HCC Clinical Documentation Specialist
U
UASIHealthcare CDI
RemoteFull-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum 2 years
- Required Skills
- MS Office
Requirements
- 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, including interpretation and management of OurPractice Advisories (OPAs).
- Strong understanding of ICD-10-CM coding guidelines and HCC documentation requirements.
- Strong understanding of clinical criteria for HCC diagnoses.
- Excellent communication, critical thinking, and organizational skills.
- Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools.
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 from physician practices, outpatient settings, and relevant inpatient encounters to validate chronic conditions and ensure documentation accuracy.
- Utilize Epic and OurPractice Advisories (OPAs) to perform prospective chart reviews and identify documentation opportunities.
- Track and manage work queues, review inventories, and OPA-related activities to ensure timely follow-up and productivity targets.
- Monitor, analyze, and report CDI outcomes, documentation trends, and HCC recapture performance to identify improvement opportunities.
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