CDI Team Lead

Job Description

A bit more about this role:

The role of the CDI Team Lead is a key part of Devoted Medical’s Claims and CDI Structure. This position helps to ensure the accuracy of diagnostic information and coding (ICD-10 CM) by being the subject matter expert post work audits on medical chart reviews. The CDI Team Lead  will perform these duties in accordance with ICD-10 CM coding guidelines, internal coding protocols and CMS guidance. 

Responsibilities & Impact will include:

• 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 findings from audits 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 areas of opportunity regarding compliant coding practices
• Partner with the 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, submit corrections where required

Required skills and experience:

• 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. Will consider other certifications based on relevance to job duties
• Prior CPT coding a plus
• Previous managerial experience preferred but not required
• BA/BS, RN in Nursing also a plus but not required

Desired Skills & Experience:

• 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

Salary Range: $58,000 - $98,000

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• 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

• And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.