Ambulatory CDI Specialist: Documentation & Risk Adjustment

Trinity Health Mid-Atlantic; United States; On-site; USD 70,000 - 90,000; Full time

Job summary

Trinity Health IHA Medical Group seeks an Ambulatory CDI Specialist to join our Revenue Operations team. You will partner with providers, coders, and clinical teams to enhance documentation accuracy, support risk adjustment coding initiatives, and provide education that helps improve patient outcomes in value-based care programs.

You will develop educational materials, deliver ongoing training on documentation and coding best practices, mentor new staff, and contribute to performance monitoring

Qualifications

• 2-4 years’ experience in risk adjustment coding preferred.
• Associate degree in business or health care preferred.
• Certification in CRC/CPC/RHIT required or preferred.

Responsibilities

• Review HCC pre-visit documentation and provide coding and documentation recommendations to providers.
• Analyze patient records to identify potential chronic conditions and documentation opportunities.
• Ensure diagnosis codes are accurate, complete, and compliant with current risk adjustment coding guidelines.
• Develop educational materials and provide ongoing training to providers on documentation and coding best practices.
• Serve as a resource for complex coding questions and provide mentorship to new team members.
• Support Clinical Condition Documentation program initiatives, performance monitoring, reporting, and strategic goals related to alternative payment models (APMs).
• Lead and coordinate multiple documentation improvement projects while collaborating with internal and external stakeholders.
• Identify and escalate documentation and coding trends, issues, and opportunities for process improvement.

Skills

Documentation accuracy

Risk adjustment coding

Provider education

Mentorship

Education

AAPC CRC

AAPC CPC

RHIT

Associate degree in business or health care

Job description

Trinity Health IHA Medical Group seeks an Ambulatory CDI Specialist to join our Revenue Operations team. You will partner with providers, coders, and clinical teams to enhance documentation accuracy, support risk adjustment coding initiatives, and provide education that helps improve patient outcomes in value-based care programs.

You will develop educational materials, deliver ongoing training on documentation and coding best practices, mentor new staff, and contribute to performance monitoring