Clinical Documentation Improvement Specialist

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $68k - $85k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

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Cadence

WebsiteLinkedInAll Job Openings

10,000+ employees

🔧 Hardware

☁️ SaaS

🤖 Artificial Intelligence

Hardware • SaaS • Artificial Intelligence

Cadence is an electronic design automation (EDA) and systems software company that provides tools, IP, platforms, cloud services, and engineering solutions for semiconductor, system and data-center design. Its product portfolio includes IC design and verification tools (Virtuoso, Innovus+, Spectre, Xcelium), system- and PCB-design platforms (Allegro, Sigrity, AWR), emulation/prototyping (Palladium, Protium), AI-driven design and verification offerings (Cadence. AI, Cerebrus, Verisium, Allegro AI Studio), digital-twin and simulation platforms (Millennium, Fidelity CFD, Cadence Reality), and IP/chiplet services. Cadence serves chipmakers, system architects and engineering teams across markets such as hyperscale/data center, automotive, aerospace & defense, and life sciences with software, IP and services to accelerate chip-to-system design and verification.

📋 Description

• 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