Ambulatory CDI Specialist: Documentation Excellence

Trinity Health; Livonia (MI); Remote; USD 76,000 - 113,000; Full time

Job summary

Trinity Health in Livonia, Michigan seeks a qualified Clinical Documentation Specialist to ensure complete and accurate ambulatory documentation and properly reflect services rendered. You will collaborate with physicians and coding staff to validate working HCC diagnoses, perform quality reviews, and support compliant, efficient revenue cycle processes across the system.

Applicants should hold an associate degree in a healthcare-related field, and credentials such as CRC, CDI, CCDS-O, CDEO or

Qualifications

• Associate’s degree in Business, healthcare, Nursing or related field, or equivalent combination of education & experience.
• Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist – Outpatient (CCDS-O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience.

Responsibilities

• Obtain appropriate clinical documentation through extensive interaction with providers and coding staff to ensure documentation reflects level of service rendered to patients is complete and accurate.
• Validate the accurate assignment of working HCC diagnosis affecting RAF scores within the ambulatory patient population by collaborating with physicians & advanced practice providers.
• Conduct thorough prospective & sometimes retrospective quality reviews of ambulatory patient records, documenting all relevant findings & tracking key information through the process.
• Identifies patterns & trends impacting documentation & coding & acts as a technical resource related to documentation, coding & billing regulations for assigned service area.

Skills

Data analysis

Research

Problem solving

Communication with providers

Education

Associate’s degree in Business/Healthcare/Nursing

Bachelor’s degree in nursing (nice to have)

Job description

Trinity Health in Livonia, Michigan seeks a qualified Clinical Documentation Specialist to ensure complete and accurate ambulatory documentation and properly reflect services rendered. You will collaborate with physicians and coding staff to validate working HCC diagnoses, perform quality reviews, and support compliant, efficient revenue cycle processes across the system.

Applicants should hold an associate degree in a healthcare-related field, and credentials such as CRC, CDI, CCDS-O, CDEO or