Demo

Manager, Clinical Documentation- Prospective Programs

Honest Health
Nashville, TN Full Time
POSTED ON 1/14/2025
AVAILABLE BEFORE 3/15/2025

Job Description

Job Description

Who You Are

You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all.

Does this sound like you? If so, we should talk.

Who We Are

At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future.

For us, that's just an Honest day's work.

Your Role

As Clinical Documentation Integrity (CDI) Manager at Honest Health, you will play an integral role in the organization's development and execution of prospective risk adjustment activities . You will lead a team of CDI Specialists I as they review patient medical records from our partner practices and deliver pre-visit review forms back to those providers. You will ensure team production and accuracy meet expectations, and utilize your skills and experience to enhance processes and workflows.

Primary Functions of the CDI Manager Include :

  • Work collaboratively with physicians, Advanced Practice Practitioners, other healthcare professionals, and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes, and quality are captured for the level of service rendered to all patients.
  • In coordination with the CDI Director, plan, assign, and direct the work of the CDI Specialists with data analytics informing the strategies developed for our provider partners with optimal efficiency.
  • Develop and recommend policies and written procedures to clarify and communicate standard practices.
  • Hire, mentor, and coach CDI Specialists of varying abilities and levels to execute and oversee our services in prospective activities.
  • Design work queues with internal partners to ensure workloads appropriate distribution among available resources.
  • Manage CDI team productivity to achieve organizational goals and objectives.
  • Analyze current workflows and implement process improvement initiatives.
  • Actively demonstrates the organization's mission and core values and conducts oneself at all times in a manner consistent with these values.
  • Must demonstrate the ability to identify areas of improvement opportunities, create and initiate solutions, and implement action plans.
  • Must empower team members to achieve goals and demonstrate the capacity to excel in a fast-pced and changing environment to meet the expectations and needs of our internal and external partners.
  • Capacity to work independently with excellent time management skills.
  • Perform other related responsibilities as assigned.

How You Qualify

You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities.

  • Bachelor's degree or equivalent experience
  • 10 years medical coding and / or risk adjustment experience
  • 5 years of provider engagement and education experience
  • 3 years of people management experience
  • CRC required
  • CPC, CCS, CCS-P, RHIT, or RHIA, required. CDEO or CCDS-O, required within 1 year of hire
  • AAPC Approved Instructor preferred
  • Demonstrated proficiency in current and emerging technologies
  • Independently identify bottlenecks, inefficiencies in workflows, challenges / barriers to outcomes and proactively implement resolutions
  • Demonstrated proficiency in computer skills, i.e., Microsoft Windows, Outlook, Internet browsers, Microsoft Teams with intermediate to advanced level Excel, Word, and PowerPoint
  • Excellent communication skills, both verbal and written
  • Strong people skills and ability to build supportive relationships with providers
  • Outstanding organizational skills and an ability to operate efficiently and independently
  • CMS HCC Risk Adjustment experience required
  • High attention to detail required
  • The base pay range for this role is $84,200 - $96,800. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package.

    How You are Supported

  • As a full-time team member, you will benefit from Honest's exceptional total rewards package, including competitive base pay with bonuses, paid time off starting at 4 weeks for full time employees, 12 paid holidays per year, reimbursement for continuing medical education, 401k with match, health, dental, and vision insurance.
  • Family friendly policies that support paid parental leave and flexible work arrangements
  • As a team member you'll be supported by our robust commitment to training and development that starts with onboarding and continues throughout your career with Honest.
  • You will collaborate with like-minded healthcare professionals who, like you, understand the importance and value of Honest's high-quality, value-based, care model.
  • Honest is an equal opportunity employer that is committed to inclusion and diversity. We take affirmative action to ensure equal opportunity for all applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics.

    Honest is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email talent@Honest-health.com for assistance. Reasonable accommodation will be determined on a case-by-case basis.

    Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com or Honest-Health.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended.

    To safeguard your personal information, Honest Health will never ask for confidential details—such as social security numbers, bank accounts, or routing numbers—before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform.

    We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at talent@honest-health.com.

    Salary : $84,200 - $96,800

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