Clinical Documentation Specialist

Remote, USA Full-time
Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for “Find Jobs for Students”. All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated). If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through “My Draft Applications” located on your Candidate Home page. Closing Date: 01/31/2026 Type of Position: Professional Staff - Project/Program Administration Job Type: Regular Work Shift: Sponsorship Available: No Institution Name: University of Arkansas for Medical Sciences The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans. UAMS offers amazing benefits and perks (available for benefits eligible positions only): Health: Medical, Dental and Vision plans available for qualifying staff and family Holiday, Vacation and Sick Leave Education discount for staff and dependents (undergraduate only) Retirement: Up to 10% matched contribution from UAMS Basic Life Insurance up to $50,000 Career Training and Educational Opportunities Merchant Discounts Concierge prescription delivery on the main campus when using UAMS pharmacy Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button. The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University’s Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights. Persons must have proof of legal authority to work in the United States on the first day of employment. All application information is subject to public disclosure under the Arkansas Freedom of Information Act. For general application assistance or if you have questions about a job posting, please contact Human Resources at [email protected]. Department: ICE | CORE Value Based Care Department's Website: Summary of Job Duties: The Clinical Documentation Specialist supports University of Arkansas for Medical Sciences UAMS population health, quality, and financial performance through accurate, complete, and compliant risk-adjusted coding. This position is responsible for conducting comprehensive coding audits, identifying documentation and coding improvement opportunities, and ensuring compliance with CMS and payer guidelines. A central component of this role is provider education — partnering with clinicians and care teams to enhance understanding of risk adjustment principles, improve documentation practices, and strengthen audit readiness. The specialist combines coding expertise, analytical skills, and educational engagement to drive accurate diagnosis capture and optimal risk adjustment outcomes across all value-based care contracts. Qualifications: Minimum Qualifications: Registered Nurse (RN) with current license plus 4 years inpatient clinical experience in Emergency, Critical Care, or Medical/Surgical area with experience in Quality, Case Management, Clinical Audit, or Data Abstraction - OR - Coding professional with CCS certification and 6 years of inpatient coding experience with documented education in anatomy/physiology and pharmacology. Preferred Qualifications: Certified Professional Coder (CPC) ; Certified Risk Adjustment Coder (CRC) –Coding Specialist (CCS) or Clinical Documentation Improvement (CDI) Certification 2 years work in Risk Coding, provider education, audit experience in a billing coding role Special knowledge, abilities and skills: Must have excellent written and verbal communication skills. Experience in auditing and clinical documentation review within an ACO, health plan, or value-based care environment. Strong knowledge of ICD-10-CM, HCC models, and CMS risk adjustment guidelines Detail oriented, with ability to work as part of a team and independently. Knowledge of clinical quality measures and evaluation. Additional Information: Job Requirements: Perform detailed retrospective and prospective reviews of provider documentation to ensure accurate assignment of ICD-10-CM codes that support risk adjustment models (CMS-HCC, HHS-HCC, etc.). Validate that diagnoses meet all MEAT (Monitored, Evaluated, Assessed, Treated) criteria and align with official coding guidelines. Develop prospective process for pre-visit charting prioritizing high risk patient cohorts. Identify and correct coding discrepancies or missed opportunities that impact risk scores and quality metrics. Provider Education & Clinical Documentation Improvement (CDI) Support Partner with physicians, Advanced Practice Providers, and care teams to provide feedback and education on documentation best practices and accurate coding. Develop and deliver training sessions, workshops, or provider tip sheets focused on risk adjustment principles, MEAT criteria, and condition specificity. Serve as a subject matter expert on coding and documentation policy updates, ensuring provider network awareness and compliance. Promote a culture of documentation excellence through ongoing education and collaboration. Collaborate with the population health teams to track coding completeness, identify trends, and prioritize high-impact patient cohorts. Use data-driven insights to support Value Based Care initiatives such as gap closure, RAF optimization, and quality measure improvement. Prepare detailed audit reports and participate in audit follow-up activities, including root-cause analysis and education. Collaborate with billing and revenue cycle teams to ensure appropriate claim corrections or adjustments are made, without directly altering billing or claim data. Maintain current knowledge of risk adjustment regulations, coding policies, and payer-specific documentation requirements. Other duties as assigned. Salary Information: Required Documents to Apply: Optional Documents: Special Instructions to Applicants: Recruitment Contact Information: Please contact [email protected] for any recruiting related questions. All application materials must be uploaded to the University of Arkansas System Career Site Please do not send to listed recruitment contact. Pre-employment Screening Requirements: Annual TB Screening, Criminal Background Check, Substance Abuse Testing This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. Constant Physical Activity: Feeling, Grasping, Hearing, Manipulate items with fingers, including keyboarding, Reaching, Repetitive Motion, Sitting, Standing, Talking, Walking Frequent Physical Activity: Crouching, Lifting, Pulling, Pushing, Reaching, Stooping Occasional Physical Activity: Balancing, Climbing, Crawling Benefits Eligible: At the University of Arkansas for Medical Sciences (UAMS), we are looking for health care and non-health care professionals who believe in excellence as a way of life. If you think you have the skills and commitment to succeed at the highest level, consider a career at UAMS, the state’s only academic health sciences center. Combining diverse talents and expertise, our employees work together to provide advanced patient care. We currently have a wide variety of positions available, from patient care to support staff- we may have the perfect position for you. UAMS is Arkansas’ only comprehensive academic health sciences center. We educate and train the vast majority of the state’s physicians and prepare doctors, scientists, nurses, pharmacists and health professionals through innovation, compassion, teamwork and patient- and family-centered care so they can impact the world. UAMS rewards its nurses! Statewide opportunities are available in direct patient care, education, and research settings. We offer Bonus Programs, Hotel Lodging, New Graduate RN Residency and support for Clinical Ladder, National Certification, Shared Governance, and Recognition Programs to name a few. Go to nurses.uams.edu for more details. The University of Arkansas for Medical Sciences (UAMS) is committed to providing a safe and secure environment for students, faculty, staff, visitors, and prospective employees. The below report is provided in compliance with the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act) and the Higher Education Opportunity Act (HEOA). The report will provide you with information on campus safety and security including information on various policies and procedures for reporting crime, safety and security prevention and protection programs, victim assistance services, fire safety, and other materials to assist you in maintaining your safety and security. www.uams.edu/police. Apply tot his job
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