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UASI

HCC Documentation Specialist

RemoteUnited States only
Published
Experience
Mid
Salary not disclosed
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Open to US only. Set where you work from to check your eligibility.

No BS summary

Experienced HCC Documentation Specialist with at least 2 years in ambulatory CDI, risk adjustment, or healthcare documentation. Must have an active LPN or RN license and strong ICD-10-CM/HCC knowledge. Epic/OPA experience and CDI/coding certifications are preferred.

Core skills

ICD-10-CMEpic

Required skills

MS OfficeVPNVirtual machinesTwo-factor authenticationMS TeamsZoom

Optional skills

OurPractice Advisories

What you'll do

  • 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.

What they require

  • Minimum 2 years of ambulatory Clinical Documentation Integrity, Risk Adjustment, or related healthcare documentation experience
  • Active LPN or RN license required
  • Preferred: CCDS, CCDS-O, CDIP, CDEO and/or CRC certification strongly preferred
  • 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.).

Benefits

  • Full benefits package
  • PTO
  • Top pay
  • Collaborative, mission-driven team environment.
  • Opportunities for continuous learning, education and professional growth.
  • Leadership that values your expertise and input

Healthcare Consulting

Healthcare

Details

Apply routeGreenhouse
Salary not disclosed