Outpatient Clinical Documentation & Coding Specialist

Mount Sinai; United States; Remote; USD 66,000 - 99,000; Full time

Job summary

Mount Sinai Health System seeks a Clinical Documentation Specialist to strengthen outpatient documentation quality and coding. The role collaborates with physicians, Health Information Management, and the Mount Sinai Health Partners team to review ambulatory records, educate clinicians, and ensure accurate capture of care.

Responsibilities include on-site or electronic coding audits, focusing on HCC coding for CMS and payers, using billing data, and acting as a liaison to the coding department

Qualifications

• Minimum of 3 years coding experience.
• At least 1 year of HCC Risk Adjustment experience preferred.
• Clinical background in a healthcare setting preferred.
• Credentials: CCS, CRC, or CPC required.

Responsibilities

• Reviews charts to assess clinical status and coding opportunities in outpatient visits.
• Conducts coding audits and validates documentation, focusing on HCC coding.
• Educates physicians and acts as liaison with coding department.
• Analyzes outpatient diagnoses and service levels prior to claim submission.
• Identifies training needs and conducts coaching for clinicians.
• Monitors regulatory changes from government agencies and payers.

Skills

HCC Risk Adjustment

ICD-10, CPT, HCPCS

Clinical documentation improvement

Education & mentoring physicians

Microsoft Excel

Education

High school diploma or GED

Associate’s degree or higher preferred

Tools

Microsoft Excel

Job description

Mount Sinai Health System seeks a Clinical Documentation Specialist to strengthen outpatient documentation quality and coding. The role collaborates with physicians, Health Information Management, and the Mount Sinai Health Partners team to review ambulatory records, educate clinicians, and ensure accurate capture of care.

Responsibilities include on-site or electronic coding audits, focusing on HCC coding for CMS and payers, using billing data, and acting as a liaison to the coding department