89 applicants

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Company

Original Job Post

Aledade, Inc. · 2 months ago

Director of Clinical Documentation Integrity

Bethesda, MD

Full-time

Remote

Director

7+ years exp

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Comp. & Benefits

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Responsibilities

Recruit, manage, retain, & coach CDI specialists to educate independent primary care practices and community health centers

Develop, execute, & report on a cross-Aledade CDI education strategy

Serve as a subject matter expert for Aledade’s risk stratification-related technical services and products

Serve as a subject matter expert for Aledade staff and practices on coding and billing challenges

Design and maintain CDI education reporting for both internal and external use

Design impact evaluations of CDI education offerings

Analyze CDI educator performance and act on learnings from Business Intelligence and Impact Analytics efforts

Act as a practice-facing spokesperson for Aledade on the importance of complete and accurate diagnosis documentation

Drive continuous program improvement and manage team and employee performance

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

CDI experienceClinical workflowRisk adjustmentBillingCodingProgram managementHealthcare knowledgeCoding complianceExcel skillsGoogle Sheets skillsPPT skillsData analysisKPI reportingCMS-HCCHHS-HCCMillimanLeadershipProblem-solvingCommunicationCPCOCoding WorkflowsCDI EducationRisk Adjustment PrinciplesDiagnosis DocumentationCoding Best PracticesPhysician EngagementPractice EngagementProject ManagementKey Metrics ReportingCross-Functional Collaboration

Required

7+ years of CDI-related experience, with experience in both an ambulatory clinical workflow setting and on a payer or value-based care company’s CDI team

Risk adjustment documentation and coding expertise, including 7+ years of experience in billing and coding of clinical services in ambulatory care

5+ years of program management, project leadership and execution experience in a healthcare or product related setting

Demonstrated knowledge and experience with risk adjustment methodologies such as CMS-HCC, HHS-HCC, 3M, Milliman, etc.

Deep subject matter expertise in coding compliance

Demonstrated leadership ability in prior workplace, including managing several direct reports with teams under them +5 years

Strong Excel / Google Sheets and PPT / Google Slides skills, including strong data analysis, KPI reporting, & executive presentation skills

Bachelor’s degree, CPC (or equivalent)

Preferred

CPCO (or equivalent)

Deep subject matter expertise in billing and coding workflows

Deep subject matter expertise in CDI education, risk adjustment principles and accurate and complete diagnosis documentation and coding best practices

Strong vision and belief in moving upstream to address diagnosis documentation challenges, including leveraging technology to achieve consistent results at scale

Sophisticated physician and practice engagement skills

Strong management and mentorship capabilities, as a manager of direct reports and leader of 20+ team members

Strong project management capabilities, including demonstrated ability defining, measuring, reporting on, and achieving key metrics of success

Demonstrated success collaborating across other departments and functions to achieve common goals

Ability to contribute to both strategic decision-making as a leader within Aledade’s Risk Stratification function, as well as direct the operations of a large CDI team

Ability to articulate, measure, and report on diagnosis documentation and risk adjustment’s financial impact to Aledade ACO member practices

Ability to analyze and interpret data related to risk adjustment including payer reports, practice billing information, and technology utilization

Commitment to compliance management and risk mitigation efforts, including proven track record of effective response to potential risks and compliance with applicable regulations and contract terms

Benefits

Flexible work schedules and ability to work remotely

Health, dental, and vision insurance paid up to 80%

Robust time off plan including 21 days of PTO in the first year

2 Paid Volunteer Days & 11 paid holidays

12 weeks paid Parental Leave for all new parents

6 weeks paid sabbatical after 6 years of service

Educational Assistant Program & Clinical Employee Reimbursement Program

401(K) with up to 4% match

Stock options

Company

Aledade, Inc.

Glassdoor

3.9

Aledade, a public benefit corporation, is the largest network of independent primary care in the country, helping independent practices, health centers and clinics deliver better care to their patients and thrive in value-based care.

Founded in 2014

Bethesda, Maryland, USA

1,001-5,000 employees

https://www.aledade.com

H1B Sponsorship

Aledade, Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Trends of Total Sponsorships

2023 (8)

2020 (1)