CDI Enablement Manager

Location

United States

Posted

2 days ago

Salary

$90K - $135K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

CDI Enablement Manager

Vytalize Health

• Deliver targeted, intervention-based education with prioritization driven by practice performance data • Facilitate one-on-one provider education sessions, including DSP documentation coaching, ICD-10-CM specificity guidance, and clinical scenario-based learning • Participate in Pod meetings, RMO sessions, and practice-facing touchpoints to deliver vignette-style CDI education and reinforce documentation best practices • Design and maintain practice-specific education plans based on coding data, RAF trend analysis, and recapture opportunity outputs • Support provider understanding of point-of-care tools, suspect delivery outputs, and documentation expectations tied to CDI (Clinical Documentation Integrity) program goals • Respond to education needs and engagement escalations for practices with persistent documentation gaps • Monitor performance against practice-specific education plans, and propose and act upon improvement plans • Lead provider-facing webinars and educational sessions • Build and maintain the CDI clinical content library, including condition-specific advisories, documentation tip sheets, and slide-ready education modules, for use by RMO and CDI staff • Develop specialty-specific and prevalence-adjusted educational materials that align with CMS documentation standards and reflect real clinical scenarios • Collaborate with the VP, CDI & Coding Operations and QA Lead to ensure all clinical content reflects current coding guidelines and risk adjustment requirements • Conduct concurrent documentation reviews, evaluating clinical support for active diagnoses and identifying documentation gaps prior to or following encounters • Review coding outputs against clinical documentation to assess accuracy, specificity, and completeness; flag discrepancies for QA escalation or provider follow-up • Apply MEAT criteria in documentation review; identify conditions requiring addendum, query, or provider education • Contribute to the development of concurrent review workflows and eligibility criteria in coordination with the CDI Operations Lead and VP • Partner with RMOs, market medical directors, and practice-facing staff to align education delivery with population health and performance priorities • Track and report on education delivery, concurrent review activity, and provider engagement outcomes against established benchmarks • Escalate compliance concerns, coding accuracy issues, and documentation risks to the VP, CDI & Coding Operations in a timely manner.

Job Requirements

  • Bachelor’s degree in Health Information Management, Nursing, Healthcare Administration, or a related clinical or health sciences field preferred
  • 5+ years of experience in clinical documentation integrity, coding operations, risk adjustment, or a related field
  • Demonstrated experience delivering provider education or clinical training in an ambulatory or value-based care setting
  • Prior experience conducting concurrent or retrospective documentation review
  • Active CRC (Certified Risk Coder) certification required in addition to a CPC (Certified Professional Coder) or CCS (Certified Coding Specialist).
  • Active CDI certification required, the CDEO (Certified Documentation Expert Outpatient, CDIP (Certified Documentation Improvement Practitioner), or CCDS-O (Certified Clinical Documentation Specialist – Outpatient) or equivalent credential issued by AAPC or AHIMA
  • Strong working knowledge of risk adjustment coding, methodology (v24/v28), and CMS documentation standards
  • Demonstrated ability to apply DSP/MEAT and clinical criteria in documentation review and provider education contexts
  • Proven ability to communicate complex clinical and coding concepts to non-coding clinical audiences (providers, care teams)
  • Strong client-facing skills with the ability to educate stakeholders, identify improvement opportunities, and deliver actionable feedback and recommendations
  • Ability to successfully build strong client relationships
  • Excellent verbal and written communication skills, including ability to navigate difficult conversations and respond to both positive and negative customer feedback with professionalism and accountability
  • Strong organizational skills with the ability to manage a portfolio of practices and prioritize independently
  • Experience working in Medicare Advantage, ACO REACH, or MSSP risk adjustment environments.

Benefits

  • Competitive base compensation.
  • Annual bonus potential.
  • Health benefits effective on start date
  • Health & Wellness Program: up to $300 per quarter for your overall well-being, available on start date.
  • 401(k) plan effective the first of the month after your start date; 100% match of up to 4% of your annual salary.
  • Unlimited (or generous) paid “Vytal Time,” and 5 paid sick days after your first 90 days.
  • Company-paid STD/LTD.
  • Technology setup.
  • Opportunity to help build a market leader in value-based healthcare at a rapidly growing organization.

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