Clinical Condition Documentation Specialist

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

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.

Trinity Health is one of the largest not-for-profit, faith-based health care systems in the nation. Together, we’re 121,000 colleagues and nearly 36,500 physicians and clinicians caring for diverse communities across 27 states. Nationally recognized for care and experience, our system includes 101 hospitals, 126 continuing care locations, the second largest PACE program in the country, 136 urgent care locations, and many other health and well-being services. Based in Livonia, Michigan, in fiscal year 2023, we invested $1.5 billion in our communities through charity care and other community benefit programs.

For more information, visit http://www.trinity-health.org. You can also follow Trinity Health on LinkedIn.