Manger of MRA & Clinical Documentation

Valora Medical Group is a rapidly growing, innovative primary care organization committed to delivering high-quality, patient-centered healthcare. Our dedicated team of providers and professionals strives to treat every patient like family. We understand that exceptional care and outstanding service are only possible through the contributions of an empowered and collaborative team.

As the Director of Medical Risk Adjustment (MRA) and Clinical Documentation , you will play a key leadership role in shaping and executing Valora’s coding and documentation strategy. This is a hands-on leadership position responsible for overseeing internal risk coding operations, ensuring compliance with CMS/HHS guidelines, and driving provider performance through education and quality initiatives.

The ideal candidate will bring deep experience in medical risk adjustment, clinical documentation, and regulatory compliance, along with a strong commitment to fostering a high-performing, collaborative team culture. This individual will work cross-functionally with Care Management, Clinical Operations, Providers, and Leadership to optimize coding accuracy and improve risk-adjusted revenue performance.

Due to being a fast-growing company, we highly prefer onsite collaboration, will consider hybrid.

• Direct day-to-day operations of the MRA and Clinical Documentation team.
• Manage hiring, coaching, performance management, and professional development of team members.
• Foster a culture rooted in compliance, integrity, accountability, and Valora’s Core Behaviors.

• Oversee risk adjustment audit processes, including medical record retrieval and validation of diagnosis codes.
• Ensure compliance with CMS, HHS, and other federal/state regulations.
• Monitor policy changes and lead the implementation of updated protocols and training.

• Design and implement provider education strategies to improve documentation and coding accuracy.
• Track provider performance and lead interventions for those performing below benchmarks.
• Develop corrective action plans and deliver targeted education as needed.

• Manage a team of internal coders and clinicians focused on accurate and timely Risk Adjustment coding.
• Lead quality assurance efforts on virtual coding programs to ensure coding integrity.
• Monitor coding productivity and accuracy metrics, reporting key performance indicators to leadership.

• Partner with Clinical Operations, Compliance, and Care Management teams to align strategies.
• Serve as the subject matter expert for MRA, providing insight and recommendations to improve financial and clinical outcomes.

• Act professionally and treat co-workers and leadership with respect.
• Motivate and empower the team to maximize outcomes and maintain a positive work environment.
• Adheres to and models company standards, processes, and protocols.
• Lead by example and champion Valora’s vision, mission, and values
• Other duties as assigned.

• Bachelor's Degree in Healthcare Administration, Business Administration, or Management Substitutions
• Master's Degree in preferred
• Bilingual in English and Spanish is highly preferred
• 7+ years’ experience in management, specifically in the healthcare industry
• 5+ years’ experience with MRA Coding and Clinical Documentation
• Knowledge of EMR systems - eClinical
  
  Works (eCW) experience is required
• Proficient in Microsoft Office 365 (Outlook, PowerPoint, Excel, Word)
• Understanding of and adherence to expectations under CMS Fraud/Waste Abuse, OSHA, and HIPAA
• Must have effective written, verbal communication, and interpersonal skills
• Ability to complete assigned…