Clinical Documentation Improvement Specialist

About This Opportunity

Our talent team is representing a confidential community health organization seeking an experienced Clinical Documentation Improvement Specialist to join their remote team. This role offers the opportunity to make a meaningful impact on documentation quality and risk adjustment accuracy while supporting value-based care initiatives across a mission-driven healthcare organization.

As a CDI Specialist, you'll serve as a subject matter expert in clinical documentation, HCC coding, and risk adjustment methodologies, working collaboratively with providers and clinical teams to ensure accuracy and compliance.

Responsibilities

• Conduct proactive medical record reviews to evaluate documentation quality, diagnosis coding accuracy, co-morbidities, complications, and appropriate secondary diagnoses
• Serve as a subject matter expert on ICD-10-CM Coding Guidelines, AHA Coding Clinic guidance, and Risk Adjustment methodologies including HHS-HCC, CMS-HCC, and DxCG
• Develop and deliver education programs for providers, coders, and clinical care teams on documentation best practices, coding updates, and risk adjustment principles
• Create educational tools, resources, and training materials that improve coding accuracy and documentation quality
• Collaborate with health plans on risk adjustment and value-based care initiatives
• Support auditing activities, review health plan findings, and develop performance improvement plans
• Analyze documentation and coding trends to identify opportunities for improvement
• Monitor regulatory, coding, and reimbursement changes and communicate impacts across the organization
• Partner with clinical leadership, coding teams, and operational stakeholders to drive quality and performance improvements

What We're Looking For

Required Qualifications:

• Associate degree required; Bachelor's degree preferred
• Certified Risk Coder (CRC) through AAPC or CDI/CCS certification through AHIMA
• Minimum 3 years of experience in Medicare and/or Medicaid Risk Adjustment, including HHS-HCC, CMS-HCC, or DxCG methodologies
• Strong experience with ICD-10 coding and clinical documentation review
• In-depth knowledge of medical terminology, anatomy, physiology, and disease processes
• Expertise in HCC coding and risk adjustment programs
• Strong analytical, organizational, and problem-solving skills
• Excellent written and verbal communication skills with the ability to educate diverse audiences
• Ability to manage multiple priorities and work independently in a remote environment

Preferred Qualifications:

• Current RN license in good standing
• Certified Professional Coder (CPC) through AAPC
• Minimum 3 years of clinical experience, preferably in an FQHC or primary care environment
• Experience with Epic Electronic Medical Record systems
• Experience supporting value-based care and population health initiatives

How We Work With You

When you apply through Get A Job.ai, our recruiting team will review your qualifications and conduct an initial screening. If there's a strong match, we'll submit your profile to our client for consideration. Please do not contact the client directly—we'll manage all communication and advocate on your behalf throughout the hiring process.

Benefits

This is a 100% remote position open to candidates anywhere in the United States. Our client offers:

• 100% employer-paid medical insurance on select health plans
• Annual $1,500 HSA contribution
• Generous paid time off
• 403(b) retirement plan with employer contribution
• Professional development and education assistance

Equal Employment Opportunity: Get A Job.ai is committed to fair and equitable recruiting practices. We welcome applications from all qualified candidates regardless of race, color, religion, sex, national origin, age, disability, or any other protected characteristic.