Key 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, OurPractice Advisories (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.
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 OurPractice Advisories (OPAs) preferred
Strong understanding of: ICD-10-CM coding guidelines, HCC documentation and coding requirements
Strong understanding of clinical criteria for HCC diagnoses
Excellent communication, critical thinking, and organizational skills.
Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools (MS Teams, Zoom, etc.).
Why UASI?
We believe that investing in our people is key to our success. In return for your talents, we offer a full benefits package, PTO and top pay! Additional benefits include:
Collaborative, mission-driven team environment.
Opportunities for continuous learning, education and professional growth.
Leadership that values your expertise and input
Ready to make a difference and grow your career? We would love to hear from you!
| Role | Location | Salary | Posted |
|---|---|---|---|
| Outpatient Clinical Documentation Improvement (CDI) SpecialistUasi · Remote | Remote | — | 2026-08-03 |
| Risk Adjustment Clinical Documentation SpecialistUasi · Remote | Remote | — | 2026-08-03 |