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VP, Clinical Documentation Integrity (CDI)

$206.4k - $258.05k

Honest

Who You Are You’re a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? Let’s connect. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients — to deliver innovative solutions that elevate care, control costs, and support long‑term health. Guided by our core values, we’re creating a value‑driven model that creates lasting benefits for everyone, now and into the future. For us, that’s just an Honest day’s work. Your Role As Vice President, Clinical Documentation Integrity, you will set the enterprise vision, strategy, and governance framework for Honest Health’s clinical documentation integrity capabilities. You will be accountable for ensuring CDI programs are scalable, clinically appropriate, operationally effective, and aligned with regulatory requirements, organizational priorities, and partner commitments. You will oversee the full CDI portfolio, including prospective, concurrent, and retrospective documentation initiatives; coding quality and compliance; provider education strategy; documentation technology; analytics; and partner‑facing CDI solutions. You will establish enterprise priorities and performance expectations while enabling CDI leaders to manage day‑to‑day program execution. As a senior leader, you will advise executive and clinical leadership on documentation‑related opportunities and risks, represent CDI in strategic planning and partner discussions, and build the leadership structure and capabilities necessary to support Honest Health’s continued growth. Primary Functions of the VP, CDI Include: Enterprise Strategy and Governance Establish and lead Honest Health’s enterprise CDI vision, multi‑year strategy, operating model, and capability roadmap. Define the role of CDI across clinical operations, value‑based care, partner performance, technology, compliance, and provider engagement. Establish enterprise governance, decision rights, policies, and performance standards for prospective, concurrent, and retrospective CDI programs. Translate organizational growth plans and partner needs into scalable CDI capabilities, staffing models, technology requirements, and investment priorities. Evaluate emerging regulatory, clinical, and industry developments and determine their strategic implications for Honest Health’s CDI programs. Ensure consistent CDI standards across markets, partners, programs, and delivery models while allowing for appropriate operational variation. Portfolio and Performance Leadership Maintain executive accountability for the performance, quality, scalability, and effectiveness of the CDI portfolio. Establish enterprise objectives, key performance indicators, dashboards, and executive reporting to assess documentation quality, program adoption, provider engagement, operational performance, and compliance. Use clinical, coding, operational, and financial insights to identify enterprise opportunities and prioritize CDI initiatives. Review portfolio performance with CDI leaders and cross‑functional stakeholders, ensuring that material gaps have clear owners, corrective actions, and appropriate executive visibility. Sponsor the continued evolution of pre‑visit planning and other documentation‑support programs, ensuring they remain clinically relevant, efficient, compliant, and responsive to partner needs. Provide strategic oversight of implementation plans for new CDI programs, partners, markets, technologies, and service offerings. Compliance, Quality, and Risk Oversight Partner with Legal, Compliance, Clinical, and Coding leadership to ensure CDI policies and programs align with applicable organizational, federal, state, and third‑party requirements. Ensure appropriate monitoring, auditing, escalation, and corrective‑action processes are in place to identify and mitigate documentation and coding risk. Promote a culture in which clinical accuracy, ethical practices, and regulatory compliance take precedence over short‑term performance considerations. Provider and Partner Strategy Establish the enterprise strategy for provider documentation education, engagement, adoption, and performance improvement. Partner with clinical leaders to ensure CDI programs support providers with timely, relevant, and actionable information. Serve as an executive CDI representative in strategic partner discussions, performance reviews, and complex issue resolution. Incorporate provider and partner feedback into CDI strategy, product development, and continuous‑improvement priorities. Technology, Data, and Innovation Define the CDI technology and data strategy in partnership with Technology, Product, Analytics, and Clinical leadership. Establish business requirements and investment priorities for documentation platforms, analytics, workflow tools, reporting capabilities, and EHR integration. Evaluate opportunities to responsibly use automation, advanced analytics, and emerging technologies within clinical documentation processes. Ensure technology solutions support clinical workflows, partner requirements, compliance standards, and measurable operational outcomes. Organizational and Leadership Development Build and lead a high‑performing CDI organization aligned with Honest Health’s growth strategy. Lead, coach, and develop CDI leaders, empowering them to make decisions and deliver results within established enterprise standards. Ensure workforce capabilities and credentialing requirements keep pace with organizational, regulatory, and technological change. Executive and Cross‑Functional Leadership Serve as the enterprise subject‑matter leader for clinical documentation integrity. Advise executive leadership on CDI performance, strategic opportunities, capability needs, and material risks. Partner closely with Clinical, Compliance, Legal, Technology, Product, Analytics, Operations, Finance, and Market leaders. Represent CDI in enterprise planning, operating reviews, investment decisions, and strategic initiatives. How You Qualify 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. Bachelor’s degree in health information management, healthcare administration, nursing, business, or a related field required; advanced degree preferred Current CPC, CCS, CCS‑P, RHIT, RHIA, or comparable nationally recognized coding or health information credential required Outpatient CDI, clinical documentation, auditing, or compliance credential preferred 10+ years of progressive experience in clinical documentation integrity, risk‑adjustment coding, coding quality, or related healthcare operations 7+ years of people‑leadership experience, including experience leading leaders and multi‑layered teams Demonstrated experience establishing or significantly evolving enterprise CDI capabilities, governance, and performance‑management practices Deep knowledge of CMS risk‑adjustment coding, HCC documentation, ICD‑10 coding, auditing, and applicable compliance standards Experience supporting value‑based care organizations, provider organizations, health systems, health plans, or other complex healthcare delivery environments Demonstrated ability to lead large‑scale operational, technology, or workflow transformation Experience developing executive‑level strategies, operating plans, budgets, business cases, and performance reporting Strong executive presence and the ability to communicate effectively with senior leaders, clinicians, partners, and governing bodies Ability to operate effectively in a high‑growth environment with evolving priorities and organizational structures Willingness to travel based on business and partner needs The base pay range for this role is $206,400 - $258,050. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short‑term incentives and a comprehensive benefits package. Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally‑protected characteristics. Honest Health 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 View email address on click.appcast.io for assistance. Reasonable accommodation will be determined on a case‑by‑case basis. #J-18808-Ljbffr

Vacancy posted 4 days ago
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