Are you passionate about improving healthcare quality through precise clinical documentation? Doctus Data Services Private Limited is hiring an Outpatient Clinical Documentation Improvement (CDI) Specialist in Hyderabad, Telangana. This full-time, on-site role offers a unique opportunity to collaborate with healthcare providers, enhance documentation accuracy, and support optimal reimbursement in an outpatient setting. If you have expertise in clinical terminology, coding, and compliance, this position at Doctus is your chance to make a meaningful impact. Read on to explore the responsibilities, qualifications, benefits, and how to apply for this exciting CDI career opportunity.
Key Responsibilities
As an Outpatient CDI Specialist at Doctus, you will play a pivotal role in ensuring high-quality clinical documentation. Your responsibilities include:
- Documentation Review: Perform concurrent and retrospective reviews of outpatient medical records to ensure accuracy and completeness, reflecting patients’ clinical conditions and treatments.
- Provider Education: Work with physicians and healthcare providers to educate them on best practices for specific, compliant documentation to support accurate coding and billing.
- Query Process: Issue compliant, non-leading queries to clarify ambiguous or incomplete documentation, adhering to ICD-10-CM, CPT, and outpatient coding guidelines.
- Coding Collaboration: Partner with coding and billing teams to ensure documentation supports appropriate code assignment and risk adjustment.
- Compliance Assurance: Maintain adherence to CMS, HIPAA, and other regulatory guidelines to minimize audit risks.
- Data Analysis: Identify documentation trends and opportunities for process improvement through data analysis.
- Quality Improvement: Contribute to initiatives that enhance patient outcomes and organizational performance metrics.
Qualifications
To excel in this role, candidates should meet the following requirements:
- Education: Science Graduate or Postgraduate degree.
- Experience: Minimum of 5 years in clinical documentation improvement, medical coding, or outpatient healthcare settings, with strong knowledge of ICD-10-CM, CPT, HCPCS, and risk adjustment models.
- Certifications (Preferred): Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement Practitioner (CDIP), Certified Professional Coder (CPC), or Certified Coding Specialist (CCS).
- Skills:
- Proficient in clinical terminology, disease processes, and treatment protocols.
- Strong analytical skills to identify documentation gaps.
- Excellent communication and interpersonal skills for provider collaboration.
- Proficiency in EHR systems (e.g., Epic, Cerner) and CDI software tools.
- Detail-oriented with a focus on compliance and accuracy.
- Preferred Qualifications:
- Experience in outpatient or ambulatory care settings (e.g., clinics, urgent care).
- Knowledge of value-based care models and payer-specific requirements (e.g., Medicare Advantage, Medicaid).
- Ability to work independently and collaboratively in a fast-paced environment.
Benefits of Joining Doctus
Joining Doctus Data Services offers a rewarding career with:
- Impactful Work: Contribute to healthcare quality and revenue cycle efficiency.
- Collaborative Environment: Work with a supportive team dedicated to excellence in clinical documentation and compliance.
- Career Growth: Take on a pivotal role in shaping the future of CDI at a leading healthcare organization.
- Professional Development: Engage in continuous learning through provider education and quality improvement initiatives.
How to Apply
Ready to advance your CDI career? Submit your resume and cover letter to recruiter@doctususa.com with the subject line “Outpatient CDI Specialist Application.”
