Manager, Clinical Documentation Integrity (CDI)

Job description

**About Us** Greenbrook Medical is building the new standard in primary care. We deliver high-touch, relationship-based care through neighborhood clinics, grounded in a simple belief: every senior deserves the kind of care we would want for our own families. Our model prioritizes time with patients, strong care coordination, and a personalized approach that improves outcomes while lowering total cost of care. We take full accountability for patient outcomes and overall cost of care, aligning clinical excellence with disciplined execution. That commitment shows up in our results, including a patient Net Promoter Score of 91, compared to 32 for typical healthcare organizations. Rooted in Tampa Bay and partnered with Tampa General Hospital, we are entering an exciting phase of growth. Backed by strong unit economics, experienced operators, and a proven playbook, we are looking for builders and operators who want to help scale a healthcare platform designed to deliver better care, better coordination, and better outcomes for seniors. **About The Role** Great documentation changes everything. As Greenbrook Medical continues to grow, we are looking for a Manager, Clinical Documentation Integrity to lead the team responsible for ensuring our clinical documentation is accurate, complete, compliant, and defensible. This is a hands-on leadership role for someone who knows risk adjustment and HCC coding inside and out and enjoys developing people, solving problems, and building better systems. You will lead the day-to-day operations of our CDI team across prospective and concurrent chart review. You will own team performance, quality, onboarding, coaching, workflow management, and continuous improvement while continuing to stay close enough to the work to provide real technical guidance. You will also play an important role in helping Greenbrook's physicians and clinical teams capture the full clinical picture of the seniors we serve. That means ensuring chronic conditions are appropriately documented and coded according to CMS-HCC requirements while maintaining the highest standards of compliance and clinical integrity. You will report to our Director of Clinical Documentation Integrity, and work closely with CDI Oversight Coordinator, Medical Records, physician leadership, and operational teams to keep the entire provider documentation ecosystem running smoothly. This is a role for a leader who can manage the work, develop the people, and improve the system at the same time. **Location:** Remote within the U.S.; preference for those located in Eastern or Central time zones. **Office Hours:** Monday–Friday, 8am–5pm **What You’ll Do** Lead a High-Performing CDI Team - Lead the day-to-day operations of Greenbrook's prospective and concurrent CDI review processes. - Set clear expectations and hold the team accountable to quality, productivity, and turnaround-time standards. - Monitor work queues and workflow daily, identifying bottlenecks before they become problems. - Lead team huddles, regular 1:1s, coaching conversations, and performance discussions. - Manage schedules, coverage, timecards, and time-off requests to keep operations running smoothly. - Serve as the go-to leader for day-to-day coding questions, challenges, and escalations. Build, Develop, and Coach Your Team - Own the onboarding experience for new CDI specialists from day one through independent assignment. - Build clear training plans, onboarding resources, reference materials, and workflows that help new team members ramp quickly. - Audit and monitor new coders throughout their onboarding period and determine readiness for full assignment. - Coach team members on technical knowledge, quality, productivity, and professional growth. - Create an environment where people receive clear feedback, know what great performance looks like, and have the support to improve. Own Quality and Performance - Track team performance across accuracy, quality, production, turnaround time, and other key CDI metrics. - Identify trends, root causes, and opportunities for improvement before they impact broader performance. - Deliver timely coaching and manage sustained performance issues when necessary. - Partner with the CDI Oversight Coordinator on audits, scoring methodology, follow-up reviews, and quality improvement. - Help build a consistent, fair, and data-driven approach to performance evaluation. Make the System Better - Identify where workflows break down and lead practical solutions. - Build and improve SOPs, workflows, job aids, and documentation standards. - Help create coding best practices and internal guidance that makes the team's work more consistent and scalable. - Bring structure to complex processes and continuously look for ways to improve speed, quality, and efficiency. Partner Across Greenbrook - Work closely with physician leadership and clinical teams to support accurate, complete documentation. - Partner with Medical Records, retrieval, billing, claims, and other operational teams to remove friction across workflows. - Help translate complex coding and documentation requirements into clear, practical guidance. Protect Clinical and Coding Integrity - Ensure the team's work aligns with ICD-10-CM guidelines, CMS-HCC risk-adjustment requirements, payer policies, and applicable regulations. - Help maintain documentation and coding practices that are accurate, complete, compliant, and defensible. - Support audit readiness, including RADV and other regulatory or payer reviews. through accurate, complete, and defensible documentation and coding practices. **What Success Looks Like** - The CDI team consistently meets or exceeds established quality, productivity, and turnaround-time goals. - Work assignments are organized, visible, and proactively managed with minimal backlog. - New CDI specialists are onboarded quickly and successfully transition to independent work. - Coding accuracy and audit performance remain consistently strong. - Performance issues are identified early and addressed through clear coaching and accountability. - The team has clear workflows, strong resources, and consistent standards for how work gets done. - Physicians and internal partners receive timely, practical support around documentation and coding. - Compliance risks and documentation gaps are identified before they become larger problems. - The CDI operation becomes increasingly scalable, efficient, and predictable as Greenbrook grows. **About You** You bring: - 5+ years of experience in clinical documentation integrity, risk adjustment, or HCC coding, including experience supporting Medicare Advantage populations. - Experience leading, coaching, or supervising others and holding a team accountable to clear performance standards. - Deep knowledge of ICD-10-CM and CMS-HCC risk-adjustment methodology, including V24 and V28. - You have strong experience working alongside physicians and clinical teams on documentation quality. - An active coding credential such as CRC, CPC, CCS, RHIT, or RHIA. - An Associate's or Bachelor's degree in Health Information Management, nursing, or a related field, or equivalent relevant experience. - Experience working with EHRs and CDI, coding, or risk-adjustment platforms. - Strong judgment when navigating complex compliance, quality, and performance issues. - A mindset grounded in our core values of Heart, Excellence, Accountability, Resilience, and Teamwork You’ll stand out if you: - Hold a CRC certification, with CDIP or CCDS also considered a plus. - Have built training programs, provider education, SOPs, or workflows from the ground up. - Know how to coach technical teams without micromanaging them. - Are comfortable using data and performance metrics to identify problems and drive improvement. - Can explain complex coding and documentation requirements clearly to coders, physicians, and non-technical stakeholders. - Naturally take ownership when something isn't working and figure out how to fix it. - Thrive in a structured, deadline-driven environment where details matter. - Balance high standards with a collaborative, supportive leadership style. - Bring the judgment and discretion needed to handle sensitive performance and compliance matters. **Why You’ll Love Working Here** **Make An Impact Every Day** Be part of a mission-driven team transforming primary care for seniors. Your work directly supports better outcomes, better coordination, and better experiences for some of the most vulnerable patients in healthcare. **Work That Actually Matters** We’re not a volume-driven system, we’re accountable for outcomes. That means your work directly contributes to quality care, patient satisfaction, and meaningful improvements in how healthcare is delivered. **Build And Grow With Us** We’re building more than a company, we’re building careers. As we expand, you’ll have opportunities to grow your skills and take on new challenges. **Strong, Transparent Compensation & Benefits** - $115,000 base compensation annually, based on experience and qualifications - Generous annual performance bonus (add commission if applicable) - Health, dental, and vision insurance - Paid time off - 401(k) with company match We believe in fair, equitable pay that reflects your experience and impact. **Our Selection Process** Application → Initial interview → Skills/experience interview → Values interview → Case Study & Interview → References **Equal Employment Opportunity and Commitment to Diversity** At Greenbrook Medical, we believe the only way we accomplish our mission is by building the best team in healthcare. We do this through a culture of respect and belonging, ensuring our teammates feel cared for first and foremost. We will extend equal employment opportunity to all applicants without regard to age, race, ethnicity, sex, religion, sexual orientation, gender identity, socioeconomic background, disability status, military affiliation, pregnancy or any other status protected under federal, state and local laws. We encourage all who share our mission to apply. Greenbrook Medical will provide reasonable accommodations during the recruitment process. If you need additional accommodations or assistance, do not hesitate to contact our People team at [recruiting@greenbrookmedical.com](mailto:recruiting@greenbrookmedical.com).