Clinical Documentation Integrity Specialist

Job Summary

A company is looking for an Associate, Clinical Documentation Integrity.

Key Responsibilities

• Review upcoming visits to validate chronic conditions and identify potential suspect conditions for provider assessment
• Utilize various systems to find clinical support for closing risk adjustment gaps
• Ensure compliance with documentation rules, coding guidelines, and company standards

Required Qualifications

• 5+ years of overall experience
• 3+ years of Clinical Documentation Integrity (CDI) specific experience
• 2+ years of outpatient HCC coding experience
• CPC, CCS or equivalent certification
• Knowledge of medical terminology, physiology, pharmacology, and disease processes