APNP Clinical Documentation & Workflow Specialist

Wisconsin, Inc.; United States; Vor Ort; USD 120.000 - 180.000; Vollzeit

Zusammenfassung

Wisconsin, Inc. seeks a Professional Billing CDI Clinical Specialist to optimize documentation within provider workflows.

You will partner with CDI, coding, physician advisors, informatics, analytics, and revenue cycle leaders to ensure that documentation aligns with coding and reimbursement. This advanced practice provider role requires clinical judgment to identify gaps, improve workflow efficiency, and support accurate medical necessity determinations while advancing documentation standards

Qualifikationen

• Strong knowledge of clinical workflows and documentation practices.
• Understanding of medical necessity and risk adjustment.
• Experience collaborating across CDI, coding, informatics, and revenue cycle teams.
• Ability to translate clinical insights into documentation improvements.

Aufgaben

• Independent clinical assessment of documentation accuracy and medical necessity.
• Provide peer-level consultation on clinical documentation and billing support.
• Evaluate workflow impact on patient care and documentation quality.
• Contribute to governance, policy, and educational initiatives in documentation.

Kenntnisse

Clinical workflows

Documentation practices

Medical necessity

Risk adjustment

Interdisciplinary collaboration

Provider engagement

Change management

Tools

EHR systems

Jobbeschreibung

Wisconsin, Inc. seeks a Professional Billing CDI Clinical Specialist to optimize documentation within provider workflows.

You will partner with CDI, coding, physician advisors, informatics, analytics, and revenue cycle leaders to ensure that documentation aligns with coding and reimbursement. This advanced practice provider role requires clinical judgment to identify gaps, improve workflow efficiency, and support accurate medical necessity determinations while advancing documentation standards