Lead operations of the CDI team for prospective and concurrent chart review, ensuring quality, accuracy, and compliance.
Coach and develop specialists through onboarding, training, performance management, and workflow improvement.
Partner with physicians and operational teams to sustain accurate CMS-HCC documentation and audit readiness.
Greenbrook Medical delivers high-touch, relationship-based primary care for seniors through neighborhood clinics. They are in a growth phase, backed by strong unit economics and a culture of Heart, Excellence, Accountability, Resilience, and Teamwork.
Perform retrospective reconciliation of complex CDI reviews and final coded records, ensuring clinical documentation integrity.
Collaborate with CDI specialists, coding professionals, and physicians to resolve documentation discrepancies and improve quality.
Monitor reconciliation metrics, support quality initiatives, and serve as a resource for documentation and coding guidance.
Tufts Medicine is an integrated health system combining academic and community medicine to deliver connected care across Massachusetts. With over 15,000 employees and caregivers, it fosters a culture of collaboration and innovation.
Lead day-to-day operations of prospective and concurrent CDI review processes, ensuring quality and productivity standards.
Oversee team performance, coaching, and development while partnering with physicians and clinical teams.
Use data and metrics to drive process improvements, reduce documentation gaps, and support compliance and risk adjustment.
Our partner is a healthcare organization focused on clinical documentation integrity and risk adjustment for Medicare Advantage populations. They are a growing company with a collaborative, mission-driven culture that values heart, excellence, accountability, resilience, and teamwork.
Conduct thorough medical record reviews for assigned patient population to ensure accurate DRG assignment and severity of illness documentation.
Author and manage compliant provider queries to resolve documentation gaps while adhering to AHIMA and ACDIS guidelines.
Educate multi-disciplinary care teams on documentation best practices and collaborate with HIM coding professionals to streamline workflows.
CommonSpirit Health is a large nonprofit Catholic healthcare organization that provides integrated health services. It has over 157,000 employees and delivers more than 20 million patient encounters annually, striving to create a more just and equitable healthcare system.
Conduct internal and external quality audits for ICD-10 code abstraction and identify clinical documentation improvement opportunities.
Mitigate risk by validating Encounter Data Gathering Environment Server (EDGE) data and reviewing Risk Adjustment coding performance.
Maintain compliance with national coding standards and support CMS and Risk Adjustment Data Validation audits.
Oscar is a health insurance company built around a full-stack technology platform and a relentless focus on serving its members. Founded in 2012, it cultivates an inclusive environment where employees can be their authentic selves.
Perform quality audits on clinical documentation across clinical departments.
Collaborate with leadership to develop corrective action plans and provide 1:1 coaching.
Support organizational readiness for NCQA and other regulatory audits.
Oscar is the first health insurance company built around a full stack technology platform, focusing on serving members with a concierge-level experience. It started in 2012 and is an Equal Opportunity Employer cultivating an authentic, inclusive environment.
Develop and deliver education to clinicians on accurate documentation and risk adjustment.
Conduct pre-visit chart reviews and post-visit audits to identify documentation gaps.
Analyze performance indicators and create individualized education plans for clinicians.
Herself Health reimagines primary care for women on Medicare, focusing on thoughtful, relationship-centered care for aging women. The company operates five clinics in Minnesota and fosters a culture of curiosity, ownership, and collaboration.
Assess clinical documentation for compliance with AMA and CMS coding guidelines.
Validate clinical documentation and evaluate accuracy and timeliness of the billing process.
Investigate and identify opportunities for improvement and provide education to providers and staff.
UnityPoint Health is a healthcare organization providing services across Iowa, Illinois, and Wisconsin. It is recognized as a top place to work in healthcare and fosters a culture of belonging, development, and total rewards.
Lead the building and scaling of risk adjustment operations, including defining workflows and integrating into care delivery.
Drive broader clinical operations initiatives to improve care delivery workflows and cross-team coordination.
Translate strategic priorities into operational workplans, establish KPIs, and support performance visibility.
Daymark Health is a value-based oncology company redefining the cancer care experience for patients, providers, and health plans. The company is backed by leading venture firms and led by CEO Dr. Justin Bekelman, with a culture focused on transforming cancer care.
Assess clinical documentation for compliance with AMA and CMS coding guidelines.
Provide education and guidance to providers, clinical staff, and coders on documentation standards.
Analyze audit data, report findings, and collaborate with leadership to improve coding practices.
UnityPoint Health is a healthcare system providing medical services across Iowa, Illinois, and Wisconsin. It is recognized as a top workplace, committed to team member support, development, and a culture of belonging.