CDI Enablement Manager

Vytalize Health Inc.

Job Overview

Location

Remote

Job Type

Full-time

Full Job Description

📋 Description

• Deliver targeted, intervention-based provider education using practice performance data to improve clinical documentation quality and coding accuracy in ambulatory and value-based care settings.
• Conduct one-on-one provider coaching sessions focused on DSP documentation, ICD-10-CM specificity, and clinical scenario-based learning to reinforce documentation best practices.
• Participate in Pod meetings, RMO sessions, and practice-facing touchpoints to deliver vignette-style CDI education aligned with CMS documentation standards and risk adjustment requirements.
• Design and maintain practice-specific education plans informed by coding data, RAF trend analysis, and recapture opportunity outputs to address persistent documentation gaps.
• Support provider understanding of point-of-care tools, AI suspecting outputs, and CDI program expectations through direct engagement and educational resources.
• Respond to education escalations from practices with recurring documentation deficiencies and implement improvement plans based on performance monitoring.
• Lead provider-facing webinars and educational sessions to scale CDI knowledge across multiple practices and care teams.
• Build and maintain the organization’s CDI clinical content library, including condition-specific advisories, documentation tip sheets, and slide-ready education modules for RMO and CDI staff use.
• Develop specialty-specific and prevalence-adjusted educational materials that reflect real clinical scenarios and align with current coding guidelines and risk adjustment methodologies (v24/v28).
• Collaborate with the VP, CDI & Coding Operations and QA Lead to ensure all clinical content remains compliant with AAPC/AHIMA standards and CMS requirements.
• Contribute to the creation of provider-facing surveys, webinars, and self-service education resources within the CDI SharePoint knowledge hub.
• Perform concurrent documentation reviews to evaluate clinical support for active diagnoses, identify documentation gaps prior to or following encounters, and flag discrepancies for QA escalation.
• Apply MEAT criteria during documentation review to determine need for addendums, provider queries, or additional education.
• Review coding outputs against clinical documentation to assess accuracy, specificity, and completeness, ensuring alignment with risk adjustment and reimbursement standards.
• Contribute to the design and refinement of concurrent review workflows and eligibility criteria in coordination with CDI Operations Lead and VP.
• Partner with RMOs, market medical directors, and practice-facing staff to align CDI education with population health goals and performance priorities.
• Coordinate with CDI Operations Lead to secure EMR access and manage logistics for education delivery and documentation review activities.
• Track and report on education delivery metrics, concurrent review activity, and provider engagement outcomes against established benchmarks.
• Escalate compliance concerns, coding accuracy issues, and documentation risks to the VP, CDI & Coding Operations in a timely and structured manner.
• Operate with significant autonomy in the field while adhering to the same coding accuracy standards as the broader CDI department.
• Serve as a trusted clinical resource for providers, bridging clinical knowledge, coding expertise, and risk adjustment principles to drive documentation integrity.
• Support the vetting and implementation of CDI technology and AI suspecting tools through practical feedback and operational insights.

🎯 Requirements

• Active CRC (Certified Risk Coder) certification required
• Active CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) certification required
• Active CDI certification (CDEO, CDIP, or CCDS-O) required
• Bachelor’s degree in Health Information Management, Nursing, Healthcare Administration, or related clinical/health sciences field preferred
• 5+ years of experience in clinical documentation integrity, coding operations, or risk adjustment
• Demonstrated experience delivering provider education or clinical training in ambulatory or value-based care settings

🏖️ Benefits

• Competitive base compensation
• Annual bonus potential
• Health benefits effective on start date
• Health & Wellness Program: up to $300 per quarter for overall well-being, available on start date
• 401(k) plan with 100% match of up to 4% of annual salary, effective first of the month after start date
• Unlimited paid “Vytal Time” and 5 paid sick days after first 90 days
• Company-paid STD/LTD
• Technology setup provided
• Opportunity to help build a market leader in value-based healthcare at a rapidly growing organization

Skills & Technologies

Remote

Degree Required

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Vytalize Health Inc.

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About Vytalize Health Inc.

Vytalize Health is a value-based care platform that partners with independent primary-care physicians to improve outcomes and lower costs for Medicare beneficiaries. The company provides physician groups with technology, analytics, care management, and financial infrastructure to transition from fee-for-service to risk-bearing arrangements. Services include remote patient monitoring, chronic-care management, coding support, and shared-savings programs. Founded in 2014 and headquartered in Hoboken, New Jersey, Vytalize Health aims to strengthen independent practices while enhancing patient care for seniors.

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