Clinical Condition Documentation Specialist

Trinity Health; United States; On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Day-one benefits

Opportunities for career growth

Supportive team culture

Meaningful work

Job summary

Trinity Health IHA Medical Group, part of Trinity Health, is seeking an Ambulatory CDI Specialist to join our Revenue Operations team. You will partner with providers, coders, and clinical staff to improve documentation accuracy and support risk adjustment coding initiatives for value-based care programs.

You will review HCC documentation, analyze records for chronic conditions, and develop training materials.

Qualifications

• Associate’s degree in business or health care preferred or equivalent.
• Credentials required: AAPC (CRC), AAPC (CPC), or RHIT.
• 2–4 years’ experience in risk adjustment coding.

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 APMs.
• Lead and coordinate multiple documentation improvement projects while collaborating with internal and external stakeholders.
• Identify and escalation documentation and coding trends, issues, and opportunities for process improvement.

Skills

Detail-oriented

Collaborative

Education

Associate’s degree in business or health care

Equivalent education/experience

Job description

Employment Type:

Full time

Shift:

Day Shift

Description:

Trinity Health IHA Medical Group is looking for a detail-oriented and collaborative Ambulatory CDI Specialist to join our Revenue Operations team. In this role, 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 and organizational success in value-based care programs.

What You’ll Do:

• 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 escalation documentation and coding trends, issues, and opportunities for process improvement.

General Requirements:

• EDUCATION: Associate’s degree in business or health care preferred, or an equivalent combination of education and experience.
• CREDENTIALS/LICENSURE: One of the following certifications required: AAPC (CRC), AAPC (CPC), RHIT. Secondary specialty certification(s) preferred.
• MINIMUM EXPERIENCE: 2-4 years’ experience in risk adjustment coding preferred.

Why Join Trinity Health IHA Medical Group?

• Day-one benefits for eligible team members with no waiting period.
• Opportunities for career growth and professional development.
• Supportive, team-oriented workplace culture.
• Meaningful work helping patients access the care they need.
• A mission-driven organization serving communities across Southeast Michigan.

At Trinity Health IHA Medical Group, we are committed to delivering outstanding patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service. If you’re passionate about helping others and providing exceptional customer service, we’d love to hear from you.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.