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.

Location: Remote

Originally posted on Himalayas