Clinical Documentation & Coding Compliance Specialist

Jobtailor; Missouri; On-site; USD 85,000 - 110,000; Full time

Job summary

Jobtailor in Missouri seeks an experienced CDI professional to analyze clinical documentation for completeness, accuracy, and compliance. You will work with physicians and providers to ensure diagnoses, services, and procedures reflect actual care, while supporting billing, reporting, and value-based care initiatives.

The role requires advanced knowledge of ICD-10-CM, CPT, HCPCS, CMS-HCC, and strong communication and leadership skills to educate staff and drive documentation improvements across

Qualifications

• Bachelor’s degree is required; Master’s degree preferred.
• Experience in clinical documentation integrity, coding compliance, risk adjustment, provider education, revenue cycle, medical record auditing, or related healthcare operations required.
• Strong knowledge of ICD-10-CM, CPT, HCPCS, CMS-HCC methodology, coding guidelines, documentation requirements, reimbursement methodologies, and regulatory compliance standards required.
• Required certifications: CRC – Certified Risk Adjustment Coder and CPC – Certified Professional Coder
• CDEO – Certified Documentation Expert Outpatient strongly preferred at hire and required within twelve months of employment
• CVBA – Certified Value-Based Associate recommended/preferred but not required
• RN may be required for certain departments; RN license is not required for this position

Responsibilities

• Analyze clinical documentation for completeness and accuracy across ICD-10-CM, CPT, and HCPCS.
• Perform initial, concurrent, retrospective, and follow-up medical record reviews.
• Evaluate CMS-HCC capture and regulatory compliance; identify documentation gaps and opportunities.
• Document findings in audit and CDI tools and communicate with providers to improve documentation.
• Collaborate with coding, CDI, revenue cycle, and quality teams to support accurate reporting.
• Develop and present audit findings, trends, and recommendations to stakeholders.
• Support clinical denials, payer audits, and regulatory reviews as needed.

Skills

CDI/Clinical Documentation Integrity

Coding compliance

Risk adjustment

Medical record auditing

Data review

Provider education

Communication

Leadership

Collaboration

Analytical skills

Education

Bachelor's degree

Master's degree preferred

CRC – Certified Risk Adjustment Coder

CPC – Certified Professional Coder

CDEO – Certified Documentation Expert Outpatient

CVBA – Certified Value-Based Associate

Tools

CDI Tools

Coding Tools

Reporting Tools

Job description

Jobtailor in Missouri seeks an experienced CDI professional to analyze clinical documentation for completeness, accuracy, and compliance. You will work with physicians and providers to ensure diagnoses, services, and procedures reflect actual care, while supporting billing, reporting, and value-based care initiatives.

The role requires advanced knowledge of ICD-10-CM, CPT, HCPCS, CMS-HCC, and strong communication and leadership skills to educate staff and drive documentation improvements across