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Experienced Remote Associate Clinical Documentation Improvement Specialist - Clinical Data Analysis and Healthcare Quality Enhancement

Remote, USA Full-time Posted 2025-11-03
Introduction to Northern Light Health and Optum Northern Light Health, in strategic partnership with Optum, is a leading statewide healthcare system in Maine, dedicated to personalizing and streamlining healthcare for our communities. Our mission is to provide compassionate care, connect with our patients, and grow together as a team. We are committed to making a difference in the lives of those we serve, and we are excited to offer a unique opportunity for a qualified Associate Clinical Documentation Improvement Specialist to join our team. Job Overview We are seeking a highly skilled and experienced Associate Clinical Documentation Improvement Specialist to work remotely and provide oversight and implementation of clinical documentation improvement processes for our clients. The successful candidate will have a strong background in clinical medicine, pathophysiology, and pharmacology, as well as experience with ICD-10 coding and clinical documentation improvement practices. This is a fantastic opportunity to work with a dynamic team and make a real impact on the quality of healthcare services. Key Responsibilities • Perform concurrent and retrospective chart reviews to improve the overall completeness and accuracy of clinical documentation • Stay up-to-date with current coding trends and maintain knowledge of Medicare rules and regulations regarding diagnosis coding and CDI current trends • Utilize ICD-10 and related materials to investigate coding issues and produce accurate results • Conduct daily follow-up communication with providers regarding existing clarifications to obtain needed documentation specificity • Provide expert-level leadership for overall improvement in clinical documentation by providing proficient-level review and assessment, and effectively articulating recommendations for improvement • Actively communicate with providers at all levels to clarify information and communicate documentation requirements for appropriate diagnoses based on severity of illness and risk of mortality • Ensure effective utilization of Optum CDI 3D Technology to document all clarification activity • Proactively develop a reciprocal relationship with HIM Coding Professionals and engage and consult with Physician Advisor/VPMA when needed Essential Qualifications • Must be a Licensed RN or Medical Graduate with CDI experience and CDI certification (CCDS, CDIP) • Proven proficiency in clinical medicine, pathophysiology, and pharmacology • Proven grasp of ICD-10 coding, coding conventions, and guidelines • Must have proficiency using a PC in a Windows environment, including Microsoft Word, Excel, PowerPoint, and Electronic Medical Records Preferred Qualifications • CCDS, CDIP, or CCS certification • 3+ years of CDI experience for an acute care hospital • 5+ years of acute inpatient hospital coding with certifications • CAC experience (Computer Assistant Coding) Career Growth Opportunities and Learning Benefits At Northern Light Health and Optum, we are committed to providing our employees with opportunities for growth and development. As an Associate Clinical Documentation Improvement Specialist, you will have access to a range of training and development programs, including: • Comprehensive onboarding program to ensure a smooth transition into your new role • Ongoing training and education on clinical documentation improvement practices and ICD-10 coding • Opportunities for professional certification and advancement • Regular feedback and coaching to support your career development Work Environment and Company Culture Our company culture is built on a foundation of compassion, connection, and growth. We believe in creating a work environment that is supportive, inclusive, and empowering. As a remote employee, you will be part of a dynamic team that is committed to making a difference in the lives of our patients and communities. You will have the opportunity to work with a talented team of professionals who are passionate about delivering high-quality healthcare services. Compensation, Perks, and Benefits We offer a competitive salary range of $58,300 to $114,300 annually, depending on experience and qualifications. In addition to your salary, you will be eligible for a range of benefits, including: • Comprehensive benefits package, including medical, dental, and vision coverage • Incentive and recognition programs to reward your performance and contributions • Equity stock purchase and 401k contribution to support your long-term financial goals • Flexible work arrangements, including remote work options and flexible scheduling Conclusion If you are a motivated and experienced clinical documentation improvement specialist looking for a new challenge, we encourage you to apply for this exciting opportunity. As a remote employee, you will have the flexibility to work from anywhere in the United States, while being part of a dynamic team that is committed to delivering high-quality healthcare services. Don't miss out on this opportunity to join our team and make a real difference in the lives of our patients and communities. Apply now to take the first step towards a rewarding and challenging career as an Associate Clinical Documentation Improvement Specialist. At Northern Light Health and Optum, we are committed to diversity, equity, and inclusion. We believe that everyone deserves the opportunity to live their healthiest life, and we are dedicated to creating a work environment that is inclusive, supportive, and empowering. If you are a qualified candidate who is passionate about delivering high-quality healthcare services, we encourage you to apply for this exciting opportunity. Ready to Apply? If you are a motivated individual ready to contribute to a thriving team, we encourage you to apply now! We are excited to review your application and discuss this opportunity further. Apply for this job Apply tot his job Apply To this Job

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