LPN or RN Licensed HCC Specialist

To support coding accuracy and clinical documentation integrity, the fully remote HCC Documentation Specialist will perform prospective reviews of medical records, validate chronic conditions, and ensure compliance with HCC coding standards. Key Responsibilities Serve as a subject matter expert in clinical documentation quality and HCC coding integrity in the outpatient setting Perform prospective reviews of medical records to validate chronic conditions and ensure documentation accuracy and appropriate coding Monitor and analyze CDI outcomes and documentation trends to identify improvement opportunities and support program goals Required Qualifications Minimum 2 years of ambulatory Clinical Documentation Integrity or related healthcare documentation experience Active LPN or RN license required CCDS, CCDS-O, CDIP, CDEO, and/or CRC certification strongly preferred Proficiency in Epic workflows and understanding of ICD-10-CM coding guidelines Strong understanding of clinical criteria for HCC diagnoses