Remote CDI & Risk Adjustment Specialist

UASI; United States; Remote; USD 90,000 - 110,000; Full time

Benefits offered by this job

Full benefits package

PTO

Top pay

Job summary

UASI is actively seeking a Clinical Risk Adjustment Documentation Specialist to support accurate outpatient CDI and HCC coding in a fully remote capacity. You'll collaborate with physicians and care teams to ensure documentation quality and regulatory compliance while optimizing capture of patient severity and complexity.

The ideal candidate has at least 2 years of ambulatory CDI experience, an active LPN or RN license, and proficiency with Epic and OPAs.

Qualifications

• Minimum 2 years of ambulatory CDI or risk adjustment experience.
• Active LPN or RN license required.
• Certifications such as CCDS/CDIP/CDEO/CRC strongly preferred.
• Proficiency with ICD-10-CM coding guidelines and HCC documentation.
• Familiar with Epic workflows and OurPractice Advisories (OPAs).

Responsibilities

• Serve as SME in clinical documentation quality and HCC coding integrity in the outpatient setting.
• Performs prospective reviews of medical records to validate chronic conditions and documentation accuracy.
• Utilizes Epic and OPAs to identify documentation opportunities and support coding integrity initiatives.
• Track work queues, inventories, and OPA-related activities to ensure timely follow-up and productivity targets.
• Monitor, analyze, and report CDI outcomes and trends to drive improvement.

Skills

Ambulatory CDI experience

Strong communication

Analytical skills

Organizational skills

Education

Active LPN or RN license

Tools

Epic workflows

OPAs

MS Office

VPNs

Video conferencing tools

Job description

UASI is actively seeking a Clinical Risk Adjustment Documentation Specialist to support accurate outpatient CDI and HCC coding in a fully remote capacity. You'll collaborate with physicians and care teams to ensure documentation quality and regulatory compliance while optimizing capture of patient severity and complexity.

The ideal candidate has at least 2 years of ambulatory CDI experience, an active LPN or RN license, and proficiency with Epic and OPAs.