Manager, Clinical Documentation & Quality

Duly Health and Care • Downers Grove, IL

15d • Onsite

About The Position

Manager, Clinical Documentation Specialists & Quality
Full-Time- 40 hours per week
Hours: Monday-Friday; 8am-5pm
Location: Downers Grove, IL
Travel: In office as needed.
Good enough isn’t for us. Duly Health and Care’s team members show up every day driven to exceed expectations. We see and support the remarkable in every person within and beyond the walls of our work.
Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark!
The Manager of Clinical Documentation Specialists (CDS/Quality) is responsible for leading, developing, and overseeing a team of CDS professionals to ensure accurate, complete, and compliant clinical documentation. This role partners closely with providers, coding, quality, revenue cycle, and population health teams to support risk adjustment, quality performance, regulatory compliance, and value-based care initiatives.

Requirements

• Registered Nurse (RN), Certified Coding Specialist (CCS), RHIA, RHIT, or equivalent clinical/coding credential required.
• 5+ years of experience in clinical documentation improvement, coding, or related healthcare roles.
• 2+ years of leadership or people management experience preferred.
• Strong knowledge of ICD-10-CM, HCCs, CMS risk adjustment models, and clinical documentation standards.
• Experience working in Epic EHR, including documentation, reporting, and clinical decision support tools.
• Excellent communication skills with the ability to effectively engage providers and senior leaders.
• Strong analytical, organizational, and problem-solving skills.

Nice To Haves

• Experience supporting value-based care, Medicare Advantage, ACOs, or population health programs.
• Prior experience managing CDS teams in a payer, health system, or delegated risk environment.
• Familiarity with external audits, RADV, and payer risk adjustment reviews.

Responsibilities

• Lead, coach, and manage a team of Clinical Documentation Specialists, including hiring, onboarding, performance management, and professional development.
• Oversee daily CDS workflows, ensuring timely and accurate chart reviews, provider queries, and documentation follow-up.
• Ensure documentation supports accurate ICD-10 coding, HCC capture, severity of illness, risk of mortality, and quality measures.
• Collaborate with providers to improve documentation clarity, specificity, and compliance through education and feedback.
• Partner with coding, compliance, quality, and revenue cycle teams to align documentation practices with organizational goals.
• Monitor and report on key performance indicators (KPIs) such as query response rates, documentation improvement rates, HCC recapture, and audit outcomes.
• Ensure CDS processes comply with CMS, payer, and regulatory requirements, including audit readiness.
• Lead initiatives related to Epic tools and workflows (e.g., BPAs, chart prep, suspecting, and retrospective reviews).
• Identify opportunities for process improvement and implement best practices to enhance efficiency and provider experience.
• Support organizational initiatives related to value-based care, risk adjustment, and population health.

Benefits

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance and medical coverage at 100% (after deductible) when utilizing a Duly provider.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees