Clinical Documentation Manager

Devoted Health • Waltham, MA

8d • $73,000 - $115,000

About The Position

The Clinical Documentation Manager is a subject matter expert within the Provider Support team and Risk Adjustment department, responsible for advancing clinical documentation integrity and ICD-10-CM coding accuracy across the enterprise. The role is part of the Clinical Documentation Integrity hub, which owns provider education materials, documentation guidance, and responses to questions escalated from the field. Working alongside Practice Consultants, the manager supports provider relationships through programs that improve risk score accuracy via practice workflow improvements and clinical documentation education. The role primarily enables the provider network support team rather than managing a dedicated portfolio of practices.

The manager partners with leadership on coding guideline development, serves as a risk adjustment coding expert during internal and external audits, designs and iterates on reporting, and uses technology to scale impact. During peak audit seasons, a high percentage of time is spent supporting responses to external audits. This is an individual-contributor position with no direct reports, requiring independent work and management of priorities.

The position requires 3 or more years of outpatient Clinical Documentation Integrity experience or 5 or more years of Medicare Advantage Risk Adjustment coding or auditing experience, deep expertise in Medicare Advantage Risk Adjustment (CMS-HCC), ICD-10-CM guidelines, AHA Coding Clinic guidance, and CMS regulations, and a current active professional credential through AAPC, AHIMA, or ACDIS. The salary range is $73,000–$115,000 per year. The organization states that its total rewards package is for full-time employees only.

Requirements

• At least 3 years of outpatient Clinical Documentation Integrity experience or at least 5 years of Medicare Advantage Risk Adjustment coding or auditing experience.
• 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 adherence to healthcare regulatory standards.
• Ability to work autonomously, analyze spreadsheets and dashboards, prioritize competing internal deadlines, and adapt to evolving workflows.
• Strong collaborative communication skills and ability to explain complex coding decisions clearly to non-coding colleagues.

Nice To Haves

• Prior clinical background or healthcare licensure, such as RN, LPN, NP, PA, or MD.
• Experience with modern technical tools, generative AI/LLM workflows, or healthcare data analytics in a clinical documentation or risk adjustment context.
• Experience contributing to workgroups, cross-functional projects, or continuous process improvement initiatives.

Responsibilities

• Serve as the CDI subject matter expert and strategic partner to Risk Adjustment leadership and cross-functional teams, contribute to the Coding Steering Workgroup, and support alignment with ICD-10-CM guidelines, AHA Coding Clinic, CMS guidance, and AHIMA guidance.
• Design, standardize, and maintain condition-specific clinical documentation guidance, EHR template recommendations, and network-wide webinars.
• Partner with Practice Consultants on provider engagements, Joint Operations Committee presentation content, and escalated coding inquiries to improve practice workflows and risk score accuracy.
• Support external and internal risk adjustment audit responses, conduct end-to-end chart evaluations, and author guideline-backed audit rebuttals.
• Implement emerging technologies, including AI-assisted workflows and automated tracking mechanisms, to scale CDI research, audit readiness, and provider education.
• Collaborate with clinical and operational leaders in workgroups to refine and test risk adjustment insights logic using multi-source clinical data for provider workflows.
• Perform medical record reviews as needed and use data-driven trend analyses to identify documentation integrity findings, measure educational outcomes, and support quality assurance.

Benefits

• Employer-sponsored health, dental, and vision plans with low or no premium.
• Generous paid time off.
• $100 monthly mobile or internet stipend.
• Stock options for all employees.
• Bonus eligibility for roles below Director level; commission eligibility for Sales roles.
• Parental leave program.
• 401K program.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed