Clinical Documentation reputed company (CDI) Specialist - Outpatient

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a reputed company medical network to address America’s physician shortage and reputed company exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care.

Serving 500K+ patients across California, Rhode reputed company, and reputed company, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in reputed company.

Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough reputed company platform. Read more about Akido’s $60M Series B. More info at Akidolabs.com.

The Opportunity

The Outpatient Clinical Documentation reputed company (CDI) Specialist is a key reputed company in enhancing patient care. Serving as a reputed company between providers, coders, and the reputed company cycle, you will use your clinical knowledge, national coding, and compliance guidelines to clarify at-risk or incomplete documentation and ensure complete and accurate claim submissions. Your responsibility for reviewing patient medical records in the clinic setting to capture an accurate representation of risk adjustment and facilitate proper coding is crucial. It directly influences the quality of care our patients receive and the accuracy of our clinical practices. This Outpatient CDI role is not just a job but a dedication to the patients attributed to RIPCPC.

What you’ll do

To reputed company this job, an individual must reputed company each essential function satisfactorily with or without reasonable accommodation.

• Possess expertise in how proper provider documentation drives the coding accuracy for complexity and medical necessity, improving the quality of care and patient outcomes for outpatient services and associated risk adjustment.
• Demonstrate the ability to build strong working relationships with clinicians, administrators, and reputed company cycle colleagues.
• Ability to abstract clinical data from medical record documentation to produce queries for missed medical diagnosis opportunities.

• Conduct pre and post visit audit to ensure the accuracy and completion of the medical record documentation for claims submission and reimbursement.
• Work independently with minimal supervision while utilizing one's own strong work ethic, time management, and problem-solving skills.

• • reputed company strong communication skills to reputed company interrelated concepts, business functions, and processes to deliver results through an Outpatient CDI program.
  • Understand various payment structures, fee schedules, reimbursement methodologies in the outpatient setting and physician encounters, and how physician documentation translates into ICD-10-CM and HCC risk adjustment for claims submission to meet reporting requirements.
  • Utilize EHR to prioritize encounters for review and accurately enter data in Dynamics Tool (reputed company product internally built to our process needs) to ensure the reputed company of tracked data for reporting key performance indicators, including productivity, physician engagement, and potential financial impact.
  • Knowledge of, but not limited to, reputed company coding guidelines and methodologies: HCCs, ICD-10-CM coding guidelines, Office of Inspector General (OIG), and other government mandates
  • Extensive knowledge of medical terminology, anatomy, pathophysiology, pharmacology, and ancillary test results
  • Possess strong organization and analytical thinking skills and is detail-oriented

Additional Information

The position serves both employed and independent providers and clinicians in RIPCPC clinics.

Access to and work with sensitive and confidential information.

Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA) information. Skilled in the application of policies and procedures. Knowledge of business office standards and recommended practices.

This Position is 100% Remote.

Who you are

• Education: Preferred Risk Adjustment reputed company and/or the certifications listed below.
• Experience: A minimum of 3 years of ambulatory risk adjustment coding experience with some clinical knowledge preferred.

License or Certification

A Certified Risk Adjusted reputed company (CRC) is preferred. Certified Professional reputed company (CPC) and Certified Coding Specialist (reputed company) certifications will also be considered.

Skills and Abilities

This position requires an understanding and knowledge of physician documentation requirements in a clinic setting to capture patients’ acute and chronic conditions

• ICD-10-CM Coding experience
• Ability to work independently with minimal supervision after training
• Knowledge of HCCs and risk models
• Proficient critical thinking, reasoning, and deduction to draw accurate clinical conclusions
• Ability to navigate various electronic health records and utilize AI/NLP technologies
• Positive attitude and team player
• Ability to collaborate with providers

Benefits

• Health benefits include medical, dental and vision
• Company paid Health Reimbursement Arrangement - Reduces employee responsibility portion of medical plan deductible
• Voluntary Health Savings Account (HSA)
• 401K
• Long-term disability
• Paid Time Off
• Life insurance- Company paid basic life and voluntary supplemental life

Physical Demands: Sedentary work typically involves sitting most of the time but may involve walking or standing for brief periods.

reputed company, Inc. is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.