Remote Clinical CDI & HCC Specialist

Colorado Psychiatric; Northern (KY); Hybrid; USD 70,000 - 100,000; Full time

Benefits offered by this job

Collaborative, mission-driven team

Continuous learning and growth

Leadership that values expertise

Job summary

UASI is seeking a Clinical Risk Adjustment Documentation Specialist to strengthen CDI accuracy, HCC capture, and regulatory compliance in a fully remote role. You will review medical records, apply Epic workflows and OPAs, and collaborate with practices to ensure documentation reflects true illness severity and complexity of care.

Ideal candidates have 2+ years in ambulatory CDI/risk adjustment, an active RN/LPN license, and relevant certifications; strong communication and organizational skills

Qualifications

• Minimum 2 years of ambulatory Clinical Documentation Integrity or risk adjustment experience.
• Active LPN or RN license required.
• Certifications CCDS, CCDS-O, CDIP, CDEO and/or CRC strongly preferred.
• Proficiency in ICD-10-CM coding guidelines and HCC documentation requirements.
• Strong communication, critical thinking, and organizational skills.
• Familiarity with MS Office, VPNs, and video conferencing tools such as MS Teams or Zoom.

Responsibilities

• Serves as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity in the outpatient setting.
• Performs prospective reviews of medical records to validate chronic conditions and ensure documentation accuracy and appropriate coding.
• Utilizes Epic workflows and OPAs to perform prospective chart reviews and support accurate coding and CDI initiatives.
• Track and manage work queues, review inventories, and OPA-related activities to ensure timely follow-up and productivity targets.
• Monitor, analyze, and report CDI outcomes and documentation trends to identify improvement opportunities.

Skills

Ambulatory CDI / Risk Adjustment

Clinical Documentation Integrity

Healthcare documentation

Strong communication

Education

RN or LPN license

Tools

Epic workflows

OurPractice Advisories (OPAs)

Job description

UASI is seeking a Clinical Risk Adjustment Documentation Specialist to strengthen CDI accuracy, HCC capture, and regulatory compliance in a fully remote role. You will review medical records, apply Epic workflows and OPAs, and collaborate with practices to ensure documentation reflects true illness severity and complexity of care.

Ideal candidates have 2+ years in ambulatory CDI/risk adjustment, an active RN/LPN license, and relevant certifications; strong communication and organizational skills