Manager, Clinical Documentation Integrity

🔥 11 hours ago

🇺🇸 United States – Remote

💵 $115k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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TGH Senior Center Powered by Greenbrook Medical

WebsiteLinkedInAll Job Openings

2 - 10 employees

Founded 2024

🏥 Healthcare

⚕️ Healthcare Insurance

👥 B2C

Healthcare • Healthcare Insurance • B2C

TGH Senior Center Powered by Greenbrook Medical is a primary care group dedicated to adults 65 and over, launched in partnership with Tampa General Hospital and powered by Greenbrook Medical. The practice offers senior-focused, relationship-based primary care with longer visits, reduced wait times, and 24/7 access to the care team. It provides on-site services such as lab services, EKG and circulation testing, pulmonary function testing (PFT), joint injections, and skin biopsies. Common conditions treated include arthritis, diabetes, high blood pressure, high cholesterol, heart disease, and COPD. Locations include Brandon, Riverview, and Spring Hill, and the center accepts Medicare plans including UnitedHealthcare MA.

📋 Description

• 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 workflow, 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, resources, workflows, and readiness assessments 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 • Identify trends, root causes, and improvement opportunities • 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 operational teams • Translate complex coding and documentation requirements into practical guidance • 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

🎯 Requirements

• 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, with CDIP or CCDS 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 take ownership and solve problems • Ability to thrive in a structured, deadline-driven environment where details matter • Collaborative, supportive leadership style • Judgment and discretion to handle sensitive performance and compliance matters

🏖️ Benefits

• 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