Remote Risk Adjustment CDI Specialist

Stryker Corporation; Cincinnati (OH); On-site; Confidential; Full time

Benefits offered by this job

Full benefits package

PTO

Top pay

Job summary

UASI is seeking a Risk Adjustment Clinical Documentation Specialist to support coding accuracy and HCC capture in a fully remote role. You will validate chronic conditions and ensure documentation integrity across outpatient records, leveraging Epic and OPAs.

You’ll work on chart reviews, track queues, and report CDI outcomes to drive program goals while collaborating with clinicians and coding teams to reflect true severity of illness.

Qualifications

• Minimum 2 years of ambulatory Clinical Documentation Integrity, Risk Adjustment, or related healthcare documentation experience.
• Active LPN or RN license required.
• CCDS, CCDS-O, CDIP, CDEO and/or CRC certification strongly preferred.
• Proficiency in Epic workflows, including interpretation and management of OPAs preferred.
• Strong understanding of ICD-10-CM coding guidelines, HCC documentation and coding requirements.
• Excellent communication, critical thinking, and organizational skills.
• Comfortable using MS Office, email, VPNs, and video conferencing tools.

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 from physician practices, outpatient settings, and relevant inpatient encounters to validate chronic conditions and ensure documentation accuracy, clinical integrity, appropriate coding, and HCC capture.
• Utilizes Epic, OPAs to perform prospective chart reviews, identify documentation opportunities, validate chronic conditions, and support accurate coding, HCC capture, and clinical documentation integrity initiatives.
• Track and manage work queues, review inventories, and OPA-related activities to ensure timely follow-up, productivity targets, and accurate completion of CDI interventions.
• Monitor, analyze, and report CDI outcomes, documentation trends, and HCC recapture performance to identify improvement opportunities and support program goals.

Skills

Ambulatory CDI experience

Communication

Critical thinking

Organizational skills

Education

RN/LPN license

Tools

Epic workflows

OPAs (OurPractice Advisories)

MS Office

VPNs

Video conferencing tools

Job description

UASI is seeking a Risk Adjustment Clinical Documentation Specialist to support coding accuracy and HCC capture in a fully remote role. You will validate chronic conditions and ensure documentation integrity across outpatient records, leveraging Epic and OPAs.

You’ll work on chart reviews, track queues, and report CDI outcomes to drive program goals while collaborating with clinicians and coding teams to reflect true severity of illness.