Clinical Documentation Manager

Job Summary

To enhance clinical documentation integrity and coding accuracy, the full-time Clinical Documentation Manager will serve as a subject matter expert, support provider education, and drive audit readiness while working remotely.

Key responsibilities

• Lead CDI & Coding Thought Partnership by collaborating with leadership and cross-functional teams to ensure alignment with coding guidelines
• Own Provider Documentation & Education Assets by designing and maintaining clinical documentation guidance and conducting webinars for provider compliance
• Drive Audit Readiness & Response by supporting internal and external audits, executing chart evaluations, and authoring audit rebuttals

Required qualifications

• 3+ years of experience in Outpatient Clinical Documentation Integrity (CDI) or 5+ years in Medicare Advantage Risk Adjustment coding/auditing
• Deep expertise in Medicare Advantage Risk Adjustment, ICD-10-CM coding guidelines, and CMS regulations
• Current, active professional credential through AAPC, AHIMA, or ACDIS
• Experience conducting medical record chart reviews and executing audit rebuttals
• Demonstrated commitment to compliance and ethical coding standards