UASI

Risk

• Serve as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity in the outpatient setting
• Perform prospective reviews of medical records from physician practices, outpatient settings, and relevant inpatient encounters
• Validate chronic conditions and ensure documentation accuracy, clinical integrity, appropriate coding, and HCC capture
• Use Epic and OurPractice Advisories (OPAs) to perform prospective chart reviews and identify documentation opportunities
• Track and manage work queues, review inventories, and OPA-related activities
• Ensure timely follow-up, productivity targets, and accurate completion of CDI interventions
• Monitor, analyze, and report CDI outcomes, documentation trends, and HCC recapture performance
• Identify improvement opportunities and support program goals

Explore Clinical Risk Adjustment Documentation Specialist at UASI. Review requirements and application details.

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Clinical Risk Adjustment Documentation Specialist