HCC Clinical Documentation Specialist

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🏥📝 Medical Writer

👻 Ghost score 15%

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📋 Description

• 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 • Validate chronic conditions and ensure documentation accuracy, clinical integrity, appropriate coding, and HCC capture • Use Epic and OurPractice Advisories (OPAs) to perform prospective chart reviews and identify documentation opportunities • Support accurate coding, HCC capture, and clinical documentation integrity initiatives • Track and manage work queues, review inventories, and OPA-related activities • Ensure timely follow-up, productivity targets, and accurate completion of CDI interventions • Monitor, analyze, and report CDI outcomes, documentation trends, and HCC recapture performance • Identify improvement opportunities and support program goals

🎯 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) preferred • Strong understanding of ICD-10-CM coding guidelines and HCC documentation and coding 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 such as MS Teams and Zoom

🏖️ Benefits

• Full benefits package • PTO • Top pay • Collaborative, mission-driven team environment • Opportunities for continuous learning, education and professional growth • Leadership that values your expertise and input

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