Ambulatory Clinical Documentation Integrity Specialist; Remote

Employer Industry: Healthcare Services

• Opportunity for career advancement and growth within the organization
• Supportive and collaborative work environment
• Chance to make a positive impact on patient experience and documentation accuracy
• Engage in meaningful work that supports healthcare providers and patients
• Work in a mission‑driven organization focused on compassionate care

• Research, collect, and analyze information to support operational projects and initiatives
• Collaborate on performance improvement activities to enhance program efficiency and patient experience
• Conduct thorough reviews of ambulatory patient records, documenting relevant findings
• Validate and ensure accurate assignment of HCC diagnosis affecting RAF scores
• Maintain compliance with healthcare documentation standards and regulations

• Associate’s degree in Business, Healthcare, Nursing, or a related field, or equivalent combination of education and experience
• Experience with compliant healthcare documentation and HCC coding requirements
• Certified Risk Adjustment Coder (CRC) or other relevant certification in clinical documentation integrity
• Knowledge of outpatient reimbursement models and the impact of provider documentation
• Ability to synthesize and analyze data and provide detailed summaries

• Bachelor’s degree in Nursing, Health Information Management, or a related healthcare field
• Experience in a multi‑facility integrated healthcare delivery system
• Previous consulting experience in healthcare documentation or revenue cycle management

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