Outpatient CDI Specialist

Job Summary

A company is looking for an Outpatient Clinical Documentation Integrity (CDI) Specialist.

Key Responsibilities

• Conduct thorough medical record reviews to ensure accurate clinical documentation reflecting the severity of illness and risk adjustment
• Collaborate with healthcare teams to improve documentation quality and compliance with coding guidelines
• Provide education and support to providers and staff regarding documentation standards and regulatory requirements

Required Qualifications

• Associate degree in Health Information Management (HIM) or equivalent healthcare coding experience
• At least 3 years of coding experience
• Demonstrated knowledge of HCCs, ICD-10-CM coding guidelines, and current coding methodologies
• Relevant certification in outpatient or professional fee coding (e.g., RHIT, RHIA, CCS, CPC)
• Extensive critical-thinking skills and understanding of disease processes and treatment