Director, Clinical Documentation Integrity (CDI)

DaVita Inc.; Denver (CO); Hybrid; USD 97,000 - 181,000; Full time

Job summary

An established industry player is seeking a Director for Clinical Documentation Integrity to enhance education initiatives for accurate clinical documentation. This role involves leading training programs, performing clinical chart reviews, and collaborating with healthcare teams to ensure compliance with risk adjustment methodologies. The ideal candidate will possess a strong clinical background and expertise in documentation practices, making a significant impact on quality and reimbursement goals. Join a dynamic team dedicated to improving patient care through effective documentation strategies and enjoy a comprehensive benefits package that supports your professional growth.

Benefits

Comprehensive benefits including medical, dental, vision

401(k) match

Paid time off

Professional development programs

Family resources and EAP counseling

Maternity/paternity leave

Access to Headspace

Qualifications

• 5+ years of clinical experience as a Nurse Practitioner or Physician Assistant.
• 3+ years of clinical documentation improvement or coding experience.
• Expert level knowledge of Medicare risk adjustment.

Responsibilities

• Develop and lead training programs for CDI specialists and providers.
• Perform clinical chart reviews to ensure documentation accuracy.
• Collaborate with team members to improve documentation quality.

Skills

Clinical Documentation Improvement

Risk Adjustment Methodologies

Analytical Skills

Communication Skills

Critical Thinking

Education

Master's Degree in Nursing or related field

Current Nurse Practitioner or Physician Assistant licensure

Coding Certification (CRC, CCDS-O, CDIP)

Tools

EMR Systems

Microsoft Excel

Microsoft PowerPoint

Microsoft Word

Microsoft Outlook

Job description

Posting Date

04/10/20252000 16th Street,Denver,Colorado,80202,United States of America

We have a great opportunity for a Director, Clinical Documentation Integrity on DaVita's Value Based Care Team- Integrated Kidney Care (IKC).

The CDI Education Director is responsible for designing, implementing, and evaluating education initiatives that support accurate and comprehensive clinical documentation for risk-adjusted populations. This role ensures that CDI teammates and providers have the knowledge and tools needed to capture the complexity of patient conditions in alignment with CMS-HCC risk models.

The ideal candidate brings a deep understanding of risk adjustment methodologies, clinical documentation practices, and adult learning principles. They are skilled in leading cross-functional education efforts, coaching clinicians, and collaborating with coding and analytics teams to support organizational goals in quality, compliance, and reimbursement.

Open to remote candidates

Key Responsibilities:

• Develop and lead comprehensive training programs for CDI specialists, providers, and other stakeholders focused on accurate clinical documentation for risk adjustment purposes.
• Performs clinical chart reviews to ensure documentation accuracy by applying established clinical criteria for diagnosing medical conditions.
• Applies their clinical knowledge to evaluate how provider documentation, lab results, diagnostic information, and treatment plans translate into coded data.
• Analyzes and interprets clinical data to identify gaps, inconsistencies, and/or opportunities for improvement in the clinical documentation and queries the provider using a concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing.
• Communicate with providers and other healthcare team members to clarify information or provide additional documentation when needed.
• Work directly with clinicians to improve the overall quality and completeness of documentation through the query process and/or provider education (correct disease processes and disease severity, complexity, and acuity with an eye towards accurate medical coding).
• Collaborates with team members as part of the clinical review process to promote high accuracy and consistency of results.
• Meets accuracy and productivity metrics to ensure the team achieves established departmental goals
• Communicates with DaVita leaders to address documentation issues and trends.
• Actively participates in all department meetings as scheduled.
• Conduct individual and large group educational sessions for clinicians and medical coders (or other staff as applicable).
• Partner with risk adjustment, coding, and education departments for onboarding, ongoing and targeted education for all NPs and IKC partner providers on documentation requirements for Medicare risk adjustment
• Partner with education department on ongoing chart review process to ensure continued high standards in documentation and coding, as well as aid in developing and monitoring inter-reviewer reliability testing
• Flexible and able to adapt to change based on departmental needs.
• Excellent analytical and critical thinking skills.
• Excellent verbal/written communication and interpersonal skills.
• Ability to work independently and as part of a team in a fast-paced environment.
• Ability to work 2 days a week from Denver office; or fully remote with ability to travel as-needed to present in-person training.

Required Qualifications:

• Master's Degree with a current active clinical license (APRN) (required)
• Current Nurse Practitioner (NP) or Physician Assistant (PA) licensure without restriction in state of residence (required)
• CRC (required or must be obtained within six months of hire)
• CCDS-O or CDIP (required or must be obtained within one year of hire)
• 5+ years of clinical experience as a Nurse Practitioner (adult-geriatric or family) or Physician Assistance (required)
• 3+ years of clinical documentation improvement experience, coding experience, or equivalent (required)
• 1+ year of experience working with advanced practice providers as well as other clinical and non-clinical staff (required)
• Solid clinical background in evidence-based medicine, including chronic disease management and prevention
• Experience in ICD-10 coding and documentation requirements and risk adjustment
• Knowledge of compliant query writing/process
• Ability to perform a comprehensive chart review of up to 50 medical records per day
• Technical experience using EMR systems
• Proficiency in MS applications (Excel, Outlook, Teams, PowerPoint, Word, Teams)
• Ability to travel for on-site meetings 2-4 times per year
• Motivated self-starter and creative problem-solver who is comfortable working in a fast-paced, dynamic environment

A Shining Star for our Clinical Documentation Integrity (CDI) APP will have:

• Expert level knowledge of Medicare risk adjustment, documentation and coding requirements.
• 2+ years experience of experience providing risk adjustment education or management
• 4+ years experience developing educational content for clinical professionals including NPs, RNs, and/or physicians, pharmacists, etc.
• Master's Degree in Business, Education, Instructional design, Nursing or related fields.
• Possess strong technical skills including Excel, Word, PowerPoint and Outlook
• Coding certification from AAPC or AHIMA professional coding association or additional coursework/experience in coding and Risk Adjustment. These include but not limited to:
  • CPC, CRC; CCDS-O or CDIP

• Expert experience working with Medicare Advantage programs and CMS Risk Adjustment model
• Previous work experience in clinical documentation review or a clinical quality program
• Experience developing and delivering clinical education and training

What We'll Provide

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

* Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

* Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

* Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform Star Learning.

#LI-MS4

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

Salary/ Wage Range

$97,000.00-$181,000.00 / year

Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.davita.com/benefits

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.