Honest Health · 10 hours ago
Director, Clinical Documentation Integrity
Honest Health is a company focused on transforming primary care through purpose and partnership. The Director of Clinical Documentation Integrity will lead coding and documentation processes, analyze existing operations, and implement improvements to enhance clinical care delivery.
Hospital & Health Care
Responsibilities
Evaluate, evolve, and implement the pre-visit planning process to enhance efficiency and accuracy
Oversee the production of pre-visit planning materials for all partners, ensuring relevance and appropriateness
Develop and implement a robust quality audit process for pre-visit planning forms.Ensure timely distribution of pre-visit planning forms to partners
Monitor and track the utilization of pre-visit planning forms by partners, identifying opportunities for improvement
Serve as the primary point of contact for partner coding inquiries, demonstrating expert knowledge and problem-solving skills
Act as a documentation subject matter expert (SME) for both internal and external audiences, particularly around HCCs and ICD10 coding
Develop and manage communication processes to socialize team production, risk mitigation tactics, and partner progress
Recruit, train, and manage team of documentation coding supervisors and documentation coding specialists
Collaborate with documentation vendors as needed, ensuring seamless integration and performance
Assist in the implementation and management of technology platforms to support clinical documentation processes
Develop and evolve reporting mechanisms to monitor key performance indicators, identify trends, and make data-driven decisions
Assist with the implementation and management of technology platforms
Work closely with Clinical Documentation management to coordinate coding compliance oversight as well as Technology/Clinical Leadership in completion of workflow enhancements, changes and new products
Develop and continuously improve coding compliance policies and coding guidelines, in collaboration with other CDI leaders, while ensuring compliance with organizational, federal, state and third-party requirements
Works closely with legal and compliance to address regulatory matters related to clinical documentation and coding practices
Travel expected up to 15%
Perform other related responsibilities as assigned
Qualification
Required
CPC, CCS, CCS-P, RHIT, or RHIA required; outpatient CDI credential from AAPC or ACDIS preferred
6+ years of risk adjustment coding, auditing, and management experience working and interacting with CDI
Expertise in CMS risk adjustment coding and RADV compliance standards
Significant experience in public speaking/presentations with customer service orientation
Experience in a team-based service environment; well-developed interpersonal skills
Ability to work independently and in a relatively unstructured manner
Demonstrate genuine curiosity on the job when performing job functions
Excellent communication skills, you must be bold enough to speak up when something is non-compliant
Preferred
outpatient CDI credential from AAPC or ACDIS
Auditing credential from AAPC or AHIMA preferred
Strong Microsoft Office Suite skills preferred
Intermediate knowledge and familiarity with coding and documentation platforms and technology
Familiarity with major EHR platforms
Benefits
Short-term incentives
A comprehensive benefits package
Company
Honest Health
Honest Health is the leader in primary care transformation.
Funding
Current Stage
Growth StageRecent News
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