Job description
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
Who can apply
Eligible countries: United States. Accepted UTC offsets: UTC-10, UTC-9, UTC-8, UTC-7, UTC-6, UTC-5, UTC+14. Review the full description for employer-specific work authorization, residency and schedule requirements.