Clinical Documentation Integrity Specialist
Medical Home Network
Full-time
Remote
United States
CDI (Clinical Documentation Integrity)
Are you ready to join a passionate community of people who are changing how health care is delivered? A place where you will find a career you love while truly making a difference building healthier communities. If this sounds like you, we would love to have you apply as Clinical Documentation Integrity Specialist, with Medical Home Network!
Since 2009, Medical Home Network (MHN) has partnered with Federally Qualified Health Centers (FQHCs) nationwide to transform care in the safety net, reduce health disparities, and build healthier communities. A mission-driven public benefit corporation, MHN helps FQHCs succeed in value-based care through technology, care model innovation, and strong partnerships. Our proven approach delivers leading health outcomes, lower costs, and elevated quality performance. We’re expanding our reach and impact to help more FQHCs enhance care for their patients. Modern Healthcare has named MHN one of the Best Places to Work in Healthcare for four years running (2021–2024). MHN was recently recognized as a Great Place to Work in 2025.
THE OPPORTUNITY:
The Clinical Documentation Integrity Specialist supports accurate and compliant documentation of patient conditions by collaborating with Primary Care Physicians (PCPs) at FQHCs and the MHN clinical team. The role focuses on chart review, documentation support, and compliance checks to ensure that patient records reflect the complexity of care, which supports both quality outcomes and regulatory requirements.
THE PERKS
- Fun, challenging, and collaborative work environment with passionate colleagues that care deeply about healthcare delivery.
- Recognized as One of the Best Places to Work in Healthcare by Modern Healthcare.
- Competitive benefits programs including Medical, Vision, Dental, HSA, FSA, and 401k.
- Fitness reimbursement, commuter benefits, and tuition assistance.
- Great work life benefits- Paid time off, sick time, and 12 paid holidays.
- Schedule: For candidates within 50 miles of the office, this role follows a hybrid schedule, onsite Tuesday and Wednesday, with remote work the remaining three days. While we prefer a hybrid arrangement, we are open to considering fully remote candidates.
WHAT YOU CAN LOOK FORWARD TO:
- Pre-visit support: Review patient charts prior to PCP visits to identify opportunities for more accurate documentation of chronic and complex conditions.
- Documentation Education: Educate PCPs in capturing complete and accurate patient information in their notes, ensuring appropriate coding for risk adjustment and why this is critical in value-based care
- Chart Review: Review provider documentation for compliance with CMS guidelines and confirm HCC-related conditions are captured accurately. Identify missed opportunities and how to optimize claims submission process.
- AI + NLP Review: Review AI/NLP tool outputs for accuracy and relevance, flagging appropriate suggestions for integration into the patient chart.
- Compliance Monitoring: Support compliance efforts by following internal guidelines and helping minimize audit risks.
- Team Collaboration: Work closely with PCPs and MHN clinical staff to reinforce documentation best practices and support overall care quality.
WHAT YOU’LL NEED TO SUCCEED:
- Bachelor’s degree in Health Information Management, a related discipline or equivalent work experience required.
- 3+ years of experience in HCC coding, CDI, or clinical documentation review.
- Experience in value-based care or risk adjustment settings preferred.
- Experience with FQHCs a plus
- Strong attention to detail and organizational skills.
- Effective communication skills to support provider collaboration.
- Certified Professional Coder (CPC) required.
- Certified Risk Adjustment Coder (CRC)strongly preferred.
- Skilled in HCC coding, risk adjustment, and CMS documentation guidelines.
- Ability to review and interpret clinical information and apply coding standards accurately.
- Experience collaborating with providers and clinical teams to improve documentation quality.
- Experience with various electronic health records (EHRs) and coding tools; exposure to AI/NLP tools a plus.
- Microsoft excel and PowerPoint proficiency required
Medical Home Network is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.