Director, Clinical Documentation Integrity and Quality - Nashville, United States - Honest Medical Group

Description

Job Description

You are devoted, compassionate, and enjoy being on the front lines in healthcare, changing the lives of your patients. You are passionate about getting to the root cause of a patient's conditions, removing social determinants of healthcare, and ensuring the highest possible quality of life for those in your care. You don't want to sacrifice quality over quantity, and you aim to provide the same level of care and commitment to your patients that you would to your own family member.

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

We are Honest Medical Group, a groundbreaking team of health care professionals focused on making a major impact in health care. At Honest, we align every aspect of our company to support patients and providers. We are devoted to purpose and inspired by innovation. We embrace our communities and lead with kindness. We drive health improvements, create a seamless member experience, and eliminate unnecessary cost. We listen to the needs of our patients and our employees—continually working to push beyond the status quo.

For us, it's all in an Honest day's work.

As Director of Clinical Documentation Integrity and Quality, 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.

• 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 a 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 the 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.
• Work closely with the legal and compliance team to address regulatory matters related to clinical documentation and coding practices.
• Travel expected up to 15%
• Perform other related responsibilities as assigned.

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.

• You possess one of the following coding credentials: CPC, CCS, CCS-P, RHIT, or RHIA. 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
• 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

• 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.
• As a part-time team member, you will benefit from Honest's total rewards package, including competitive base pay with bonuses, pro-rated paid time off, paid holidays, reimbursement for continuing medical education, 401k with match.
• 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 for assistance. Reasonable accommodation will be determined on a case-by-case basis.

Honest Medical Group contacts candidates via various platforms, including Honest's recruiting platform and/or email or text message. If working with candidates directly, Honest will contact candidates using an email address. For reference, the recruiting process will always include a live phone call and/or real person interview prior to making a formal offer of employment. Honest will never ask for an individual's confidential personal information or financial account information (i.e., social security number or bank account and/or routing number) prior to a formal offer and will never ask for transfers of money or financial information by email, text, Venmo, or other social media. Further, Honest will never request financial account security information (i.e., PIN number, password, or security access information). We encourage all candidates to be diligent in their job search and to verify the contact information of individuals they are working with. If there are any questions as to whether a communication is coming from Honest, candidates may reach out to