Remote Outpatient CDI Specialist — HCC & Documentation

UASI

Oregon

Hybrid

USD 70,000 - 95,000

Full time

11 days ago

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Benefits offered by this job

Full benefits package

PTO

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Job summary

UASI is seeking an Outpatient Clinical Documentation Improvement (CDI) Specialist to join our team in a fully remote capacity. You will support coding accuracy, HCC capture, regulatory compliance, and documentation integrity with strong clinical judgment and analytical skills.

Responsibilities include prospective reviews, use of Epic and OPAs, and monitoring CDI outcomes to drive improvements. A minimum of 2 years in ambulatory CDI with an active LPN/RN license is required.

Qualifications

Minimum 2 years of ambulatory Clinical Documentation Integrity, Risk Adjustment, or related healthcare documentation experience.
Active LPN or RN license required.
Proficiency with ICD-10-CM coding guidelines and HCC documentation is essential.

Responsibilities

Serve as SME in outpatient CDI, risk adjustment, and HCC coding integrity.
Perform prospective reviews of medical records to validate chronic conditions and accurate coding.
Utilize Epic workflows and OPAs to identify documentation opportunities and support accurate coding.
Track work queues and ensure timely CDI interventions and productivity targets.
Monitor and report CDI outcomes and documentation trends to identify improvements.