Outpatient Clinical Documentation Improvement Specialist

Position:
Outpatient Clinical Documentation Improvement (CDI) Specialist

Company:
UASI

Location:
Remote

Employment type:
Full-time

Short Summary:
As an Outpatient Clinical Documentation Improvement (CDI) Specialist, you will support coding accuracy, HCC capture, regulatory compliance, and clinical documentation integrity in a fully remote capacity.

Responsibilities:
- Serve as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity in the outpatient setting.
- Perform prospective reviews of medical records to validate chronic conditions and ensure documentation accuracy.
- Utilize Epic and OurPractice Advisories (OPAs) for chart reviews and documentation opportunities.
- Track and manage work queues and OPA-related activities for timely follow-up and productivity targets.
- Monitor, analyze, and report CDI outcomes and documentation trends to identify improvement opportunities.

Requirement:
- Minimum 2 years of ambulatory Clinical Documentation Integrity, Risk Adjustment, or related healthcare documentation experience.
- Active LPN or RN license required.
- CCDS, CCDS-O, CDIP, CDEO and/or CRC certification strongly preferred.
- Proficiency in Epic workflows preferred.
- Strong understanding of ICD-10-CM coding guidelines and clinical criteria for HCC diagnoses.
- Excellent communication, critical thinking, and organizational skills.

Benefits:
- Full benefits package, PTO, and top pay.
- Collaborative, mission-driven team environment.
- Opportunities for continuous learning, education, and professional growth.
- Leadership that values your expertise and input.