RN CDI Specialist: Elevate Documentation & HCC Outcomes

Jobtailor; Compton (CA); On-site; USD 110,000 - 140,000; Full time

Job summary

Jobtailor seeks an experienced Clinical Documentation Specialist (RN/NP) in California to perform comprehensive chart reviews and drive documentation integrity across outpatient care. You will craft evidence-based provider queries, educate clinicians, and support CMS-compliant documentation initiatives.

You will work with physicians, NPs, and care teams, leveraging CDI software and analytics to improve risk adjustment outcomes and support value-based care strategies. Bilingual Spanish is a plus.

Qualifications

• Active, unrestricted RN or NP license in California.
• Minimum of three years of clinical experience in outpatient/primary care settings.
• Ability to interpret, analyze, and synthesize clinical information across multi-source records.
• Foundational knowledge of ICD-10-CM coding principles and related documentation requirements.
• Strong written and verbal communication with clinicians and care teams.
• Proficiency with EHR systems, digital workflows, and documentation tools.
• Ability to work independently and prioritize in a fast-paced clinical environment.
• Attention to detail, analytical thinking, clinical judgment, problem-solving.
• Experience in CDI, risk adjustment, HCC coding, or documentation improvement.
• Familiarity with Medicare Advantage or value-based care models.
• Certifications: CRC, CDEO, CCDS-O, CDIP preferred; commitment to obtain within 12 months.

Responsibilities

• Conduct prospective, concurrent, and retrospective reviews of medical records to identify documentation gaps and HCC opportunities.
• Apply clinical reasoning to synthesize information across EMR docs, labs, imaging, meds, and notes.
• Review longitudinal chart trends to identify disease progression and documentation opportunities.
• Formulate compliant verbal and written provider queries with objective evidence.
• Partner with physicians, NPs, and clinical teams through chart-side discussion and education.
• Participate in interdisciplinary team meetings and real-time workflows.
• Prioritize and manage daily chart review workflows based on risk and organizational priorities.
• Track provider documentation patterns, query outcomes, and review activity using CDI tools.
• Develop provider-facing education, CDI resources, templates, and dashboards aligned with CMS standards.
• Conduct documentation quality reviews, surface deficiencies, and surface trends to CDI leadership.
• Contribute innovative ideas involving AI and perform other duties as assigned.

Skills

RN License

Clinical Documentation

ICD-10-CM Coding

EHR Proficiency

Risk Adjustment

Data Analysis

Communication

Education & Coaching

Bilingual Spanish

Education

CRC

CDEO

CCDS-O

CDIP

Tools

CDI Software Platforms

Reporting Dashboards

Documentation Tracking Systems

Job description

Jobtailor seeks an experienced Clinical Documentation Specialist (RN/NP) in California to perform comprehensive chart reviews and drive documentation integrity across outpatient care. You will craft evidence-based provider queries, educate clinicians, and support CMS-compliant documentation initiatives.

You will work with physicians, NPs, and care teams, leveraging CDI software and analytics to improve risk adjustment outcomes and support value-based care strategies. Bilingual Spanish is a plus.