Outpatient CDI & HCC Coding Specialist

Medical University of South Carolina; United States; Hybrid; USD 85,000 - 120,000; Full time

Job summary

Medical University of South Carolina is seeking an Outpatient CDI Specialist to enhance documentation and coding accuracy for outpatient encounters. The role emphasizes collaboration with providers, coders, and HIM to improve risk adjustment and reimbursement while maintaining compliance.

The position offers a hybrid work model, requires RN licensure and CDI experience, and focuses on outpatient ICD-10-CM coding with a target accuracy of 95% or higher.

Qualifications

• Bachelor’s degree in nursing required or preferred with RN licensure
• Strong CDI knowledge for outpatient settings and HCC coding
• Experience collaborating with clinicians and coders to improve documentation

Responsibilities

• Conduct concurrent and retrospective reviews to ensure documentation captures severity, risk, and medical necessity for outpatient services
• Collaborate with physicians and staff to improve documentation and coding accuracy
• Educate providers on CDI best practices and coding guidelines for outpatient encounters
• Ensure compliance with HIPAA and regulatory standards

Skills

Nursing

CDI (Outpatient)

HCC/Risk Adjustment

Communication with physicians

Education

Bachelor’s degree in Nursing

Tools

ICD-10-CM coding

Job description

Medical University of South Carolina is seeking an Outpatient CDI Specialist to enhance documentation and coding accuracy for outpatient encounters. The role emphasizes collaboration with providers, coders, and HIM to improve risk adjustment and reimbursement while maintaining compliance.

The position offers a hybrid work model, requires RN licensure and CDI experience, and focuses on outpatient ICD-10-CM coding with a target accuracy of 95% or higher.