Remote CDI Specialist: Risk Adjustment & Education Leader

Health Choice Network; Oregon; Hybrid; USD 80.000 - 120.000; Vollzeit

Benefits dieser Stelle

Remote work

Employer-paid health insurance

PTO

403(b) retirement plan with employer贡献

Professional development

Mission-driven culture

Zusammenfassung

Health Choice Network is seeking a Clinical Documentation Improvement (CDI) Specialist to enhance documentation accuracy across our nationwide organization. You will serve as SME on ICD-10-CM, HCC coding, risk adjustment, and provider education; conduct chart reviews, identify gaps, and partner with plans to improve value-based care.

This role supports remote work from anywhere in the United States; requires 3+ years in Medicare/Medicaid risk adjustment and AHIMA/AAPC credentials.

Qualifikationen

• Associate degree required; bachelor's preferred.
• CRC or CDI/CCS certification required.
• Minimum 3 years Medicare/Medicaid Risk Adjustment experience.
• Strong ICD-10 coding and clinical documentation review history.
• Knowledge of anatomy, physiology and disease processes.
• Proficiency in HCC coding and risk adjustment programs.
• Excellent written and verbal communication skills.
• Ability to work independently in a remote environment.

Aufgaben

• Lead CDI and risk adjustment activities across the organization.
• Review medical records for documentation quality and coding accuracy.
• Educate providers and care teams on documentation best practices.
• Collaborate with health plans on risk adjustment and value-based care initiatives.
• Participate in clinical quality, revenue cycle, and data analytics projects.
• Monitor changes in regulations and reimbursement impacts.

Kenntnisse

Medicare/Medicaid Risk Adjustment

HCC coding

Clinical Documentation Improvement

Provider education

ICD-10 coding

Remote work capability

Ausbildung

Certified Risk Coder (CRC)

CDI/CCS certification (AHIMA)

Associate degree

Bachelor's degree preferred

Tools

Epic EMR

Jobbeschreibung

Health Choice Network is seeking a Clinical Documentation Improvement (CDI) Specialist to enhance documentation accuracy across our nationwide organization. You will serve as SME on ICD-10-CM, HCC coding, risk adjustment, and provider education; conduct chart reviews, identify gaps, and partner with plans to improve value-based care.

This role supports remote work from anywhere in the United States; requires 3+ years in Medicare/Medicaid risk adjustment and AHIMA/AAPC credentials.