Job Details

A company is looking for a Clinical Documentation Integrity (CDI) Specialist - Outpatient.Key ResponsibilitiesReview patient medical records to ensure accurate documentation for risk adjustment and codingConduct pre and post-visit audits to verify the completeness of medical records for claims submissionBuild strong relationships with clinicians and revenue cycle colleagues to enhance documentation practicesRequired Qualifications, Training, and EducationMinimum of 3 years of ambulatory risk adjustment coding experiencePreferred certifications include Certified Risk Adjusted Coder (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS)Extensive knowledge of medical terminology, anatomy, and coding guidelinesUnderstanding of healthcare regulatory and compliance standards, including HIPAAExperience with ICD-10-CM coding and HCC risk models