Clinical Documentation Integrity Specialist

Aledade; Delray Beach (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A healthcare services organization is seeking a qualified candidate for a Clinical Documentation Specialist role based in Delray Beach, FL. This position involves improving clinical documentation accuracy and coding practices. Candidates must have a bachelor's degree in a healthcare-related field, relevant certifications, and a minimum of 3 years of experience in Clinical Documentation Integrity. Remote work is flexible, with some travel required.

Qualifications

• Bachelor’s degree in a healthcare-related field or equivalent work experience.
• Current certification as a Certified Professional Coder (CPC).
• Minimum of 3 years of relevant work experience in Clinical Documentation Integrity.

Responsibilities

• Perform chart reviews for improved clinical documentation accuracy.
• Evaluate and optimize clinical documentation, billing, and coding workflows.
• Deliver education on clinical documentation and coding for value-based contracts.

Skills

Clinical documentation integrity

Medical coding guidelines

Communication skills

Education

Bachelor’s degree in a healthcare-related field

Certification as a Certified Professional Coder (CPC)

Certified Documentation Expert Outpatient (CDEO)

Certified Clinical Documentation Specialist-Outpatient (CCDS-O)

Job description

Overview

Employer Industry: Healthcare Services

Why consider this job opportunity

• Opportunity for career advancement and growth within the organization
• Work remotely with flexibility to engage in travel to practices as needed
• Competitive salary based on experience and qualifications
• Supportive work environment focused on improving patient data accuracy
• Chance to make a positive impact on clinical documentation and coding practices

What to Expect (Job Responsibilities)

• Perform chart reviews to identify opportunities for improved accuracy in clinical documentation and coding
• Evaluate and optimize end-to-end clinical documentation, billing, and coding workflows
• Work directly with provider practices on continuous improvement of documentation and diagnosis coding
• Deliver education and training on clinical documentation and diagnosis coding for value-based contracts
• Facilitate communication regarding documentation and coding best practices among stakeholders

What is Required (Qualifications)

• Bachelor’s degree in a healthcare-related field or equivalent work experience
• Current certification as a Certified Professional Coder (CPC) or equivalent
• Certified Documentation Expert Outpatient (CDEO®) or Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
• Minimum of 3 years of recent, relevant work experience in Clinical Documentation Integrity (CDI) or 5+ years as a risk adjustment auditor
• Familiarity with medical coding guidelines, regulations, and the CMS HCC Risk Adjustment program

How to Stand Out (Preferred Qualifications)

• Successful track record in outpatient coding and billing
• Strong understanding of value-based care principles and their impact on risk adjustment payment models
• Excellent communication skills to articulate documentation initiatives effectively
• Ability to work collaboratively across clinical and non-clinical teams
• References demonstrating a high degree of integrity and professional accountability

#HealthcareServices #ClinicalDocumentation #RemoteWork #CareerOpportunity #CodingSpecialist