Outpatient CDI Specialist-Hybrid

Benefits Highlights

• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.

Responsibilities

This position requires the ability to build strong working relationships with Clinicians, Administrators, and Revenue Cycle colleagues. It must possess strong communication skills to bridge and connect interrelated concepts, business functions, and processes in order to deliver results through an Outpatient CDI program. The role requires understanding various payment structures, fee schedules, and reimbursement methodologies in the outpatient setting and with physician encounters, and knowledge of how physician documentation translates into ICD‑10‑CM and HCPCS/CPT codes for claims submission to meet reporting requirements. It will be expected to create and effectively deliver presentations educating physicians, group practices and administration as well as individually track, monitor, and report on case reviews and document results achieved. The position requires prioritization and organization of time and materials, addressing physician documentation and education needs, demanding and competing priorities and deadlines. It will be recognized and relied upon as a subject matter expert in how proper provider documentation drives accurate coding of outpatient services.

Qualifications

• Hybrid position; must be located within 100 miles of any Mayo Clinic campus for on‑site expectations.
• Associate degree in a healthcare related program and at least three years of experience in health care, nursing, business, or finance.
• Three years of ICD‑10‑CM and/or CPT/HCPCS coding knowledge.
• Applicable CDIS or HIM (coding) credentialing through ACDIS, AHIMA, and/or AAPC, or an LPN or RN licensure with three years of ICD‑10 and/or CPT/HCPCS coding.
• Certified Clinical Documentation Specialist – Outpatient (CCDS‑O) required within three years.
• Understanding of physician documentation requirements in a clinic, outpatient, or inpatient setting to capture patients’ acute and chronic conditions, and translation into ICD‑10‑CM diagnosis codes, CPT codes, Level 1 or other HCPCS codes per encounter, as well as knowledge of claim reporting requirements (CMs‑1500, UB‑04) and electronic health record navigation.

Compensation

$72,758 – $101,816 per year

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status, or disability status. Mayo Clinic participates in E‑Verify and may provide required information for work authorization verification.