Outpatient Clinical Documentation Improvement (CDI) Specialist

Role Overview: You will be working as an Outpatient Clinical Documentation Improvement (CDI) Specialist in Hyderabad, India. Your main responsibility will be to ensure the accuracy, completeness, and compliance of clinical documentation in outpatient medical records. You will collaborate with healthcare providers, coding staff, and compliance teams to enhance patient care quality, data integrity, and revenue cycle efficiency. Key Responsibilities: - Conduct concurrent and retrospective reviews of outpatient medical records to ensure documentation accurately reflects the patient's clinical condition, treatment, and services provided. - Collaborate with physicians and other healthcare providers to educate them on documentation best practices, including specificity and completeness for accurate coding and billing. - Issue compliant queries to providers to clarify ambiguous or incomplete documentation, ensuring alignment with coding guidelines. - Work closely with coding and billing teams to ensure documentation supports appropriate code assignment and reimbursement. - Ensure documentation meets regulatory requirements to minimize audit risks. - Monitor documentation trends and identify opportunities for improvement in clinical documentation processes. - Participate in quality improvement initiatives to enhance patient outcomes and organizational performance metrics. Qualifications: - Education: Life Science Graduate or Postgraduate. - Experience: Minimum of 5 years in clinical documentation improvement, medical coding, or outpatient healthcare settings. - Certifications (one or more preferred): Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC), Certified Coding Specialist (CCS). - Skills: Understanding of clinical terminology, disease processes, treatment protocols, analytical skills, communication skills, proficiency in EHR systems, detail-oriented. Preferred Qualifications: - Experience in outpatient or ambulatory care settings. - Knowledge of value-based care models. - Ability to work independently and collaboratively in a fast-paced environment. Please note that the company name "Doctus" is mentioned in the job description but no additional details about the company are provided.,