Full-Time
Manager – Clinical Documentation Support
Cds
Confirmed live in the last 24 hours
Interwell Health
501-1,000 employees
Specialized kidney care management services
No salary listed
Senior
Remote in USA
- 5+ years of experience with Risk Adjustment HCC coding or abstraction.
- 3+ years of ICD-10 coding and chart Review Auditing.
- Proven experience managing and mentoring high-performing teams.
- Experience in ambulatory/outpatient settings, ideally with Nephrology specialty practices.
- Skilled in MS Office, particularly with Excel and PowerPoint to track and present program progress.
- Detail-oriented, self-motivated, and comfortable with ambiguity and evolving workflows.
- Proven ability to work collaboratively with providers and practice teams, building trust and engagement.
- Comprehensive understanding of HCC coding rules & regulations.
- Certified Risk Adjustment Coder (CRC) required.
- Develop and implement CDS strategies to improve documentation accuracy and support organizational goals.
- Establish and monitor Key Performance Indicators (KPIs) for the CDS program.
- Communicate CDS performance metrics and success stories market wide.
- Lead a team of local CDS specialists embedded within care teams.
- Conduct regular performance reviews and provide feedback to CDS specialists and provider champions.
- Collaborate with the Data & Analytics team to develop dashboards, reports, and insights.
- Oversee the implementation and utilization of CDS-specific software (e.g., Nuance, 3M, Optum, Epic).
- Coordinate pre-encounter preparation and real-time documentation support with CDS specialists.
- Conduct post-encounter reviews to identify missed opportunities or inconsistencies.
- Track and report on accuracy metrics, provider engagement, financial impact, and quality measures.
- Address recurring challenges in documentation quality or provider adoption through an established escalation process.
- Stay updated on coding guidelines, regulatory requirements, and clinical trends.
- Ensure compliance with ICD-10 and CMS coding guidelines.
- Certified Professional Coder (CPC) preferred.
- Proficiency in Epic system preferred.
Interwell Health manages kidney care by partnering with physicians to improve healthcare for patients with kidney disease. They focus on early detection and prevention, aiming to enhance patient outcomes and quality of life while reducing healthcare costs. Operating under a value-based care model, they provide services like patient education and personalized care plans, using data analytics to monitor kidney health. Their goal is to transform kidney care through effective partnerships, aligning their success with the health outcomes of their patients.
Company Size
501-1,000
Company Stage
Series B
Total Funding
$66M
Headquarters
Waltham, Massachusetts
Founded
2014
Simplify's Take
What believers are saying
- Interwell Health's network includes over 2,000 nephrologists, enhancing care reach and expertise.
- The Acumen Rounder app improves nephrologist workflows with seamless Epic EHR integration.
- Partnerships with tech firms could lead to innovative kidney care management solutions.
What critics are saying
- Integration issues with Epic EHR updates may disrupt nephrologists' workflows.
- Regulatory hurdles could affect the success of value-based care agreements like with Humana.
- Rapid network expansion may challenge consistent quality of care across diverse practices.
What makes Interwell Health unique
- Interwell Health partners with physicians to transform kidney care through value-based models.
- The company focuses on early detection and prevention of kidney disease for better outcomes.
- Interwell Health integrates advanced data analytics to personalize and improve patient care.
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Benefits
Remote Work Options
Flexible Work Hours
Growth & Insights and Company News
6 month growth
↑ 3%1 year growth
↑ 44%2 year growth
↑ 44%Recognition Underscores the Impact of Interwell Health's Collaborative, Value-Based Approach to Chronic Disease ManagementCHARLOTTE, N.C., April 29, 2025 /PRNewswire/ -- Interwell Health is proud to celebrate our partner, Metrolina Nephrology Associates, on being named a recipient of Healthcare Innovation's 2025 Innovator Awards. This national recognition honors standout teams that are driving meaningful change in healthcare. Metrolina was honored for its groundbreaking work in value-based kidney care.Metrolina is known for its proven record of tracking performance metrics and driving quality outcomes for patients. To expand its impact and enhance patient outcomes further, Metrolina partnered with Interwell Health to form the Charlotte Kidney Contracting Entity (KCE) and participate in the CMS Kidney Care Choices (KCC) model—a value-based initiative aimed at improving care for patients with chronic kidney disease and reducing costs by delaying the need for dialysis and incentivizing transplants."This award is more than recognition for nephrology innovation—it highlights a scalable, patient-centric care model that can be applied to other specialties to improve chronic disease management and a more sustainable healthcare future," said Bobby Sepucha, CEO of Interwell Health. "We're proud to support Metrolina in delivering high-quality, value-based kidney care."Metrolina's success was driven by three core strategies: leveraging data-driven insights to identify at-risk patients, expanding care coordination through interdisciplinary teams, and improving key quality measures such as optimal dialysis starts and depression screening rates."This work is about much more than hitting performance metrics—it's about fundamentally improving the lives of people living with kidney disease," said Dr. Carl Fisher, President, Metrolina Nephrology Associates
What You Should Know:– Interwell Health, a value-based kidney care management company, has unveiled Acumen Rounder, a nephrology rounding application that seamlessly integrates with Epic’s electronic health record (EHR) system.– The innovation is set to transform how nephrologists manage patient workflows and deliver value-based care.Enhancing Nephrology WorkflowsAcumen Rounder offers a comprehensive suite of features designed to improve efficiency, accuracy, and the user experience for nephrologists conducting rounds in hospitals and dialysis centers. Key features include:Patient Tracking: Enables easy identification of patients needing attention and their location, with flags for those in value-based care arrangements.Enables easy identification of patients needing attention and their location, with flags for those in value-based care arrangements. Hospital Follow-Up: Facilitates seamless communication of follow-up needs for hospitalized patients to office staff, improving care transitions.Facilitates seamless communication of follow-up needs for hospitalized patients to office staff, improving care transitions. Transitional Care Management (TCM): Automates workflows for managing recently discharged dialysis patients, including outreach, documentation, and billing for TCM visits.Automates workflows for managing recently discharged dialysis patients, including outreach, documentation, and billing for TCM visits. Clinical Documentation: Supports efficient dialysis note entry and consolidated monthly capitated billing (MCP).Supports efficient dialysis note entry and consolidated monthly capitated billing (MCP). Predictive Text: Streamlines data entry with predictive text for diagnoses, enhancing documentation speed.Streamlines data entry with predictive text for diagnoses, enhancing documentation speed
What You Should Know:– Interwell Health, a value-based kidney care management company, has unveiled Acumen Rounder, a nephrology rounding application that seamlessly integrates with Epic’s electronic health record (EHR) system.– The innovation is set to transform how nephrologists manage patient workflows and deliver value-based care.Enhancing Nephrology WorkflowsAcumen Rounder offers a comprehensive suite of features designed to improve efficiency, accuracy, and the user experience for nephrologists conducting rounds in hospitals and dialysis centers. Key features include:Patient Tracking: Enables easy identification of patients needing attention and their location, with flags for those in value-based care arrangements.Enables easy identification of patients needing attention and their location, with flags for those in value-based care arrangements. Hospital Follow-Up: Facilitates seamless communication of follow-up needs for hospitalized patients to office staff, improving care transitions.Facilitates seamless communication of follow-up needs for hospitalized patients to office staff, improving care transitions. Transitional Care Management (TCM): Automates workflows for managing recently discharged dialysis patients, including outreach, documentation, and billing for TCM visits.Automates workflows for managing recently discharged dialysis patients, including outreach, documentation, and billing for TCM visits. Clinical Documentation: Supports efficient dialysis note entry and consolidated monthly capitated billing (MCP).Supports efficient dialysis note entry and consolidated monthly capitated billing (MCP). Predictive Text: Streamlines data entry with predictive text for diagnoses, enhancing documentation speed.Streamlines data entry with predictive text for diagnoses, enhancing documentation speed
New Application Integrates Seamlessly with Acumen Epic Connect for Improved Care Coordination. BOSTON, Nov. 20, 2024 /PRNewswire/ -- Interwell Health, a value-based kidney care management company, is proud to announce the launch of Acumen Rounder, the first and only nephrology rounding application that tightly integrates with Epic. The application works seamlessly with Acumen Epic Connect, the most adopted nephrology-specific electronic health record (EHR). Acumen Rounder supports nephrologists and care teams in managing patient workflows in value-based kidney care. The web and mobile toolset offers a comprehensive suite of features designed to improve patient outcomes, efficiency, accuracy, and the user experience for busy nephrologists rounding in hospitals and dialysis centers, including: Patient Tracking: Enables nephrologists to assess which patients need to be seen and where the patient is located
Humana, Interwell Health Expand Value-Based Kidney Care Agreement to Florida. by Fred Pennic 09/24/2024 Leave a Comment. What You Should Know: – Humana Inc., a health and well-being company, and kidney care management company Interwell Health are expanding their value-based care agreement to include Florida. – The expansion will provide eligible Humana Medicare Advantage members living with chronic kidney disease (CKD) and end-stage kidney disease (ESKD) in Florida with access to Interwell’s comprehensive care and specialized resources.Value-Based Care for Improved OutcomesValue-based care is a patient-centered model focused on improving patient health outcomes and quality of life through coordinated efforts. With this expanded agreement, members in the program will have access to Interwell’s network of 2,000 nephrologists, renal care coordinators, and in-home virtual support from a multidisciplinary team.Humana’s Success in Value-Based Kidney CareHumana’s commitment to value-based care partnerships has shown promising results, including a 5% reduction in unnecessary hospital admissions in 2023. One notable success story is that of Mary Johnson, who received a successful pre-emptive kidney transplant thanks to the support of the Interwell care team.Expanded Access to Specialized CareWith this expansion, Interwell’s value-based support services are now available in 14 states for eligible members with CKD and in 39 states for those with ESKD. This increased access to specialized care is critical for improving the lives of individuals living with kidney disease. “We are proud of this opportunity to serve even more Humana members with kidney disease and help them to live their best lives,” said Dr