Manager, Clinical Documentation Integrity – CDI

🕒 vor 19 Tagen

🇺🇸 Vereinigte Staaten – Remote

💵 $115.000 / Jahr

⏰ Vollzeit

🟡 Mittelstufe

🟠 Senior

🏥📝 Medizinischer Autor

👻 Geisterscore 0%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Greenbrook Medical

Greenbrook Medical

11 - 50 Mitarbeiter

Gegründet 2021

🏥 Gesundheitswesen

👥 B2C

Healthcare • B2C

Greenbrook Medical ist eine primärärztliche Gruppe mit Schwerpunkt auf Senioren mit Sitz in Tampa Bay, die seit 1991 ältere Erwachsene betreut. Sie bietet beziehungsorientierte, intensive Primärversorgung für Senioren mit einem Modell, das Kontinuität (Patienten sehen bei jedem Besuch denselben Arzt), kleinere Patientenpools, Termine am selben oder nächsten Tag, Diagnosen und Behandlungen vor Ort sowie einen 24/7-Telefonzugang zu Pflegeteams betont. Die Praxis akzeptiert Medicare Advantage-Pläne (einschließlich UnitedHealthcare) und betreibt mehrere lokale Kliniken in der Tampa Bay Area (Hudson, Brandon, Riverview, Spring Hill). Patientenzufriedenheit und Online-Bewertungen werden auf ihrer Website hervorgehoben.

Beschreibung

• Lead day-to-day operations of prospective and concurrent CDI review processes • Set and enforce quality, productivity, and turnaround-time standards • Monitor work queues and workflows, identifying bottlenecks • Lead team huddles, 1:1s, coaching conversations, and performance discussions • Manage schedules, coverage, timecards, and time-off requests • Serve as the escalation point for coding questions and challenges • Own onboarding, training plans, reference materials, workflows, and readiness audits for new CDI specialists • Coach team members on technical knowledge, quality, productivity, and professional growth • Track accuracy, quality, production, turnaround time, and other CDI metrics • Partner on audits, scoring methodology, follow-up reviews, and quality improvement • Build and improve SOPs, workflows, job aids, documentation standards, coding best practices, and internal guidance • Partner with physician leadership, clinical teams, Medical Records, retrieval, billing, claims, and other operational teams • Ensure alignment with ICD-10-CM guidelines, CMS-HCC risk-adjustment requirements, payer policies, and applicable regulations • Support audit readiness, including RADV and other regulatory or payer reviews • Report to the Director of Clinical Documentation Integrity

🎯 Anforderungen

• 5+ years of experience in clinical documentation integrity, risk adjustment, or HCC coding, including experience supporting Medicare Advantage populations • Experience leading, coaching, or supervising others and holding a team accountable to clear performance standards • Deep knowledge of ICD-10-CM and CMS-HCC risk-adjustment methodology, including V24 and V28 • Strong experience working alongside physicians and clinical teams on documentation quality • Active coding credential such as CRC, CPC, CCS, RHIT, or RHIA • Associate's or Bachelor's degree in Health Information Management, nursing, or a related field, or equivalent relevant experience • Experience working with EHRs and CDI, coding, or risk-adjustment platforms • Strong judgment when navigating complex compliance, quality, and performance issues • CRC certification is a plus; CDIP or CCDS also considered a plus • Experience building training programs, provider education, SOPs, or workflows • Ability to coach technical teams without micromanaging • Comfort using data and performance metrics to identify problems and drive improvement • Ability to explain complex coding and documentation requirements clearly to coders, physicians, and non-technical stakeholders • Ability to work in a structured, deadline-driven environment where details matter • Judgment and discretion to handle sensitive performance and compliance matters

🏖️ Vorteile

• Generous annual performance bonus (add commission if applicable) • Health, dental, and vision insurance • Paid time off • 401(k) with company match • Opportunities to grow skills and take on new challenges • Reasonable accommodations during the recruitment process

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