Advanced Practice Professional - Clinical Optimization Specialist

WVU Medicine; Morgantown (WV); Hybrid; USD 110,000 - 170,000; Full time

Job summary

UHA University Health Associates in Morgantown, WV seeks a Clinical Optimization Specialist to strengthen documentation accuracy, enhance coding alignment, and improve revenue cycle performance in the Heart & Vascular Institute. This role partners with Revenue Cycle, IT, and clinical leaders to optimize Epic templates and workflows.

The position is Monday–Friday, 8 hours daily, with potential occasional direct patient care up to two days per month and per diem options as approved.

Qualifications

• Master's-prepared NP or PA with clinical background in Heart & Vascular.
• Minimum 5 years APP experience in relevant field.
• Experience with clinical documentation improvement (CDI) and coding review desired.

Responsibilities

• Identify documentation gaps affecting acuity, reimbursement, and revenue.
• Review coding requirements and keep providers informed.
• Serve as subject-matter expert on documentation standards and templates.
• Participate in chart audits and feedback loops.
• Collaborate with Revenue Cycle, IT, and leadership to standardize workflows.
• Provide occasional direct patient care up to two days per month.
• Act as liaison between providers and Revenue Cycle teams.

Skills

Communication skills

Attention to detail

Team collaboration

Multi-tasking

Analytical thinking

Education

Master's degree NP or PA

Tools

Epic EMR

Epic templates

Excel

Database skills

Job description

Advanced Practice Professional - Clinical Optimization Specialist page is loaded## Advanced Practice Professional - Clinical Optimization Specialistlocations: Ruby Memorial Hospital (WVUH)time type: Full timeposted on: Posted Todayjob requisition id: JR26-45792## Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position.The Clinical Optimization Specialist- Advanced Practice Provider (APP) acts as a key clinical and operational resource focused on enhancing provider documentation accuracy, ensuring revenue integrity, and identifying critical acuity indicators to optimize revenue cycle performance.This role will report to the Heart and Vascular Assistant Vice President of Finance and partner directly with Revenue Cycle teams, as well as collaborate with HVI physicians, APPs, and IT analysts to optimize documentation workflows and clinical templates within Epic's EMR. The role will ensure that documentation aligns with evolving coding requirements, accurately reflects patient acuity, and supports the strategic goals of the Heart & Vascular Institute system wide.The position is Monday-Friday, 8-hour days, with the potential to participate in inpatient or clinic APP coverage up to two days per month. Additional clinical work, upon approval, may be completed on a per diem basis provided it does not impact the standard weekday schedule.**MINIMIM QUALIFICATIONS****:****EDUCATION, CERTIFICATION, AND/OR LICENSURE:**1. Master's-prepared Nurse Practitioner (NP) or Physician Assistant (PA).2. Five (5) years of relevant clinical experience as an APP within a discipline aligned to the Heart & Vascular Institute (cardiology, CT surgery, vascular surgery, or critical care preferred).**PREFERRED QUALIFICATIONS****:****EXPERIENCE:**1. Experience with clinical documentation improvement (CDI) programs, coding review, or documentation optimization.2. Experienced in EPIC templates and workflows3. Prior involvement in process improvement or workflow optimization.4. Familiarity with cardiovascular or procedural specialties.**CORE DUTIES AND RESPONSIBILITIES:** The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.**Documentation Optimization & Coding Support**1. Partner with System Coding and HVI AVP of Finance to identify documentation gaps affecting acuity of care, reimbursement, and overall revenue performance.2. Review evolving coding requirements and ensure HVI providers remain informed proactively of necessary documentation elements to support accurate acuity and prevention of payor denials.3. Serve as a subject-matter expert and resource for providers regarding documentation standards, coding questions, template utilization, and best practices4. Participate in chart audits and feedback loops to identify trends, opportunities for improvement, and systemic issues requiring workflow changes.**Collaboration & Systems Integration**5. Collaborate closely with System Revenue Cycle leadership to support enterprise-level coding initiatives and standardization efforts.6. Work with physician and APP leaders to ensure alignment with service line documentation goals and quality expectations.7. Partner with IT and clinical informatics teams to optimize Epic documentation templates, smart phrases, and workflows to incorporate required documentation points.8. Support ongoing training and communication to HVI providers related to documentation updates, coding changes, and compliance requirements.**Clinical Responsibilities**9. Maintain clinical competency by possibly providing direct patient care in clinic or inpatient settings up to two days per month.10. Optional additional per diem coverage may be performed when mutually agreed upon and not conflicting with the Monday-Friday documentation role.**Provider Liaison Role**11. Act as the primary liaison between HVI providers and System Revenue Cycle teams to ensure bidirectional communication, issue resolution, and documentation improvement support.12. Facilitate case-based discussions or education aimed at helping clinicians understand how documentation drives coding and revenue accuracy.13. Communicate coding trends, updates, and opportunities to service line leadership.**PHYSICAL REQUIREMENTS:** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1. May need to sit for extended periods of time**WORKING ENVIRONMENT:** The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1. Standard office equipment**SKILLS AND ABILITIES:**1. Demonstrated knowledge of clinical documentation requirements, patient acuity indicators, and reimbursement practices2. Proficiency in Epic EMR, including documentation tools, smart phrases, and workflow navigation.Strong attention to detail, excellent communication skills, and the ability to educate and influence clinical peers.3. Ability to work effectively with multidisciplinary teams including Revenue Cycle, IT, Finance, and physician leadership.4. Strong Excel, database, and PC skills.5. Strong organizational skills and attention to detail6. Ability to multi-task and work in a challenging fast paced environment7. Excellent written and verbal communication skills8. Independent worker and analytical thinker with ability to conduct research, data analysis, and resolve complex problems**Additional Job Description:****Scheduled Weekly Hours:**40**Shift:**Day (United States of America)**Exempt/Non-Exempt:**United States of America (Exempt)**Company:**UHA University Health Associates**Cost Center:**132 WVUH HVI Admin**Address:**1 Medical Center DriveMorgantownWest Virginia**Equal Opportunity Employer**University Health Associates and its subsidiaries (collectively \"UHA\") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. UHA strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All UHA employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.University Health Associates (UHA) is a private, not-for-profit corporation composed of clinical faculty members of the WVU School of Medicine and School of Dentistry, and also advanced practice providers and other allied health providers. The organization is West Virginia's largest multi-specialty physician practice. UHA operates and staffs clinics and hospitals throughout West Virginia and surrounding states.