California Licensed CDI Specialist

Job Summary

A company is looking for a Clinical Documentation Integrity (CDI) Specialist - Outpatient.

Key Responsibilities

• Review patient medical records to ensure accurate documentation for risk adjustment and coding
• Conduct pre and post-visit audits to verify the completeness of medical records for claims submission
• Build strong relationships with clinicians and revenue cycle colleagues to enhance documentation practices

Required Qualifications, Training, and Education

• Minimum of 3 years of ambulatory risk adjustment coding experience
• Preferred certifications include Certified Risk Adjusted Coder (CRC), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS)
• Extensive knowledge of medical terminology, anatomy, and coding guidelines
• Understanding of healthcare regulatory and compliance standards, including HIPAA
• Experience with ICD-10-CM coding and HCC risk models