Certified Clinical Documentation Specialist

Job Summary

To enhance the quality and completeness of clinical documentation and coding in outpatient practices, the full-time remote Certified Clinical Documentation Specialist will review and code medical records, educate physicians, and serve as a liaison among various healthcare teams.

Key responsibilities

• Facilitates improvements in the quality and accuracy of medical record documentation and coding
• Conducts chart reviews to identify gaps in clinical documentation related to outpatient encounters
• Communicates with physician office staff to coordinate chart reviews and provides ongoing education on compliant documentation

Required qualifications

• High school diploma or GED; Associate's degree or higher preferred
• Minimum of 3 years coding experience, with at least 1 year in HCC Risk Adjustment preferred
• Clinical background in a healthcare setting preferred
• Required credentials: Certified Coding Specialist (CCS), Certified Risk Adjustment Coder (CRC), or Certified Professional Coder (CPC)
• Thorough knowledge of ICD-10, CPT, and HCPCS coding systems