Clinical Documentation Manager

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $73k - $115k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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Devoted Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Serve as the clinical documentation integrity subject matter expert and strategic partner to Risk Adjustment leadership and cross-functional teams • Contribute to the Coding Steering Workgroup and ensure alignment with ICD-10-CM, AHA Coding Clinic, CMS, and AHIMA guidance • Design, standardize, and maintain clinical documentation guidance, EHR template recommendations, and network-wide provider webinars • Partner with Practice Consultants on provider engagements, JOC presentation content, and escalated coding inquiries • Support internal and external risk adjustment audit responses, including chart evaluations and guideline-backed audit rebuttals • Implement AI-assisted workflows and automated tracking mechanisms for CDI research, audit readiness, and provider education • Collaborate with clinical and operational leaders to refine risk adjustment insights logic using multi-source clinical data • Perform medical record reviews and trend analyses to identify documentation integrity findings and measure educational outcomes • Work independently as an individual contributor with no direct reports and manage personal priorities

🎯 Requirements

• 3+ years of experience in Outpatient Clinical Documentation Integrity (CDI) or 5+ years in Medicare Advantage Risk Adjustment coding/auditing • Deep subject matter expertise in Medicare Advantage Risk Adjustment (CMS-HCC), ICD-10-CM coding guidelines, AHA Coding Clinic guidance, and CMS regulations • Current, active professional credential through AAPC, AHIMA, or ACDIS • Experience conducting medical record chart reviews, evaluating documentation integrity, and executing audit rebuttals • Commitment to compliance, ethical coding rigor, and healthcare regulatory standards • Ability to analyze spreadsheets and dashboards, prioritize competing internal deadlines, and adapt to evolving workflows • Strong collaborative communication skills to explain complex coding decisions clearly • Prior clinical background or healthcare licensure (e.g., RN, LPN, NP, PA, or MD) is desired • Experience with modern technical tools, generative AI/LLM workflows, or healthcare data analytics is desired • Experience contributing to workgroups, cross-functional projects, or continuous process improvement initiatives is desired

🏖️ Benefits

• Employer sponsored health, dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above • Parental leave program • 401K program • Total rewards package for full time employees