CDI Enablement Manager

Job not on LinkedIn

🔥 6 minutes ago

🇺🇸 United States – Remote

💵 $90k - $135k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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Vytalize Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🤝 B2B

☁️ SaaS

⚕️ Healthcare Insurance

💰 $100M Series C - Vytalize Health on 2023-02

B2B • SaaS • Healthcare Insurance

Vytalize Health is a healthcare technology and services company that helps primary care practices and Accountable Care Organizations (ACOs) transition to value-based care. It combines data-driven analytics, virtual and in-home clinical support, and care management services to improve patient outcomes, enable Medicare-approved remote services for chronic conditions, and help practices earn shared savings under value-based contracts. Vytalize partners with independent PCPs, group practices, community health centers and existing ACOs to deliver clinical enablement, practice-tailored workflows, and performance insights.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• 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.