Clinical Risk Adjustment Documentation Specialist

UASI

. Serve as a subject matter expert in clinical documentation quality, risk adjustment, and HCC coding integrity in the outpatient setting .

Posted 11/5/2026full-timeRemote • United StatesJuniorMid-LevelWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Clinical Documentation Integrity, Risk Adjustment, and HCC coding, with a strong focus on documentation accuracy and compliance. Proficient in utilizing Epic workflows and analyzing CDI outcomes to drive improvement opportunities.

Highest-signal resume keywords

Clinical Documentation IntegrityHCC Coding IntegrityEpic WorkflowsICD-10-CM Coding GuidelinesCDDS, CCDS-O, CDIP, CDEO, CRC Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical Documentation IntegrityRisk AdjustmentHCC CodingICD-10-CM CodingDocumentation AccuracyChronic Condition ValidationCDI Outcomes AnalysisProspective Chart ReviewsDocumentation Trends MonitoringProductivity Targets Management

Soft Skills

Excellent CommunicationCritical ThinkingOrganizational Skills

Tools & Technologies

EpicOurPractice AdvisoriesMS OfficeMS TeamsZoomVPNsVirtual MachinesTwo-Factor Authentication

Certifications & Qualifications

Active LPN LicenseActive RN LicenseCCDS CertificationCCDS-O CertificationCDIP CertificationCDEO CertificationCRC Certification

Industry Keywords

Outpatient SettingHealthcare DocumentationClinical IntegrityDocumentation ImprovementHCC Recapture Performance

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

Minimum 2 years of ambulatory Clinical Documentation Integrity, Risk Adjustment, or related healthcare documentation experience
Active LPN or RN license required
CCDS, CCDS-O, CDIP, CDEO and/or CRC certification strongly preferred
Proficiency in Epic workflows, including interpretation and management of OurPractice Advisories (OPAs) preferred
Strong understanding of ICD-10-CM coding guidelines and HCC documentation and coding requirements
Strong understanding of clinical criteria for HCC diagnoses
Excellent communication, critical thinking, and organizational skills
Comfortable using MS Office, email, VPNs, virtual machines, two-factor authentication, and video conferencing tools (MS Teams, Zoom, etc.)

Benefits

Comp & perks

Full benefits package
PTO
Top pay
Collaborative, mission-driven team environment
Opportunities for continuous learning, education and professional growth
Leadership that values your expertise and input