Certified Clinical Documentation Specialist

Job Summary

Seeking a detail-oriented Certified Clinical Documentation Specialist, the full-time remote position will manage clinical documentation quality, conduct medical record reviews, and provide education to healthcare providers on documentation best practices and risk adjustment methodologies.

Key responsibilities

• Conduct proactive medical record reviews to ensure accuracy in documentation and coding
• Develop and deliver education programs for providers and clinical teams on documentation and coding best practices
• Collaborate with health plans on risk adjustment and value-based care initiatives while analyzing documentation trends for improvement opportunities

Required qualifications

• Associate degree required; Bachelor's degree preferred
• Certified Risk Coder (CRC) through AAPC or CDI/CCS certification through AHIMA
• Minimum of 3 years of experience in Medicare and/or Medicaid Risk Adjustment
• Strong experience with ICD-10 coding and clinical documentation review
• In-depth knowledge of medical terminology, anatomy, physiology, and disease processes