Clinical Documentation Improvement Spec – Outpatient

Job not on LinkedIn

🕒 August 6

🌲 North Carolina – Remote

🌲 North Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Duke Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1924

💼 Consulting

🏥 Healthcare

📚 Education

Consulting • Healthcare • Education

Duke Careers is a platform connected to Duke University's rich legacy, established in 1924. It aims to celebrate the centennial of Duke University while providing resources, stories, and interviews that reflect the university's history, current achievements, and future aspirations. A key focus of Duke Careers is to engage with alumni and the community, showcasing the transformative impact of education and leadership within the university.

📋 Description

• Perform pre-visit and retrospective reviews of ambulatory medical records • Identify opportunities to improve provider documentation and query physicians as needed • Ensure documentation supports HCC capture, ICD-10-CM accuracy and specificity, and medical necessity • Analyze patients’ clinical status, treatment plans, and medical histories to identify documentation gaps • Educate physicians, advanced practice providers, and healthcare providers on accurate, specific, and complete clinical documentation • Deliver provider-specific metrics and coach providers on problem-list and RAF gap-closing opportunities • Collaborate with clinic staff, coding staff, coders, compliance specialists, and clinical documentation analysts • Review data and trends, identify opportunities, offer solutions, and participate in resolution • Participate in select committees and provide education programs • Maintain competence in HCC documentation requirements, ICD-10-CM code assignment, and coding guidelines • Perform other duties as assigned

🎯 Requirements

• BSN, PA, NP, or doctorate degree in a medically related field required • 3 years of relevant experience required • Current licensure as an RN, NP, PA, or in the specific medical field associated with a doctorate degree required • Current Clinical Documentation Improvement certification (CDIP, CCDS, CCDS-O, or CDEO) highly preferred, or appropriate certification within 2 years of employment • Certification in medical coding or risk adjustment (CRC, CPC, CCS, CCS-P, or other pertinent outpatient certification) preferred • Extensive outpatient CDI and risk-adjustment coding knowledge • Effective written and verbal communication, presentation, and training skills • Excellent critical thinking, creative problem-solving, and conflict-management skills • Proficient organization and planning skills • Strong computer and statistical reporting skills • Experience with PowerPoint, Excel, 3M software, and Encoder • Demonstrated knowledge of quality improvement theory and practice • Ability to work independently with minimal supervision • Ambulatory nursing or clinical experience preferred • Experience with Medicare risk adjustment, HCCs, coding, billing, or auditing preferred

🏖️ Benefits

• Relocation Assistance (based on eligibility) • One-time commitment bonus of $7500 paid in 2 equal installments over 12 months—6-month increments • Continuing education offerings • Affirmative Action/Equal Opportunity employment environment • Reasonable accommodation provisions