Manager, Clinical Documentation Integrity Performance

**Overview:** - CDI Manager leading a team of CDI Coders. - Ensures compliance with regulatory standards. - Optimizes clinical documentation practices. - Manages CDI coding processes. - Acts as a liaison for coding, billing, and risk adjustment. - Manages adherence to coding and reimbursement policies. - Designs, builds, scales, and oversees coding-related activities. - Partners with practices for process improvement. - Manages billing and coding projects. - Provides feedback on billing and coding practices. **Key Responsibilities:** - Oversee CDI coding processes. - Ensure alignment with various requirements. - Support accurate risk adjustment coding. - Facilitate workflow efficiencies. - Monitor coding performance for compliance. - Identify and implement process improvement strategies. - Manage coding and quality, productivity, and performance activities. - Evaluate and maintain information systems for coding. - Identify trends and provide feedback for improvement. - Lead billing and coding related projects. - Establish and maintain effective working relationships. - Interpret clinical documentation and clinical knowledge. - Conduct basic research, analyze data, and propose solutions. - Prioritize work, meet deadlines, and produce quality results. - Communicate effectively with management and medical providers. **Requirements/Skills/Qualifications:** - Bachelor's degree in Health Information Management or related field. - 10 years of experience in lieu of the degree. - Minimum 4-6 years in a health plan or health system setting. - Minimum 3 years of experience in Risk Adjustment. - Minimum 3+ years of management experience. - Ability to influence, provide customer service, and work collaboratively. - Strong clinical knowledge and understanding of acuity levels. - Critical thinking skills for clinical issues. - Analytical ability for data interpretation. - Extensive knowledge of documentation and coding regulations. - Master’s degree in health-related fields preferred. - Active credentials from AHIMA or RN licensee. - Certifications in Coding Specialist, CDIP, CCDS-O, CRC, CPMA, CPB, RH-CBS, CH-CBS. - Physical ability to sit for prolonged periods and occasional walking/lifting. **Compensation & Benefits:** - Comprehensive benefits package including health, dental, vision insurance, PTO, volunteer days, holidays, parental leave, sabbatical, Educational Assistant Program, Clinical Employee Reimbursement Program, 401(k) with match, stock options. - Flexible work schedules and remote work opportunities. - Equal opportunity employer with policies based on merit and qualifications. (Note: Specific compensation details are not provided in the text.)