Clinical Documentation Improvement Specialist

Raventra Health is a medical services company providing outsourced billing, coding, and claims processing solutions for provider groups and hospitals. As a Clinical Documentation Improvement Specialist, you will review clinical documentation to identify gaps, inconsistencies, and opportunities for greater accuracy and completeness. You will work with provider and coding teams to support documentation that accurately reflects the care provided and supports appropriate coding, claims processing, and reimbursement.

WHAT YOU WILL DO

• Review clinical documentation for completeness, accuracy, and consistency with the services provided
• Identify documentation gaps or inconsistencies that may affect coding, claims, or reimbursement
• Conduct appropriate provider queries to clarify clinical documentation when needed
• Collaborate with medical coders and provider teams to improve documentation quality
• Review clinical records and supporting documentation to identify opportunities for more accurate code assignment
• Support documentation requirements related to payer policies, audits, and compliance
• Track recurring documentation issues and communicate trends to internal teams
• Provide feedback and education to providers and coding staff on documentation requirements
• Maintain accurate records of CDI activities, queries, and outcomes

WHAT WE ARE LOOKING FOR

• 2+ years of experience in clinical documentation improvement, medical coding, clinical documentation review, or a related healthcare role
• Strong understanding of clinical documentation, medical terminology, and coding principles
• Experience reviewing medical records and identifying documentation gaps
• Ability to communicate effectively with physicians, providers, coders, and other healthcare professionals
• Strong knowledge of documentation requirements and their impact on coding and reimbursement
• Excellent attention to detail and analytical skills
• Ability to manage multiple cases and priorities while meeting quality and productivity expectations
• Ability to work independently and effectively in a fully remote environment
• HIPAA-compliant private workspace

NICE TO HAVE

• RN, RHIA, RHIT, CCS, or CPC certification
• Experience with inpatient or outpatient CDI
• Knowledge of ICD-10-CM, CPT, and HCC coding
• Experience with Epic, Athena, eClinicalWorks, or another major EMR system
• Experience supporting provider education, coding audits, or payer audits

COMPENSATION AND BENEFITS

Compensation will be discussed during the interview and will reflect the candidate’s experience, qualifications, certifications, and relevant healthcare expertise.

Benefits and additional employment details will be discussed during the hiring process.

HIRING PROCESS

Application review → introductory conversation → hiring manager interview → offer.

EQUAL OPPORTUNITY

Raventra Health is an equal opportunity employer. We consider all qualified applicants without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. If you need an accommodation at any stage of the hiring process, please contact us and we will work with you to provide appropriate support.

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Location: Remote