Lead, Clinical Documentation Improvement Specialist

Job not on LinkedIn

🕒 2 days ago

🇺🇸 United States – Remote

💵 $80k - $95k / year

⏰ Full Time

🟠 Senior

🏥📝 Medical Writer

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Health Choice Network

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 1994

🏥 Healthcare

🤝 Non-profit

☁️ SaaS

Healthcare • Non-profit • SaaS

Health Choice Network is a Miami-based organization that operates as a network supporting community health centers and safety-net primary care providers. It provides technology, data and operational support to help clinics coordinate care, manage population health, and meet value-based care and reporting requirements, while also engaging in advocacy and workforce/employee initiatives. The organization lists a Miami address (9064 N. W. 13 Terrace) and the domain hcnetwork. org.

📋 Description

• Provide clinical and operational leadership for the Clinical Documentation Improvement program • Lead and maintain the CDI Quality Assurance program, including audits, quality monitoring, staff feedback, trend analysis, and improvement opportunities • Monitor CMS guidance, ICD-10-CM coding standards, risk adjustment methodologies, HCC models, and payer requirements • Communicate regulatory and industry updates to CDI staff • Develop and deliver CDI education and training • Lead provider and health center education initiatives and create presentations, training materials, job aids, and documentation resources • Conduct prospective medical record audits to identify documentation, coding, clinical specificity, and risk adjustment opportunities • Analyze audit findings and trends and develop actionable recommendations • Optimize CDI workflows, processes, tools, and operational standards • Serve as a CDI subject matter expert for CDI staff, providers, and health center stakeholders • Support CDI program expansion across new health centers, providers, patient populations, and value-based care contracts • Collaborate with clinical, operational, and technical teams to improve outcomes

🎯 Requirements

• Current professional certification required (CCS, CPC, CRC, RHIT, RHIA, or equivalent) • Minimum of five (5) years of experience in Clinical Documentation Improvement, coding audits, risk adjustment, quality assurance, or related healthcare operations • Advanced knowledge of ICD-10-CM coding standards, risk adjustment methodologies, HCC models, and applicable regulatory requirements • Experience conducting documentation reviews, prospective audits, and quality assurance activities • Strong analytical, critical thinking, and process improvement skills • Excellent written, verbal, presentation, and stakeholder engagement skills • Ability to manage multiple priorities and collaborate effectively across cross-functional teams • Applicants must reside and perform work in an approved state at the time of hire and throughout employment • Health Choice Network is not able to employ individuals who reside or work in California

🏖️ Benefits

• 100% Remote Work – Work from anywhere in the U.S. • 100% Employer-Paid Medical Insurance 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 Focused on Community Health

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