Remote HCC & Risk Adjustment CDI Specialist

UASI; United States; Remote; USD 70,000 - 110,000; Full time

Benefits offered by this job

Full benefits package

Paid time off (PTO)

Top pay

Job summary

UASI is seeking a Clinical Risk Adjustment Documentation Specialist to join our team remotely in the United States. You will focus on improving clinical documentation quality, HCC capture, and coding integrity in outpatient settings.

Responsibilities include prospective chart reviews, leveraging Epic and OPAs, and tracking CDI outcomes. Requires active LPN/RN license and at least 2 years of ambulatory CDI experience.

Qualifications

• Minimum 2 years of ambulatory CDI or related documentation experience.
• Active LPN or RN license is required.
• CDDS, CCDS-O, CDIP, CDEO or CRC certifications strongly preferred.
• Proficiency with Epic workflows and OPAs preferred.
• Strong understanding of ICD-10-CM guidelines and HCC requirements.

Responsibilities

• Serve as SME in clinical documentation quality, risk adjustment, and HCC coding integrity.
• Perform prospective chart reviews to validate conditions and ensure accuracy.
• Use Epic and OPAs to identify opportunities and support CDI initiatives.
• Track work queues, manage inventories, and ensure timely CDI interventions.
• Monitor and report CDI outcomes and trends to support program goals.

Skills

Ambulatory CDI experience

HCC coding knowledge

ICD-10-CM guidelines

Communication and critical thinking

Documentation accuracy

Education

LPN or RN license

Tools

Epic workflows

OPAs / OurPractice Advisories

Job description

UASI is seeking a Clinical Risk Adjustment Documentation Specialist to join our team remotely in the United States. You will focus on improving clinical documentation quality, HCC capture, and coding integrity in outpatient settings.

Responsibilities include prospective chart reviews, leveraging Epic and OPAs, and tracking CDI outcomes. Requires active LPN/RN license and at least 2 years of ambulatory CDI experience.