CDI Specialist: Elevate Documentation & Risk Adjustment

Cape Cod Healthcare Inc.; Hyannis (MA); On-site; USD 85,000 - 115,000; Full time

Job summary

Cape Cod Healthcare Inc. is seeking a Clinical Documentation Improvement Specialist to review medical records and improve the accuracy of illness severity representation through documentation and coding. The role focuses on ensuring ICD-10-CM codes align with documentation and guidelines.

The position requires CPC certification, strong analytical and communication skills, and a collaborative approach with physicians and staff to optimize risk adjustment scores and reporting.

Qualifications

• Associate’s Degree or equivalent education/experience.
• CPC certification required.
• Knowledge of ICD-10-CM and CPT coding.
• Strong organizational and analytical skills.
• Excellent written and interpersonal communication.

Responsibilities

• Review medical records for risk adjustment and coding accuracy.
• Verify ICD-10-CM codes are supported by documentation and guidelines.
• Identify opportunities to improve risk adjustment scores and communicate with physicians.
• Educate practice office staff on documentation needs and coding changes.
• Generate accurate status reports for physicians and leadership.

Skills

Organizational skills

Analytical skills

Interpersonal skills

Writing skills

Critical thinking

Education

CPC certification

Associate’s Degree or equivalent

Tools

Windows software

Job description

Cape Cod Healthcare Inc. is seeking a Clinical Documentation Improvement Specialist to review medical records and improve the accuracy of illness severity representation through documentation and coding. The role focuses on ensuring ICD-10-CM codes align with documentation and guidelines.

The position requires CPC certification, strong analytical and communication skills, and a collaborative approach with physicians and staff to optimize risk adjustment scores and reporting.