Director, Clinical Documentation

Bookmark Medical; United States; On-site; USD 140,000 - 210,000; Full time

Benefits offered by this job

Medical, dental, and vision

Company funded HSA

401(k) with company match

Life insurance

Flexible time off

Job summary

Bookmark Medical is seeking a Director of Clinical Documentation to lead risk adjustment across CMS, Commercial, and Medicaid. You will drive RAF performance, ensure compliant documentation, and translate data into strategic actions across markets.

You will partner with market, medical, analytics, and operations leaders to elevate documentation quality, coding accuracy, and program outcomes while developing team leaders and ensuring regulatory compliance.

Qualifications

• Bachelor’s degree or equivalent experience required.
• 7+ years in risk adjustment, clinical documentation, coding or healthcare ops.
• 3+ years of leadership managing teams or cross-market programs.
• Experience with Medicare/CMS, Commercial or Medicaid risk adjustment.
• RAF performance, coding quality and provider education experience.
• CPC/CRC/CCS-P certification required.
• Strong knowledge of CMS risk adjustment, ICD-10-CM and RAF concepts.
• Analytical skills to translate data into strategy.
• Excellent executive communication for senior leadership.

Responsibilities

• Provide strategic and operational leadership for Clinical Documentation across CMS, Commercial, and Medicaid.
• Drive RAF performance across markets with defined goals and improvement strategies.
• Lead and develop the Clinical Documentation leadership team and manage staffing and development.
• Develop and execute strategic risk adjustment initiatives with measurable outcomes.
• Deliver executive reporting on RAF, coding, and documentation metrics to leadership.
• Ensure regulatory compliance and coding integrity across risk adjustment activities.
• Partner with market, medical, analytics, operations, compliance, and tech to align priorities.

Skills

Leadership experience

RAF performance

Analytics

Executive communication

Strategic planning

Cross-functional collaboration

Education

Bachelor’s degree in Health Information Management, Healthcare Administration, Nursing, Business, or related field

Professional Coding Certification CPC, CRC CCS, or CCS-P

Job description

Provider-Centered. Patient-Focused. Built For What Healthcare Should Be.

At Bookmark Medical, we are building a healthcare experience rooted in trust, teamwork, compassion, and continuous progress. We believe the best care happens when providers and care teams have the support, technology, and resources they need to focus on what matters most—patients.

Our mission is simple: improve lives through high-quality continuous care. Through connected care teams, innovative tools, and collaborative culture, we are creating a healthcare experience where patients are known, supported, and never have to start over.

Whether you are caring directly for patients, supporting operations, or helping grow our organization, you will join a team that values your expertise, encourages your growth, and empowers you to make a meaningful impact every day.

If you are looking for more than just a job, if you are looking for a purpose-driven career where your work truly matters, we would love to meet you.

Join Bookmark Medical as a leader who can balance operational excellence with team development, guiding a multi-market Clinical Documentation program while creating a culture where employees feel engaged, supported, and empowered to succeed.

The Director, Clinical Documentation provides strategic and operational leadership for the Clinical Documentation department, overseeing risk adjustment performance across CMS, Commercial, and Medicaid HCC models.

This role drives accurate and compliant risk capture by leading department operations, monitoring RAF and key performance metrics, and executing strategic initiatives that improve clinical documentation and coding outcomes. The Director develops team leaders, partners with market, medical, and senior leadership, and translates performance data into actionable strategies. Success is demonstrated through strong RAF performance, consistent documentation and coding quality, regulatory compliance, and measurable improvement across markets.

• Provide strategic and operational leadership for the Clinical Documentation department, ensuring accurate, complete, and compliant risk adjustment documentation and coding across CMS, Commercial, and Medicaid HCC models.
• Drive RAF performance across markets, establishing performance goals, monitoring trends and opportunities, and implementing strategies to improve accurate risk capture, documentation quality, and overall program performance.
• Lead, develop, and hold accountable the Clinical Documentation leadership team, including managers and trainers, while overseeing staffing, performance management, professional development, succession planning, and resource allocation.
• Develop, prioritize, and execute strategic risk adjustment initiatives, translating organizational goals and performance opportunities into actionable plans with defined objectives, timelines, ownership, and measurable outcomes.
• Deliver executive-level reporting and insights on RAF performance, coding and documentation metrics, provider performance, operational results, risks, and strategic initiatives to market, medical, and senior leadership teams.
• Ensure regulatory compliance and coding integrity across all risk adjustment activities, maintaining adherence to applicable CMS, payer, ICD-10-CM, HCC model, audit, and organizational requirements while proactively identifying and mitigating compliance risk.
• Partner cross-functionally with market, medical, analytics, operations, compliance, technology, and other key stakeholders to align risk adjustment priorities, strengthen provider engagement and education, resolve barriers, and advance organizational objectives.

Education And Skills

• Bachelor’s degree in Health Information Management, Healthcare Administration, Nursing, Business, or related field required; equivalent relevant experience may be considered.
• 7+ years of progressive experience in risk adjustment, clinical documentation, coding, healthcare operations, or a related field.
• 3+ years of leadership experience managing teams, leaders, or complex cross-market healthcare programs.
• Demonstrated experience with risk adjustment programs across Medicare/CMS, Commercial, and/or Medicaid populations.
• Experience managing RAF performance, coding and documentation quality, provider education, and operational performance metrics.
• Professional Coding Certification CPC, CRC CCS, or CCS-P required
• Advanced knowledge of risk adjustment methodologies, HCC models, RAF calculation concepts, ICD-10-CM coding, and clinical documentation requirements.
• Strong understanding of CMS risk adjustment requirements, coding guidelines, compliance standards, and audit considerations; working knowledge of Commercial and Medicaid risk adjustment models.
• Strong analytical skills with the ability to interpret RAF, coding, provider, and operational data and translate findings into actionable strategies.
• Excellent executive communication and presentation skills, including the ability to communicate complex risk adjustment concepts to clinical, operational, and senior leadership audiences.

Why You Will Love Working Here

We take care of our team so they can take care of patients. Benefits include:

• Medical, dental, and vision coverage
• Company funded HSA + exclusive healthcare discounts
• 401(k) with company match
• Company paid life insurance
• Flexible time off + Vacation Exchange Program

What We Value

Trust. Ownership (Together). Compassion. Relentless Progress . These values shape how we show up for patients — and for each other.

Bookmark Medical is committed to a workplace that supports and sustains inclusion and belonging. Bookmark Medical does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, physical or mental disability, pregnancy, childbirth or related medical conditions, military service obligations, citizenship, sexual orientation, genetic information, or any other characteristic protected by applicable local, state, or federal law.