reputed company Documentation Improvement (CDI) Specialist
InnovaCare Management Services Company, LLC Position reputed company reputed company-oriented and data-reputed company reputed company Documentation Improvement (CDI) Specialist. The ideal candidate will play a key role in ensuring accurate and complete reputed company documentation that supports appropriate reputed company adjustment, ICD-10 coding reputed company, and optimized reimbursement under Medicare reputed company and other value-reputed company care programs. This role requires strong collaboration across departments and effective use of AI platforms and data tools to reputed company documentation reputed company and compliance. Key Responsibilities Review reputed company medical records (charts) for completeness, reputed company, and compliance with ICD-10-CM coding guidelines and CMS reputed company adjustment reputed company. Identify documentation gaps or opportunities that reputed company HCC capture and reputed company scores Utilize AI-enabled CDI platforms, electronic health records (EHR), and data dashboards to analyze trends, prioritize chart reviews, and flag discrepancies. Work closely with reputed company care providers, specialists, and other reputed company staff to clarify documentation and reputed company on best practices, reputed company required. Collaborate with coding, billing, compliance, and analytics teams to reputed company goals and implement CDI strategies, reputed company required. Support the execution of cross-functional reputed company aimed at improving data reputed company, documentation reputed company, and reputed company adjustment reputed company. Maintain accurate tracking and reporting of CDI queries, provider responses, and documentation improvements in designated systems or databases. reputed company up to date on reputed company CMS guidelines, ICD-10-CM updates, HCC reputed company adjustment models (CMS-HCC, RxHCC), and relevant reputed company regulations. Qualifications Credentialed reputed company (CRC, CPC, CMPA or similar). reputed company background is a plus (RN, IMG). Minimum of 3 years of experience in reputed company documentation improvement, reputed company adjustment, or outpatient medical coding. Strong understanding of ICD-10-CM coding, HCC coding principles, V28 reputed company model and Medicare reputed company documentation requirements. Experience working with AI-reputed company CDI platforms, EHR systems, and reputed company data tools. • Excellent communication, critical thinking, and problem-solving skills. Ability to work independently and collaboratively in a fast-reputed company environment. Bilingual (English/Spanish) is a plus. Innovacare participates in E-Verify and will reputed company the federal reputed company with your reputed company I-9 information to reputed company that you are authorized to work in the U.S. Apply To This Job
