Documentation & Risk Adjustment Manager

The Documentation & Coding Manager provides leadership and operational accountability for Well Be’s documentation and coding program. This role leads the coding team and oversees program performance, documentation and coding controls, pre-encounter review operations, query auditing, vendor performance, and implementation of strategic initiatives.

The Manager establishes clear productivity and quality standards, develops team capabilities, and drives sustainable workflow improvements that strengthen documentation accuracy, coding compliance, provider experience, and risk adjustment performance.

• Lead, coach, and manage the coding team, including goal setting, performance monitoring, professional development, and workforce planning.

• Establish, communicate, and monitor productivity, quality, timeliness, and accountability standards for documentation and coding operations.

• Use performance data to identify trends, address operational gaps, and lead corrective action and performance improvement plans.

• Oversee pre-encounter review workflows and other documentation initiatives to improve provider readiness and reduce administrative burden.

• Implement and sustain documentation and coding controls, including quality assurance processes, query reviews, audit protocols, and escalation pathways.

• Monitor coding and billing vendor performance against contractual, service-level, quality, productivity, compliance, and financial expectations.

• Partner with clinical, operations, compliance, finance, analytics, technology, and vendor stakeholders to execute program objectives and resolve barriers.

• Develop and maintain policies, procedures, workflows, training materials, dashboards, and standard operating practices.

• Ensure documentation, coding, and query practices align with applicable regulatory requirements, payer guidance, and internal policies.

• Prepare and present program performance, risks, recommendations, and implementation updates to department and organizational leadership.

• Support annual planning, resource allocation, vendor strategy, and continuous improvement initiatives for documentation and risk adjustment operations.

• Perform other duties as assigned.

Education
Bachelor’s degree in health information management, nursing, healthcare administration, business, or a related field, or an equivalent combination of education and relevant experience.

Experience
Three to five years of progressive experience in healthcare documentation, coding, or risk adjustment, including at least one year of people leadership or equivalent program leadership. Experience managing vendors and implementing operational controls is preferred.

Skills
Demonstrated knowledge of clinical documentation, coding quality, risk adjustment concepts, compliant provider query practices, and healthcare operations. Strong people leadership, coaching, vendor management, project implementation, data analysis, problem-solving, and executive communication skills. Ability to translate performance data into practical action plans and manage multiple priorities in a remote, cross-functional environment. Proficiency with Microsoft Office and healthcare reporting or workflow systems.

• Ability to stand or sit for extended periods.

• Visual acuity and fine motor skills.

• Ability to travel locally or nationally as needed.

This role is performed in a remote, professional work environment and requires regular use of standard office technology, virtual collaboration tools, and healthcare information systems.

Remote: Travel may be required up to 15% locally or nationally.

Well Be does not…