Manage day-to-day operations for the outpatient clinical documentation improvement program across multiple facilities.
Liaise with physicians and leadership on coding rules, risk adjustment, and reimbursement guidelines.
Ensure compliant and accurate medical record documentation while facilitating standardization.
Henry Ford Health is an academic health system providing comprehensive care across Michigan. With 12 hospitals and hundreds of clinics, it is a large organization focused on collaboration and innovation.
Lead and mentor CDI team members to drive documentation excellence and quality outcomes.
Support CDI program operations including policy implementation, education, and compliance monitoring.
Perform clinical documentation reviews to ensure accuracy of patient severity, quality, and reimbursement.
R1 is a leading provider of technology-driven solutions transforming patient experience and financial performance of hospitals and health systems. With over 20 years of experience, the company partners with 1,000 providers and handles over 270 million payer transactions annually, fostering a collaborative and innovative culture.
Assess clinical documentation for compliance with AMA and CMS coding guidelines.
Validate clinical documentation and evaluate accuracy and timeliness of the billing process.
Investigate and identify opportunities for improvement and provide education to providers and staff.
UnityPoint Health is a healthcare organization providing services across Iowa, Illinois, and Wisconsin. It is recognized as a top place to work in healthcare and fosters a culture of belonging, development, and total rewards.
Lead operations of the CDI team for prospective and concurrent chart review, ensuring quality, accuracy, and compliance.
Coach and develop specialists through onboarding, training, performance management, and workflow improvement.
Partner with physicians and operational teams to sustain accurate CMS-HCC documentation and audit readiness.
Greenbrook Medical delivers high-touch, relationship-based primary care for seniors through neighborhood clinics. They are in a growth phase, backed by strong unit economics and a culture of Heart, Excellence, Accountability, Resilience, and Teamwork.
Perform comprehensive chart reviews to ensure documentation supports accurate HCC reporting.
Identify claims correction opportunities and submit them for processing.
Provide provider education and analyze coding trends for assigned medical groups.
Dignity Health Medical Foundation is a California nonprofit providing comprehensive health care services across the state. As part of Dignity Health, one of the largest U.S. health systems, it emphasizes purposeful work and staff growth.
Oversee onboarding, coaching, and performance management of outpatient CDI staff to ensure high-quality deliverables.
Monitor work queues, staffing levels, and productivity metrics to meet client and organizational goals.
Lead recruitment efforts and collaborate with quality and operational teams to drive staff success.
UASI is a clinical documentation integrity consulting firm focused on improving healthcare documentation quality and accuracy. They have a dedicated team and emphasize employee growth and mission-driven work.
Review patient records to improve quality and completeness of clinical documentation, ensuring accuracy for severity of illness and level of services.
Collaborate with providers, coders, and care team members to ensure comprehensive patient documentation and compliant documentation clarification.
Develop and deliver clinical documentation improvement education to providers, and monitor documentation requests to support revenue cycle integrity.
ProMedica is a mission-driven, not-for-profit health care organization serving communities across nine states with acute and ambulatory care, a dental plan, and academic business lines. The organization employs over 1,300 health care providers and has more than 2,300 physicians with privileges, committed to clinical excellence and addressing social determinants of health.
Reviews, analyzes, and validates diagnostic and procedural codes for reimbursement and billing purposes.
Abstracts accurate information from the electronic health record to support patient care evaluation and administrative decision making.
Ensures compliance with established coding guidelines, third-party reimbursement policies, and regulatory requirements.
Henry Ford Health is a leading academic health system providing a comprehensive continuum of care, from primary and specialty care to virtual care, pharmacy, and health insurance, across Michigan and around the world. With 12 hospitals and hundreds of ambulatory care locations, the organization is grounded in purpose, collaboration, and belonging, empowering team members to grow their careers and make a meaningful difference.
Lead day-to-day operations of prospective and concurrent CDI review processes, ensuring quality and productivity standards.
Oversee team performance, coaching, and development while partnering with physicians and clinical teams.
Use data and metrics to drive process improvements, reduce documentation gaps, and support compliance and risk adjustment.
Our partner is a healthcare organization focused on clinical documentation integrity and risk adjustment for Medicare Advantage populations. They are a growing company with a collaborative, mission-driven culture that values heart, excellence, accountability, resilience, and teamwork.
Assess clinical documentation for compliance with AMA and CMS coding guidelines.
Provide education and guidance to providers, clinical staff, and coders on documentation standards.
Analyze audit data, report findings, and collaborate with leadership to improve coding practices.
UnityPoint Health is a healthcare system providing medical services across Iowa, Illinois, and Wisconsin. It is recognized as a top workplace, committed to team member support, development, and a culture of belonging.
Perform thorough review of medical records for identification of relevant diagnoses and procedures.
Assign appropriate ICD-CM and ICD-10 PCS codes to ensure accurate MS-DRG and APR-DRG assignment.
Abstract required data elements and adhere to compliant provider query practices and coding guidelines.
University of Utah Health is a patient-focused organization that enhances health through patient care, research, and education. It is a Level 1 Trauma Center with five hospitals and eleven clinics, nationally ranked for academic research and quality standards, and values collaboration, excellence, and integrity.
Review and analyze Medicare claims sampled by the Department of Justice to determine correct coding and payment based on coverage and utilization.
Conduct in-depth claims analysis to detect fraudulent or abusive billing practices using ICD-10, CPT-4, and CMS guidelines.
Complete summary reports and communicate findings internally while maintaining confidentiality and compliance with DOJ and CMS regulations.
Empower AI provides AI-powered solutions for federal government agencies, helping them transform their workforce and operations. Headquartered in Reston, Va., the company has three decades of experience in Health, Defense, and Civilian missions and is recognized as a 2024 Military Friendly Employer.
Provide real-time documentation support to healthcare providers before and after patient encounters.
Evaluate chart review performance and assist physicians in improving coding and documentation best practices.
Ensure compliance with federal and state laws related to coding and documentation guidelines for risk adjustment.
Interwell Health is a kidney care management company that partners with physicians to reimagine healthcare. They are mission-driven and value diversity, equity, and inclusion.
Complete final review of medical records and select appropriate ICD-10 and CPT codes within 4 days of patient discharge.
Review documentation to match codes with medical necessity and assign working diagnoses and DRGs.
Collaborate with Clinical Documentation Specialists to identify and address documentation deficiencies.
UAMS is Arkansas' only comprehensive academic health sciences center, combining education, research, and clinical programs. It fosters a collaborative culture focused on improving patient care and supporting teamwork and diversity.
Lead documentation excellence by conducting evaluations and identifying opportunities for improvement.
Collaborate with physicians and clinical staff to enhance coding accuracy and compliance.
Drive data-driven decisions and mentor remote teams to optimize revenue integrity.
Henry Ford Health is a leading academic health system committed to advancing health and improving lives across Michigan. With 12 hospitals and hundreds of care locations, we empower team members to grow and make a meaningful difference.
Code and abstract complex inpatient records for data retrieval, analysis, reimbursement, and research.
Use the 3M encoder and EMR to assign diagnostic and procedure codes accurately.
Meet advanced quality and productivity standards across all facilities.
CommonSpirit Health operates over 700 care sites across the U.S., including clinics, hospitals, home-based care, and virtual care services. It is a large healthcare organization committed to building healthy communities and advocating for the poor and vulnerable.
Accurately assigns ICD-10-CM and PCS codes for inpatient CABG, Ortho, and Med cases.
Uses 3M 360 Encoder HDM to streamline coding and billing processes.
Creates compliant physician queries and reviews claims for medical necessity.
TruBridge provides innovative solutions that support both the financial and clinical sides of healthcare delivery. They foster a remote work culture that encourages employees to push boundaries and think differently.
Manage DRG-related payer denials to protect reimbursement and minimize revenue loss.
Leverage clinical and coding expertise to produce compliant appeal outcomes.
Identify documentation and coding risks pre-claim to strengthen revenue integrity.
Rochester Regional Health is an integrated health services organization serving Western New York and beyond, with nine hospitals and numerous care facilities. It is a large health system focused on leading the evolution of healthcare.
Reviews inpatient and outpatient medical records for documentation, abstracting, and assigning codes to the highest level of specificity.
Assigns procedural and diagnosis codes following ICD-10-CM, CPT, HCPCS guidelines, and payer regulations.
Collaborates with Clinical Auditors to improve coding quality and resolves coding-related denials per payer policies.
UnityPoint Health is a healthcare system providing patient services and medical care. It is recognized as a Top 150 Place to Work in Healthcare, with a culture that champions belonging and offers competitive benefits.
Perform clinical reviews for medical necessity, level of care, and authorization compliance.
Prepare and submit high-quality appeals related to DRG downgrades and clinical validation denials.
Apply payer-specific guidelines and document review findings accurately in designated systems.
CorroHealth helps clients exceed their financial health goals through scalable revenue cycle solutions and clinical expertise. The company builds long-term careers by investing in team members' professional development and personal growth.