Remote CDI Specialist: Risk Adjustment & Value-Based Care

ADP, Inc.; United States; Remote; USD 70,000 - 85,000; Full time

Benefits offered by this job

Remote work

Employer-paid health insurance

Generous PTO

403(b) retirement plan with employer"s

Professional development & education

Mission-driven culture

Job summary

ADP, Inc. is seeking a Clinical Documentation Improvement (CDI) Specialist to enhance documentation quality, risk adjustment, and patient care outcomes across our organization.

This role emphasizes accurate ICD-10 coding, HCC concepts, and provider education in a remote US setting. You'll collaborate with clinical leadership, coding teams, and health plans to drive value-based care initiatives, conduct medical record reviews, and support risk adjustment programs while maintaining high standards

Qualifications

• 3+ years in Medicare/Medicaid Risk Adjustment, including HHS-HCC, CMS-HCC, or DxCG.
• Strong ICD-10 coding and clinical documentation review experience.
• In-depth medical terminology knowledge and risk adjustment expertise.
• Excellent analytical, organizational, and communication skills.
• Ability to work independently in a remote environment.

Responsibilities

• Serve as SME on ICD-10-CM guidelines, AHA guidance, and Risk Adjustment methods.
• Conduct medical record reviews to evaluate documentation quality and coding accuracy.
• Ensure conditions are documented and coded for accurate risk stratification.
• Identify trends affecting patient risk scores and value-based care performance.
• Develop and deliver education for providers, coders, and care teams.
• Collaborate with health plans and clinicians on risk adjustment initiatives.

Skills

ICD-10 Coding

Risk Adjustment

Clinical Documentation

Education & Training

Remote Work

Data Analysis

Communication

Education

CRC through AAPC

AHIMA CDI/CCS

Tools

Epic EMR

Job description

ADP, Inc. is seeking a Clinical Documentation Improvement (CDI) Specialist to enhance documentation quality, risk adjustment, and patient care outcomes across our organization.

This role emphasizes accurate ICD-10 coding, HCC concepts, and provider education in a remote US setting. You'll collaborate with clinical leadership, coding teams, and health plans to drive value-based care initiatives, conduct medical record reviews, and support risk adjustment programs while maintaining high standards