Clinical Operations Specialist

SmarterDx, Inc.; Northern (KY); Hybrid; USD 100,000 - 125,000; Full time

Benefits offered by this job

Medical, Dental & Vision

Paid Parental Leave

Remote-First Team

Unlimited PTO & 10 Holidays

401(k) with traditional & Roth options

Minimal bureaucracy

Incredible teammates!

Job summary

SmarterDx, Inc. is seeking a Clinical Operations Specialist to conduct comprehensive chart reviews and validate AI diagnostic models to support clinical documentation improvement.

This role is fully remote within the United States, focusing on ensuring clinical accuracy and high-quality data for revenue cycle optimization. You will apply coding guidelines, participate in ongoing training, and contribute to documentation process improvements.

Qualifications

• Minimum of 2 years of experience in healthcare, preferably in a clinical setting, and a clinical documentation/coding role.
• Working knowledge of medical terminology, anatomy and physiology, and healthcare documentation requirements.
• Bachelor's degree in health information management, nursing, or a related medical field.
• Professional certification such as CCDS or CPC is preferred but not required.

Responsibilities

• Review and analyze medical records to ensure clinical accuracy in a timely fashion.
• Identify opportunities for improvement in clinical documentation and diagnostic models.
• Understand and apply coding guidelines and regulations to assign appropriate codes to diagnoses and procedures.
• Participate in ongoing training and professional development to stay current on documentation and coding guidelines.
• Contribute to process improvement efforts to enhance documentation practices and support efficient healthcare delivery.
• Strong analytical skills and attention to detail in reviewing clinical data.

Education

Bachelor's degree in health information management, nursing, or related medical field

CCDS or CPC certification

Job description

SmarterDx is transforming how health systems use clinical AI to capture the full value of patient care delivered. Built by physician-data scientists and trained on clinically-validated EHR data, our clinical AI platform interprets the nuances behind every patient story and makes clinically-sound recommendations for revenue cycle teams — helping hospitals recover earned revenue, improve quality metrics, reduce denials, and streamline revenue cycle operations. As a Smartian, you’ll help build technology that makes healthcare more accurate, sustainable, and effective for everyone. Learn more at smarterdx.com/careers .

Role

As a Clinical Operations Specialist at SmarterDx, you will be responsible for conducting comprehensive chart reviews and clinical validation of AI diagnostic models to support clinical documentation improvement. This role is instrumental in ensuring our AI models are clinically accurate and of high-quality.

This role is fully remote within the US

Responsibilities

• Review and analyze medical records to ensure clinical accuracy in a timely fashion
• Identify opportunities for improvement in clinical documentation and diagnostic models
• Understand and apply coding guidelines and regulations to assign appropriate codes to diagnoses and procedures
• Participate in ongoing training and professional development to stay current on documentation and coding guidelines
• Contribute to process improvement efforts to enhance documentation practices and support efficient and effective healthcare delivery
• Minimum of 2 years of experience in healthcare, preferably in a clinical setting, and a clinical documentation/coding role
• Working knowledge of medical terminology, anatomy and physiology, and healthcare documentation requirements
• Bachelor's degree in health information management, nursing, or a related medical field
• Professional certification, such as Certified Clinical Documentation Specialist (CCDS) or Certified Professional Coder (CPC), is preferred but not required.
• Strong attention to detail and ability to analyze and interpret complex medical information
• Excellent written and verbal communication skills
• Proficiency in computer applications, including electronic medical records systems
• Ability to work independently and as part of a team
• Ability to multitask and prioritize tasks effectively
• Strong analytical skills, attention to detail and effective time management practices

Compensation

• $100k - $125k salary + benefits, 100% US-based remote

#LI-DNI

• Medical, Dental & Vision – Comprehensive plans with leading insurance providers, covering 75% of your premiums, depending on the plan.
• Paid Parental Leave – Generous paid leave to support families through birth or adoption: Up to 12 weeks for parents.
• Remote-First Team – Work from anywhere in the U.S.
• Unlimited PTO & 10 Holidays – So you can relax and recharge.
• 401(k) with Traditional & Roth Options– Tax-advantaged retirement savings through Fidelity with a 4% match.
• Minimal Bureaucracy– A fast-moving, high-impact environment where you can focus on what matters.
• Incredible Teammates!– Work alongside smart, supportive, and mission-driven colleagues.

Will you now or in the future require SmarterDx to file a petition or application for employment-based visa status on your behalf to begin or continue employment with our company? If you are a US citizen, your answer to this question should be "no." If you are not a US citizen and you have non-immigrant status, for example F-1 or H-1, your answer to this question should be “yes.” Please note that we regretfully cannot provide sponsorship for new employment-based visa status at this time. * Select...

This role is remote, however, you must currently reside in the United States in order to be considered. Do you currently reside in the United States? * Select...

As part of our hiring process, you will be asked to complete a background check once an offer of employment has been accepted. Are you willing to complete a background check? * Select...

How many years of professional experience do you have in a role specifically focused on one or more of the following: Clinical Documentation Integrity (CDI), medical coding, DRG validation, or utilization management? *