Director of Clinical Documentation Integrity (CDI), Remote at Aledade

You're a leader with at least 8 years of coding/CDI experience, specifically in risk adjustment and value-based care, and possess a Bachelor's degree and a rele

Work type: remote

Location: Arlington, VA

Type: Full-time

Summary

You're a leader with at least 8 years of coding/CDI experience, specifically in risk adjustment and value-based care, and possess a Bachelor's degree and a relevant coding certification (like CPC, CRC, or CCS). **What makes it worth a look...** Aledade, a leader in population health, is hiring a remote Director of Clinical Documentation Integrity. This role offers a chance to impact healthcare transformation by leading a team that supports over 3,000 primary care practices. **You might be a good fit if you...** * Have expert knowledge of risk adjustment methodologies like CMS-HCC and HHS-HCC. * Possess deep understanding of CMS guidelines, compliance, and audit processes. * Are skilled in using Excel/Google Sheets and PPT/Google Slides for data analysis and executive presentations. * Have experience managing large-scale coding and education teams.

Job Description

Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system.

The Director of Clinical Documentation Integrity (CDI) is a strategic leadership role responsible for the design, execution, and operational excellence of Aledade’s risk adjustment coding and clinical documentation programs. Reporting to senior leadership, the Director oversees a high-performing team of coding professionals who support over 3,000 primary care practices.

The primary objective of this position is to bridge the gap between clinical care and data accuracy. This involves creating scalable, physician-centric educational programs that provide guidance and education to ensure accurate and complete diagnosis documentation, reflecting a true clinical picture of the patient population. This role requires deep subject matter expertise in HCC coding, value-based care, and physician-centric operations.

## Primary Duties:

• Directs the execution of Aledade’s CDI strategy across partner practices while leading a multidisciplinary team of coders, auditors and analysts to ensure operational excellence and talent development.

• Collaborates with Market Leaders and field teams to align CDI initiatives with regional goals, ensuring seamless service delivery, while navigating specific market nuances.

• Designs framework for coding operations and documentation improvement across diverse care settings, including the oversight of vendor relationships to ensure adherence to industry-leading benchmarks and standards.

• Establishes and monitors operational KPIs and performance quality to foster a culture of accountability, service excellence, and continuous improvement.

• Ensures strict adherence to CMS, HHS, and OIG guidelines by leading internal audit programs and overseeing the coding Quality Assurance (QA) unit, ensuring all guidance is clinically valid and compliant.

• Serves as a practice-facing spokesperson for Aledade on the importance of complete and accurate diagnosis documentation and the benefits to Aledade, partner practices, their clinicians, and their patients, including message development and refinement.

• 8 + years of Coding/CDI-related leadership experience, with a heavy focus on risk adjustment coding and education in a value-based care or payer environment

• 5+ years of program management, project leadership and execution experience in a healthcare or product related setting

• 5+ years of management experience

• Expert knowledge and experience with risk adjustment methodologies such as CMS-HCC, HHS-HCC, 3M, Milliman, etc.

• Deep understanding of CMS guidelines, compliance requirements, and audit processes.

• Proven success leading large-scale coding and education teams and managing complex vendor relationships.

• Strong Excel / Google Sheets and PPT / Google Slides skills, including strong data analysis, KPI reporting, & executive presentation skills

• Bachelor’s degree in a related field

• Relevant coding certification required (e.g., CPC, CRC, CCS)

• Strong vision and belief in moving upstream to address diagnosis documentation challenges, including leveraging technology to achieve consistent results at scale

• Sophisticated physician and practice engagement skills

• Strong management and mentorship capabilities, as a manager of direct reports and leader of 20+ team members

• Strong project management capabilities, including demonstrated ability defining, measuring, reporting on, and achieving key metrics of success

• Demonstrated success collaborating across other departments and functions to achieve common goals

• Ability to contribute to both strategic decision-making as a leader within Aledade’s Risk Stratification function, as well as direct the operations of a large CDI team

• Sitting for prolonged periods of time.

• Extensive use of computers and keyboard.

• Occasional walking and lifting may be required.

• Up to 10% of travel required

The Director of Clinical Documentation Integrity (CDI) is a strategic leadership role responsible for the design, execution, and operational excellence of Aledade’s risk adjustment coding and clinical documentation programs. Reporting to senior leadership, the Director oversees a high-performing team of coding professionals who support over 3,000 primary care practices.

The primary objective of this position is to bridge the gap between clinical care and data accuracy. This involves creating scalable, physician-centric educational programs that provide guidance and education to ensure accurate and complete diagnosis documentation, reflecting a true clinical picture of the patient population. This role requires deep subject matter expertise in HCC coding, value-based care, and physician-centric operations.

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