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CDI Team Lead
Devoted Health. Conduct quality oversight of the Devoted Medical CDI Integrity and Claims Auditors .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in CDI Integrity and Claims Auditing, with a strong focus on ICD-10-CM coding guidelines and regulatory compliance. Proven ability to analyze data trends, provide training, and support claims submission processes in various payor models.
Highest-signal resume keywords
ICD-10-CM Coding GuidelinesCPC CertificationClaims AuditingData AnalysisProvider Education
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
CDI Integrity OversightRisk Adjustment CodingCPT CodingClaims SubmissionData Trend Analysis
Soft Skills
Analytical SkillsProblem SolvingOral CommunicationWritten CommunicationTime Management
Certifications & Qualifications
CPCCOCCRCCCSRHITRHIA
Industry Keywords
Claims DenialsProvider QueriesRegulatory AuditsCMS Risk Adjustment GuidanceAHA Coding Clinic Guidance
About the role
Key responsibilities & impact- Conduct quality oversight of the Devoted Medical CDI Integrity and Claims Auditors
- Provide coaching and training to CDI Auditors who are not meeting quality standards
- Train and onboard new CDI Auditors and offshore teammates
- Participate as a SME in Devoted Health Plan or other regulatory audits
- Support review and rebuttal of audit findings in collaboration with Manager, CDI
- Complete data analysis of trends based on Provider Queries to assist in process improvement
- Assist in creating and communicating provider education regarding trends and opportunities regarding compliant coding practices
- Partner with Clinical Excellence teams to develop training for tenured staff and new hires
- Remain current on ICD-10-CM coding guidelines, AHA Coding Clinic Guidance, and CMS Risk Adjustment Guidance
- Support claims submission in FFS and Medicare Primary Payor Models
- Develop use cases for AI in the claims and coding model
- Review and trend claims denials for the Practice and submit corrections where required
Requirements
What you’ll need- 3+ years as an outpatient CDI or 5+ years in risk adjustment coding/auditing
- CPC, COC, or CRC certification through AAPC or CCS, RHIT, or RHIA certification through AHIMA required
- Other certifications may be considered based on relevance to job duties
- Prior CPT coding a plus
- Previous managerial experience preferred but not required
- BA/BS or RN in Nursing a plus but not required
- Strong analytical and problem solving skills
- Strong oral and written communication skills
- Strong organization and time management skills
- Ability to work independently
- Ability to multitask
Benefits
Comp & perks- 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