CDI Specialist, Outpatient

CorroHealth

About The Position

Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals. We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success. The Outpatient Clinical Documentation Integrity (CDI) Specialist supports accurate, complete, and compliant provider documentation in ambulatory settings. This role focuses on chronic condition capture, risk adjustment accuracy, quality reporting, and provider education to ensure documentation reflects the true clinical complexity of the patient population. CorroHealth sits at the center of the revenue cycle revolution. Fundamental operations of the revenue cycle are supported through our expert teams while we recast the role of clinicians through automation. This shift to a true clinical revenue cycle helps us achieve our core purpose – exceed client financial health goals. For each patient population, CorroHealth automates key clinical aspects of the cycle. Our platforms focus on capture and application of clinical documentation while easing the burden on physicians. Scalability is prioritized in the support of client program operations. As with most revenue cycle partners, our skilled and enthusiastic team is available to outsource any portion of the cycle. However, we can also complement client programs with additional expert support or upskill existing client teams to meet program demands. Whether our team is deployed directly, or automation is incorporated for a more programmatic solution, CorroHealth delivers. CorroHealth has acquired Xtend Healthcare!

Requirements

An active coding credential required such as - RHIA, RHIT, CPC, COC, CCS-O, CCS, CDEO, CCDS, CDIP or CCDS-O
3+ years of outpatient coding, risk adjustment, outpatient CDI
Strong understanding of: ICD‑10‑CM outpatient coding
Strong understanding of: Risk adjustment models (e.g., Medicare Advantage HCCs)
Strong understanding of: Outpatient E/M documentation requirements
Experience working in an ambulatory EHR (Epic, Cerner, or similar)
Strong clinical and analytical judgment
Professional communication style
Excellent written documentation skills
Comfortable working independently in a fast-paced environment
Proficient in Microsoft Office Applications

Responsibilities

Review outpatient encounters (pre visit, concurrent, and/or post visit) to assess documentation accuracy and completeness
Identify opportunities for improved documentation related to: Chronic conditions and disease specificity
Identify opportunities for improved documentation related to: Risk adjustment (e.g., HCCs)
Identify opportunities for improved documentation related to: Quality measures and medical necessity
Provide compliant documentation clarification via query and feedback to providers through approved communication channels
Support accurate problem list management and ongoing condition validation
Collaborate with coding, quality, compliance, and revenue cycle teams as needed
Track and report CDI interventions, trends, and outcomes
Participate in provider education and training initiatives
Stay current on outpatient coding, risk adjustment, and regulatory guidance
Ensure compliance with CMS, payer, and organizational documentation and billing requirements
Identify potential compliance risks, including but not limited to overcoding, undercoding, and missing and/or unsupported diagnoses
Apply knowledge of HCCs, risk adjustment, quality measures, and outpatient reimbursement methodologies as applicable