Ambulatory Clinical Documentation Integrity Specialist

Job not on LinkedIn

🕒 December 18, 2025

🚗 Michigan – Remote

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💵 $75.6k - $113.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥📝 Medical Writer

🦅 H1B Visa Sponsor

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Logo of Trinity Health

Trinity Health

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Research, collect, and analyze information supporting organizational objectives • Identify opportunities, develop solutions, and lead issues through resolution • Collaborate on performance improvement activities based on program efficiency and patient experience outcomes • Distribute analytical reports • Use multiple system applications to perform analysis, create reports, and develop educational materials • Research and compile information for ad-hoc operational projects and initiatives • Synthesize and analyze data, provide detailed summaries and graphical trend presentations, and recommend practical solutions • Leverage program and operational data to define and demonstrate progress, ROI, and impacts • Obtain appropriate clinical documentation through extensive interaction with providers and coding staff • Validate assignment of working HCC diagnoses affecting RAF scores in the ambulatory patient population • Conduct prospective and retrospective quality reviews of ambulatory patient records • Identify documentation clarification needs and resolve discrepancies with physicians, advanced practice providers, and other healthcare professionals • Ensure medical record documentation is accurate, complete, compliant, and supports medical necessity • Apply knowledge of outpatient reimbursement models, payment structures, documentation, and HCC risk adjustment to support compliant claims submission • Identify documentation and coding patterns and trends • Act as a technical resource for documentation, coding, and billing regulations

🎯 Requirements

• Associate’s degree in Business, healthcare, Nursing, or related field, or equivalent combination of education and experience • Experience with compliant healthcare documentation • Experience with HCC coding requirements • Experience with alternate payment models in a multi-facility, integrated healthcare delivery system, revenue cycle, or consulting experience • One of the following credentials: Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist – Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP), with coding or clinical documentation integrity experience • Working knowledge of applicable federal, state, and local laws and regulations • Knowledge of healthcare documentation, coding, billing regulations, outpatient reimbursement models, and HCC risk adjustment • Ability to analyze data, create reports, and develop educational materials • Ability to follow complex tasks through to completion and work on concurrent tasks/projects • Ability to use computers and other technology • Ability to lift a maximum of 30 pounds unassisted • Ability to maintain a safe working environment and use available PPE • Ability to comply with applicable Code of Conduct, policies, procedures, and guidelines • Bachelor’s degree in nursing, HIM, or related healthcare field (nice to have)

🏖️ Benefits

• Remote work arrangement • Equal opportunity employment • Reasonable accommodation considered in compliance with federal, state, and local law

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