OP CDI Specialist - Remote

Certified through the American Academy of Professional Coders (AAPC) or equivalent CPC or CRC (required) 3 years of experience in risk adjustment coding 2 years of experience in physician/provider education Familiarity with CMS regulations for Risk Adjustment programs Familiarity with quality measures impacted by ICD-10 (HEDIS, SDoH, Case Management) Strong understanding of primary care coding, workflows, and industry standards Technology diversity in EHR (Epic, Cerner highly desired) Technology agile-Coding Platforms, AI Tools, and Analytics Ability to work independently and as part of a team Self-motivated, highly organized, and detailed oriented Excellent time management and ability to work on multiple projects simultaneously Ability to establish and maintain effective working relationships

Provide risk adjustment and quality specific education to providers and support staff Apply clinical/coding knowledge and AHA coding clinic guidelines Ensure accurate information is delivered to providers at point of care Oversee provider education to improve documentation accuracy across HCC coding Analyze MRA data to identify patterns and develop interventions/education Conduct provider education and training regarding risk adjustment Ensure compliance with Federal, State and/or County laws and regulations Coordinate and facilitate risk adjustment education and training using various methods Promote efforts to improve provider compliance with CMS requirements Collaborate with other departments to enhance the provider experience Deliver clear, concise, and professional communication Serve on the RADV Committee as subject matter experts Assist in the development of training focus areas Perform quality assurance auditing