[Hiring] Clinical Documentation Manager @Devoted Health

Role Description

As a Clinical Documentation Manager, you will serve as a subject matter expert within our Provider support team and the broader Risk Adjustment department, driving clinical documentation integrity and ICD-10-CM coding accuracy across the enterprise. This role also acts as a thought partner to leadership, supporting coding guidelines development, serving as a risk adjustment coding expert on internal and external audits, designing and iterating on reporting, and using technology to scale our impact.

Your Responsibilities and Impact will include:

• Lead CDI & Coding Thought Partnership: Serve as the CDI subject matter expert and strategic partner to Risk Adjustment leadership and cross-functional teams, contributing to the Coding Steering Workgroup and ensuring enterprise alignment with ICD-10-CM guidelines, AHA Coding Clinic, CMS guidance, and AHIMA guidance.
• Own Provider Documentation & Education Assets: Design, standardize, and maintain condition-specific clinical documentation guidance, EHR template recommendations, and network-wide webinars that drive coding accuracy and provider compliance.
• Enable Field Teams & Provider Relationships: Partner closely with Practice Consultants on provider engagements, Joint Operations Committee (JOC) presentation content, and escalated coding inquiries to improve practice workflows and risk score accuracy.
• Drive Audit Readiness & Response: Support external and internal risk adjustment audit responses; execute end-to-end chart evaluations and author guideline-backed audit rebuttals.
• Integrate Advanced Technology & AI Solutions: Pioneer and implement emerging technologies—including AI-assisted workflows and automated tracking mechanisms—to scale CDI research, audit readiness, and provider education impact.
• Develop Clinical Logic & Program Strategy: Collaborate with clinical and operational leaders in workgroups to refine and test risk adjustment insights logic using multi-source clinical data to support embedding high quality information in provider workflows.
• Conduct Quality Reviews & Trend Analysis: Perform medical record reviews as needed and leverage data-driven trend analyses to identify documentation integrity findings, measure educational outcomes, and support ongoing quality assurance.

Qualifications

• 3+ years of experience in Outpatient Clinical Documentation Integrity (CDI) or 5+ years in Medicare Advantage Risk Adjustment coding/auditing.
• Deep subject matter expertise in Medicare Advantage Risk Adjustment (CMS-HCC), ICD-10-CM coding guidelines, AHA Coding Clinic guidance, and CMS regulations.
• Current, active professional credential through AAPC, AHIMA, or ACDIS.
• Experience conducting medical record chart reviews, evaluating documentation integrity, and executing audit rebuttals.
• Demonstrated commitment to compliance, ethical coding rigor, and adhering to both the letter and spirit of healthcare regulatory standards.
• Autonomous self-starter with the ability to analyze spreadsheets and dashboards, prioritize competing internal deadlines, and adapt smoothly to evolving workflows.
• Strong collaborative communication skills to distill complex coding decisions into clear, accessible guidance for non-coding colleagues.

Requirements

• Prior clinical background or healthcare licensure (e.g., RN, LPN, NP, PA, or MD).
• Experience utilizing modern technical tools, generative AI/LLM workflows, or healthcare data analytics within a clinical documentation or risk adjustment context.
• Experience contributing to workgroups, cross-functional projects, or continuous process improvement initiatives.

Benefits

• Employer sponsored health, dental and vision plan with low or no premium.
• Generous paid time off.
• $100 monthly mobile or internet stipend.
• Stock options for all employees.
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles.
• Parental leave program.
• 401K program.
• And more....