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Clinical Documentation Manager
Devoted Health. Serve as the clinical documentation integrity subject matter expert and strategic partner to Risk Adjustment leadership and cross-functional teams .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Clinical Documentation Integrity (CDI) and Medicare Advantage Risk Adjustment, with a strong focus on compliance, ethical coding, and healthcare regulatory standards. Proficient in conducting medical record reviews, implementing AI-assisted workflows, and collaborating with cross-functional teams to enhance documentation integrity and audit readiness.
Highest-signal resume keywords
Clinical Documentation Integrity (CDI)Medicare Advantage Risk Adjustment (CMS-HCC)ICD-10-CM Coding GuidelinesProfessional Credential (AAPC, AHIMA, ACDIS)Medical Record Chart Reviews
ATS Keywords
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Hard Skills
Clinical Documentation Integrity (CDI)Medicare Advantage Risk AdjustmentICD-10-CM CodingAudit RebuttalsMedical Record ReviewsData AnalysisTrend AnalysisEHR Template RecommendationsCoding ComplianceHealthcare Regulatory Standards
Soft Skills
Collaborative CommunicationAdaptabilityPrioritizationProblem-SolvingIndependent Work
Tools & Technologies
AI-Assisted WorkflowsHealthcare Data AnalyticsSpreadsheetsDashboards
Certifications & Qualifications
AAPC CredentialAHIMA CredentialACDIS Credential
Industry Keywords
CMS RegulationsAHA Coding ClinicRisk Adjustment AuditsDocumentation Integrity FindingsProvider Education
About the role
Key responsibilities & impact- Serve as the clinical documentation integrity subject matter expert and strategic partner to Risk Adjustment leadership and cross-functional teams
- Contribute to the Coding Steering Workgroup and ensure alignment with ICD-10-CM, AHA Coding Clinic, CMS, and AHIMA guidance
- Design, standardize, and maintain clinical documentation guidance, EHR template recommendations, and network-wide provider webinars
- Partner with Practice Consultants on provider engagements, JOC presentation content, and escalated coding inquiries
- Support internal and external risk adjustment audit responses, including chart evaluations and guideline-backed audit rebuttals
- Implement AI-assisted workflows and automated tracking mechanisms for CDI research, audit readiness, and provider education
- Collaborate with clinical and operational leaders to refine risk adjustment insights logic using multi-source clinical data
- Perform medical record reviews and trend analyses to identify documentation integrity findings and measure educational outcomes
- Work independently as an individual contributor with no direct reports and manage personal priorities
Requirements
What you’ll need- 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
- Commitment to compliance, ethical coding rigor, and healthcare regulatory standards
- Ability to analyze spreadsheets and dashboards, prioritize competing internal deadlines, and adapt to evolving workflows
- Strong collaborative communication skills to explain complex coding decisions clearly
- Prior clinical background or healthcare licensure (e.g., RN, LPN, NP, PA, or MD) is desired
- Experience with modern technical tools, generative AI/LLM workflows, or healthcare data analytics is desired
- Experience contributing to workgroups, cross-functional projects, or continuous process improvement initiatives is desired
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
- Parental leave program
- 401K program
- Total rewards package for full time employees