflects current coding guidelines and risk adjustment requirements • Conduct concurrent documentation reviews, evaluating clinical support for active diagnoses and identifying documentation gaps prior to or following encounters • Review coding outputs against clinical documentation to assess accuracy, specificity, and completeness; flag discrepancies for QA escalation or provider follow-up • Apply MEAT criteria in documentation review; identify conditions requiring addendum, query, or provider education • Contribute to the development of concurrent review workflows and eligibility criteria in coordination with the CDI Operations Lead and VP • Partner with RMOs, market medical directors, and practice-facing staff to align education delivery with population health and performance priorities • Track and report on education delivery, concurrent review activity, and provider engagement outcomes against established benchmarks • Escalate compliance concerns, coding accuracy issues, and documentation risks to the VP, CDI & Coding Operations in a timely manner.

🎯 Requisitos

• Bachelor’s degree in Health Information Management, Nursing, Healthcare Administration, or a related clinical or health sciences field preferred • 5+ years of experience in clinical documentation integrity, coding operations, risk adjustment, or a related field • Demonstrated experience delivering provider education or clinical training in an ambulatory or value-based care setting • Prior experience conducting concurrent or retrospective documentation review • Active CRC (Certified Risk Coder) certification required in addition to a CPC (Certified Professional Coder) or CCS (Certified Coding Specialist). • Active CDI certification required, the CDEO (Certified Documentation Expert Outpatient, CDIP (Certified Documentation Improvement Practitioner), or CCDS-O (Certified Clinical Documentation Specialist – Outpatient) or equivalent credential issued by AAPC or AHIMA • Strong working knowledge of risk adjustment coding, methodology (v24/v28), and CMS documentation standards • Demonstrated ability to apply DSP/MEAT and clinical criteria in documentation review and provider education contexts • Proven ability to communicate complex clinical and coding concepts to non-coding clinical audiences (providers, care teams) • Strong client-facing skills with the ability to educate stakeholders, identify improvement opportunities, and deliver actionable feedback and recommendations • Ability to successfully build strong client relationships • Excellent verbal and written communication skills, including ability to navigate difficult conversations and respond to both positive and negative customer feedback with professionalism and accountability • Strong organizational skills with the ability to manage a portfolio of practices and prioritize independently • Experience working in Medicare Advantage, ACO REACH, or MSSP risk adjustment environments.

🏖️ Benefícios

• Competitive base compensation. • Annual bonus potential. • Health benefits effective on start date • Health & Wellness Program: up to $300 per quarter for your overall well-being, available on start date. • 401(k) plan effective the first of the month after your start date; 100% match of up to 4% of your annual salary. • Unlimited (or generous) paid “Vytal Time,” and 5 paid sick days after your first 90 days. • Company-paid STD/LTD. • Technology setup. • Opportunity to help build a market leader in value-based healthcare at a rapidly growing organization.