Clinical Documentation Improvement Specialist
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Job Description
Clinical Documentation Improvement Specialist enhancing coding accuracy, provider education, and risk adjustment for a mission-driven community healthcare organization. Fully remote within the United States.
Responsibilities:
- Serve as a subject matter expert on ICD-10-CM Coding Guidelines, AHA Coding Clinic guidance, and Risk Adjustment methodologies
- Conduct proactive medical record reviews to evaluate documentation quality, diagnosis coding accuracy, co-morbidities, complications, and appropriate secondary diagnoses
- Ensure patient conditions are accurately documented and coded to support quality care and appropriate risk stratification
- Identify documentation and coding trends impacting patient risk scores and value-based care performance
- Develop and deliver education programs for providers, coders, and clinical care teams
- Provide guidance on documentation best practices, coding updates, compliance requirements, and risk adjustment principles
- Create educational tools, resources, and training materials
- Partner with providers to identify documentation improvement and workflow optimization opportunities
- Collaborate with contracted health plans on risk adjustment and value-based care initiatives
- Support auditing activities, review health plan findings, and develop performance improvement plans
- Participate in clinical quality, revenue cycle, population health, and data analytics initiatives
- Monitor regulatory, coding, and reimbursement changes and communicate impacts across the organization
- Analyze documentation and coding trends to identify improvement opportunities
- Work closely with clinical leadership, coding teams, health plans, and operational stakeholders
- Help drive strategies that improve quality scores, risk adjustment accuracy, and overall organizational performance
Requirements:
- Associate degree required; Bachelor's degree preferred
- Certified Risk Coder (CRC) through AAPC or CDI/CCS certification through AHIMA
- Minimum of 3 years of experience in Medicare and/or Medicaid Risk Adjustment, including HHS-HCC, CMS-HCC, or DxCG methodologies
- Strong experience with ICD-10 coding and clinical documentation review
- In-depth knowledge of medical terminology, anatomy, physiology, and disease processes
- Expertise in HCC coding and risk adjustment programs
- Strong analytical, organizational, and problem-solving skills
- Excellent written and verbal communication skills with the ability to educate audiences at all levels
- Ability to manage multiple priorities and work independently in a remote environment
- Current RN license in good standing preferred
- Certified Professional Coder (CPC) through AAPC preferred
- Minimum of 3 years of clinical experience, preferably in a Federally Qualified Health Center (FQHC) or primary care environment
- Experience with Epic Electronic Medical Record (EMR) systems preferred
- Experience supporting value-based care and population health initiatives preferred
Benefits:
- 100% Remote Work – Work from anywhere within the United States
- 100% Employer-Paid Medical Insurance – Comprehensive medical coverage at no cost to employees on one of our health plans
- Annual $1,500 HSA Contribution
- Generous Paid Time Off (PTO)
- 403(b) Retirement Plan with Employer Contribution
- Professional Development & Education Assistance
- Mission-Driven Culture
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