VP, Clinical Documentation Integrity (CDI)

Remote DXB; United States; Remote; USD 210,000 - 260,000; Full time

Job summary

Honest Health is seeking a senior leader to set the enterprise CDI vision, strategy, and governance, overseeing the full CDI portfolio across prospective, concurrent, and retrospective initiatives.

You will partner with Legal, Compliance, Clinical, and Coding leadership to align CDI policies with regulatory requirements, define data strategy, and build a high-performing CDI organization aligned with growth.

Qualifications

• Bachelor's degree in health information management, healthcare administration, nursing, business, or related field.
• Current CPC, CCS, CCS-P, RHIT, or RHIA credential required.
• 10+ years of progressive experience in clinical documentation integrity, risk-adjustment coding, or related healthcare operations.
• 7+ years of people-leadership experience, including leadership of leaders and multi-layered teams.
• Deep knowledge of CMS risk-adjustment coding, HCC documentation, and ICD-10 coding.

Responsibilities

• Set the enterprise vision, strategy, and governance framework for clinical documentation integrity capabilities.
• Oversee the full CDI portfolio, including prospective, concurrent, and retrospective documentation initiatives.
• Establish enterprise governance, decision rights, policies, and performance standards.
• Maintain executive accountability for the CDI portfolio's performance, quality, scalability, and effectiveness.
• Partner with Legal, Compliance, Clinical, and Coding leadership to ensure CDI policies align with regulatory requirements.
• Define the CDI technology and data strategy in partnership with Technology, Product, Analytics, and Clinical leadership.
• Build and lead a high-performing CDI organization aligned with growth strategy.
• Advise executive leadership on CDI performance, strategic opportunities, and material risks.

Skills

CMS risk-adjustment coding

ICD-10 coding

HCC documentation

Leadership of leaders

Education

CPC/CCS/CCS-P/RHIT/RHIA credential

Bachelor's degree in health information management or related field

Job description

Responsibilities

• Set the enterprise vision, strategy, and governance framework for clinical documentation integrity capabilities
• Oversee the full CDI portfolio, including prospective, concurrent, and retrospective documentation initiatives
• Establish enterprise governance, decision rights, policies, and performance standards
• Maintain executive accountability for the performance, quality, scalability, and effectiveness of the CDI portfolio
• Partner with Legal, Compliance, Clinical, and Coding leadership to ensure CDI policies and align with regulatory requirements
• Define the CDI technology and data strategy in partnership with Technology, Product, Analytics, and Clinical leadership
• Build and lead a high-performing CDI organization aligned with growth strategy
• Advise executive leadership on CDI performance, strategic opportunities, and material risks

Requirements

• Bachelor's degree in health information management, healthcare administration, nursing, business, or a related field
• Current CPC, CCS, CCS-P, RHIT, or RHIA credential required
• 10+ years of progressive experience in clinical documentation integrity, risk-adjustment coding, or related healthcare operations
• 7+ years of people-leadership experience, including experience leading leaders and multi-layered teams
• Deep knowledge of CMS risk-adjustment coding, HCC documentation, and ICD-10 coding
• Experience supporting value-based care organizations, health systems, or health plans
• Strong executive presence and ability to communicate effectively with senior leaders and clinicians
• Willingness to travel based on business and partner needs

About the Company

Honest Health is a healthcare expert team focused on reimagining primary care through a value-driven model that delivers innovative solutions to elevate care, control costs, and support long-term health.