Risk Adjustment Clinical Documentation Specialist

UASI is a mission-driven organization dedicated to improving the quality and accuracy of clinical documentation through expert consulting. We are currently seeking an experienced Risk Adjustment Clinical Documentation Specialist to join our team in a fully remote capacity, playing a vital role in supporting coding accuracy, HCC capture, and clinical documentation integrity.

Key responsibilities

• Serve as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity within outpatient settings.
• Perform prospective medical record reviews to validate chronic conditions and ensure documentation accuracy, clinical integrity, and appropriate HCC capture.
• Utilize Epic and OurPractice Advisories to identify documentation opportunities and support accurate coding initiatives.
• Manage work queues and review inventories to ensure timely follow-up and the achievement of productivity targets.
• Monitor and report on CDI outcomes, documentation trends, and HCC recapture performance to support organizational goals.

Requirements

• Minimum of 2 years of experience in ambulatory Clinical Documentation Integrity, Risk Adjustment, or related healthcare documentation.
• Active LPN or RN license is required for this position.
• Strong understanding of ICD-10-CM coding guidelines and clinical criteria for HCC diagnoses.
• Proficiency in Epic workflows and comfort with virtual collaboration tools and remote work technologies.
• Professional certifications such as CCDS, CCDS-O, CDIP, CDEO, or CRC are strongly preferred.

What we offer

• A collaborative, mission-driven team environment that values your expertise.
• Comprehensive benefits package and competitive compensation.
• Dedicated opportunities for continuous learning, education, and professional growth.
• Supportive leadership that actively values your input and contributions.