Outpatient Lead CDI Specialist - Certified (Full-time, Monday - Friday)
HybridFayetteville, Arkansas, United States
Job Summary
Conduct and oversee comprehensive reviews of outpatient medical records to identify documentation opportunities, including missing diagnoses, specificity, severity of illness, and risk adjustment support. Educate, coach, and collaborate with outpatient providers, clinic leaders, coding staff, and CDI team members regarding documentation requirements, best practices, compliant query processes, and opportunities to improve accuracy. Provide direct supervision and daily leadership for Outpatient CDI Specialists, including workload assignment, prioritization of reviews, monitoring of productivity and quality expectations, and performance support. Serve as the primary escalation resource for outpatient CDI workflow questions, provider documentation concerns, query appropriateness, and team process standardization. Analyze outpatient CDI program data, including documentation quality, provider query trends, productivity, impact measures, denial trends, and risk adjustment opportunities to prepare reports and present findings to practice transformation leadership. Lead outpatient CDI program initiatives, including workflow design, education development, process improvement, audit readiness, and documentation standardization. Maintain current knowledge of outpatient CDI principles, ICD-10-CM, CPT, HCPCS, HCC/risk adjustment concepts, payer documentation requirements, Medicare regulations, and compliance expectations.
Required Qualifications
- High school diploma or GED
- Active CDI, coding, or health information certification, such as CPC, CCDS, CCDS-O, CDIP, RHIA, or RHIT
- Minimum of three years of clinical documentation improvement, coding, revenue cycle, health information management, outpatient clinical documentation review, or related healthcare experience
- Minimum of one year of outpatient CDI or documentation integrity experience
- Must demonstrate advanced knowledge of outpatient documentation requirements, ICD-10-CM and CPT coding guidelines, compliant query practices, risk adjustment concepts, provider education, data analysis, and performance improvement
- Must possess strong leadership, communication, critical thinking, organization, and relationship-building skills with the ability to guide a team, manage competing priorities, resolve workflow barriers, and collaborate effectively with providers, operational leaders, coding, revenue cycle, quality, and compliance stakeholders
- 80% of the time is sitting while performing work in a standard office or home office environment
- The other 20% of the time will be standing, walking, or transferring while pushing, pulling, lifting, and/or carrying up to 20 lbs
Desired Qualifications
- Associate's degree in a healthcare or business-related field
- Graduate of an accredited nursing program
- CCDS-O or other outpatient CDI-focused certification
- RN or LPN licensure when supported by clinical background and experience
- Prior lead, supervisory, preceptor, training, audit, or team coordination experience
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