Senior CDI & Risk-Adjustment Specialist

LE0010 Stanford Health Care; Palo Alto (CA); Sur place; USD 89 000 - 118 000; Plein temps

Résumé du poste

Stanford Health Care seeks a Clinical Documentation Specialist-Risk Adjustment to lead risk adjustment coding activities in Palo Alto. The role focuses on CDI, prospective/concurrent reviews, and education across departments to ensure accurate HCC coding and regulatory compliance.

Ideal candidates hold a bachelor’s degree and 5+ years in healthcare with risk adjustment experience, and strong collaboration with clinicians to optimize documentation quality.

Qualifications

• 5+ years healthcare experience with risk adjustment.
• Knowledge of CPT/HCPCS/ICD-10 coding guidelines.
• Experience communicating with clinicians about coding and documentation.
• Regulatory billing and coding knowledge.

Responsabilités

• Performs CDI workflows and concurrent reviews.
• Reviews medical records for accurate HCC coding.
• Collaborates with departments on coding updates.
• Attends seminars and maintains coding knowledge.
• Produces reports to improve education and training.

Connaissances

HCC coding

Risk adjustment

Clinical documentation

Regulatory knowledge

Communication with clinicians

Quality assurance

Team collaboration

Formation

Bachelor's degree

Description du poste

Stanford Health Care seeks a Clinical Documentation Specialist-Risk Adjustment to lead risk adjustment coding activities in Palo Alto. The role focuses on CDI, prospective/concurrent reviews, and education across departments to ensure accurate HCC coding and regulatory compliance.

Ideal candidates hold a bachelor’s degree and 5+ years in healthcare with risk adjustment experience, and strong collaboration with clinicians to optimize documentation quality.