Remote Risk Adjustment CDI Specialist

Sacbar; Northern (KY); Hybrid; USD 85,000 - 110,000; Full time

Benefits offered by this job

Full benefits package

PTO

Top pay

Collaborative team environment

Job summary

UASI is seeking a Risk Adjustment Clinical Documentation Specialist to support coding accuracy and HCC capture in a fully remote capacity. The role emphasizes clinical judgment, analytical skills, and a commitment to documentation integrity reflecting patient severity and complexity of care.

Key responsibilities include reviewing records across outpatient settings, using Epic/OPAs, tracking queues, and reporting CDI outcomes.

Qualifications

• Ambulatory CDI experience in clinical documentation integrity or risk adjustment.
• Active RN or LPN license is required.
• CCDS, CCDS-O, CDIP, CDEO or CRC certification preferred.
• Proficiency with Epic workflows and OurPractice Advisories (OPAs) is preferred.
• Strong ICD-10-CM coding knowledge and HCC documentation requirements.
• Excellent communication, critical thinking and organizational skills.
• Comfort with MS Office, email, VPNs and video conferencing tools.

Responsibilities

• Serve as subject matter expert in clinical documentation quality and HCC coding in outpatient settings.
• Perform prospective chart reviews to validate chronic conditions and ensure accurate documentation and coding.
• Utilize Epic and OPAs to identify opportunities and support documentation integrity initiatives.
• Track work queues, review inventories, and ensure timely follow-up and CDI interventions.
• Monitor CDI outcomes and report trends to identify improvement opportunities.

Skills

Ambulatory CDI

RN or LPN license

HCC knowledge

ICD-10-CM coding

Communication

Analytical thinking

Tools

Epic workflows

OPAs (OurPractice Advisories)

MS Office

VPN/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 capacity. The role emphasizes clinical judgment, analytical skills, and a commitment to documentation integrity reflecting patient severity and complexity of care.

Key responsibilities include reviewing records across outpatient settings, using Epic/OPAs, tracking queues, and reporting CDI outcomes.