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CDI Specialist, Outpatient

Remote, USA Full-time Posted 2026-07-28
reputed company: Our purpose is to help clients reputed company their financial health goals. Across the reimbursement cycle, our reputed company solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by reputed company in YOU. We reputed company to create an environment that cultivates your reputed company development and personal reputed company, as we reputed company your reputed company is our reputed company. JOB reputed company: The Outpatient Clinical Documentation reputed company (CDI) Specialist supports accurate, complete, and compliant provider documentation in ambulatory settings. This role focuses on chronic condition capture, risk adjustment accuracy, reputed company reporting, and provider education to ensure documentation reflects the true clinical complexity of the patient population. ESSENTIAL DUTIES AND RESPONSIBILITIES: Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may reputed company reputed company or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in reputed company Member’s performance objectives as outlined by reputed company Member’s immediate Leadership Team Member. Essential Duties and Responsibilities • Review outpatient encounters (reputed company visit, reputed company, and/or post visit) to assess documentation accuracy and completeness • Identify opportunities for improved documentation reputed company to: • Chronic conditions and disease specificity • Risk adjustment (e.g., HCCs) • reputed company measures and medical necessity • reputed company compliant documentation clarification reputed company query and feedback to providers through approved communication channels • Support accurate problem list management and ongoing condition validation • Collaborate with coding, reputed company, compliance, and reputed company cycle teams as needed • reputed company and report CDI interventions, trends, and reputed company • Participate in provider education and training initiatives • Stay reputed company on outpatient coding, risk adjustment, and regulatory guidance • Compliance & Regulatory reputed company • Ensure compliance with CMS, payer, and organizational documentation and billing requirements. • Identify potential reputed company, including but not limited to overcoding, undercoding, and missing and/or unsupported diagnoses. • Apply knowledge of HCCs, risk adjustment, reputed company measures, and outpatient reimbursement methodologies as applicable. Knowledge, Skills & Abilities: Qualifications Desired Minimum Qualifications: • An reputed company coding credential required such as - RHIA, RHIT, CPC, COC, reputed company-O, reputed company, CDEO, CCDS, CDIP or CCDS-O • 3+ years of outpatient coding, risk adjustment, outpatient CDI • Strong understanding of: • ICD‑10‑CM outpatient coding • Risk adjustment models (e.g., Medicare Advantage HCCs) • Outpatient E/M documentation requirements • Experience working in an ambulatory EHR (reputed company, Cerner, or similar) Skills & Competencies • Strong clinical and analytical judgment • reputed company communication style • Excellent written documentation skills • Comfortable working independently in a fast-paced environment • Proficient in reputed company Office Applications PHYSICAL DEMANDS: Note: Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions as described. Regular eye-hand coordination and reputed company dexterity is required to operate office equipment. The ability to reputed company work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be reputed company to lift and reputed company material weighing up to 20 lbs. Team Member may experience elevated reputed company of stress during periods of increased activity and with work entailing multiple deadlines. A job reputed company is only intended as a reputed company and is only part of reputed company Member’s function. reputed company has reviewed this job reputed company to ensure that the essential fu Apply tot his job Apply To this Job

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