Job Description

To enhance risk adjustment outcomes, the full-time Remote Outpatient Clinical Documentation Specialist will review patient records, validate diagnoses, and query providers to ensure accurate clinical documentation supporting HCC and condition-related diagnoses. Key responsibilities Perform reviews of patient records to identify and validate Hierarchical Condition Category (HCC) diagnoses Create queries reflective of best practices to ensure accurate and complete documentation Formulate recommendations to improve clinical logic and workflows based on documentation quality assessments Required qualifications Graduate of an accredited nursing education program Active and unrestricted Registered Nurse or Advanced Practice Provider license Certification as a Documentation Expert-Outpatient (CDEO), Clinical Documentation Specialist-Outpatient (CCDS-O), or Certified Documentation Improvement Practitioner (CDIP) and Certified Risk Adjustment Coder (CRC) Minimum of 2 years of outpatient Clinical Documentation Improvement (CDI) experience Experience navigating Epic, Athena, and Cerner electronic medical records (EMRs)

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