Director, Clinical Documentation Integrity
Honest Health
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? Let’s connect.
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 Director of Clinical Documentation Integrity (CDI), you will lead the coding and documentation production and oversight for pre-visit planning operations. You will help analyze existing processes and be expected to evolve infrastructure as appropriate to better assist both internal teams and Honest partners deliver high quality clinical care. This role will be both internal and external facing, with opportunities to directly impact and interact with primary care delivery.
Primary Functions of the Director, CDI Include:
Provide strategic leadership and operational oversight for the organization’s concurrent and retrospective documentation review programs, ensuring real-time documentation accuracy and high-quality pre-visit planning.
Establish policies, workflows, and performance standards for educations activities, ensuring alignment with provider education goals, compliance requirements, and partner expectations.
Monitor education performance through KPIs, dashboards, and audit findings. Identify systemic gaps and direct cross-functional corrective action plans.
Evaluate, evolve, and implement the pre-visit planning process to enhance efficiency and accuracy.
Oversee the production of pre-visit planning materials for all partners, ensuring relevance and appropriateness.
Develop and implement a robust quality audit process for pre-visit planning forms. Ensure timely distribution of pre-visit planning forms to partners.
Monitor and track the utilization of pre-visit planning forms by partners, identifying opportunities for improvement.
Serve as the primary point of contact for partner coding inquiries, demonstrating expert knowledge and problem-solving skills.
Act as a documentation subject matter expert (SME) for both internal and external audiences, particularly around HCCs and ICD10 coding.
Develop and manage communication processes to socialize team production, risk mitigation tactics, and partner progress.
Recruit, train, and manage team of documentation coding supervisors and documentation coding specialists.
Collaborate with documentation vendors as needed, ensuring seamless integration and performance.
Assist in the implementation and management of technology platforms to support clinical documentation processes.
Develop and evolve reporting mechanisms to monitor key performance indicators, identify trends, and make data-driven decisions.
Assist with the implementation and management of technology platforms.
Work closely with Clinical Documentation management to coordinate coding compliance oversight as well as Technology/Clinical Leadership in completion of workflow enhancements, changes and new products.
Develop and continuously improve coding compliance policies and coding guidelines, in collaboration with other CDI leaders, while ensuring compliance with organizational, federal, state and third-party requirements.
Works closely with legal and compliance to address regulatory matters related to clinical documentation and coding practices.
Travel expected up to 15%
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.
CPC, CCS, CCS-P, RHIT, or RHIA required; Outpatient CDI credential from AAPC or ACDIS preferred
Auditing credential from AAPC or AHIMA preferred
6+ years of risk adjustment coding, auditing, and management experience working and interacting with CDI
3+ years prior CDI leadership experience
Expertise in CMS risk adjustment coding and RADV compliance standards
Significant experience in public speaking/presentations with customer service orientation
Experience in a team-based service environment; well-developed interpersonal skills
Ability to work independently and in a relatively unstructured manner
Demonstrate genuine curiosity on the job when performing job functions
Excellent communication skills, you must be bold enough to speak up when something is non-compliant
Strong Microsoft Office Suite skills preferred
Intermediate knowledge and familiarity with coding and documentation platforms and technology
Familiarity with major EHR platforms
The base pay range for this role is $145,200.00 - $170,600.00. 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