Ambulatory Clinical Documentation Integrity Specialist; Remote
Livonia, Wayne County, Michigan, 48153, USA
Listed on 2026-01-12
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Healthcare
Health Informatics, Healthcare Administration
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Ambulatory Clinical Documentation Integrity Specialist (Remote) role at Trinity Health
PurposeUses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking and problem‑solving skills to support colleagues and leadership in achieving the organization’s strategic objectives. Serves as a peer influencer and may direct a project or project team by applying industry experience and specialized knowledge.
Employment TypeFull time
ShiftFull time
Essential FunctionsOur Trinity Health Culture:
Knows, understands, incorporates and demonstrates Trinity Health Mission, Values, Vision, Actions and Promise in behaviors, practices and decisions.
Work Focus:
Researches, collects and analyzes information; identifies opportunities, develops solutions, and leads through resolution.
Collaborates on performance improvement activities as indicated by outcomes in program efficiency and patient experience.
Responsible for distribution of analytical reports.
Process Focus:
Utilizes multiple system applications to perform analysis, create reports and develop educational materials. Incorporates basic knowledge of Trinity Health policies, practices and processes to ensure quality, confidentiality and safety are prioritized.
Demonstrates knowledge of departmental processes and procedures and ability to readily acquire new knowledge.
Data Management & AnalysisResearches and compiles information to support ad‑hoc operational projects and initiatives.
Synthesizes and analyzes data and provides detailed summaries including graphical data presentations illustrating trends and recommending practical options or solutions while considering the impact on business strategy and supporting leadership decision making.
Leverages program and operational data and measurements to define and demonstrate progress, ROI and impacts.
Functional Role- Obtain appropriate clinical documentation through extensive interaction with providers and coding staff to ensure documentation reflects level of service rendered to patients is complete and accurate.
- Validate the accurate assignment of working HCC diagnosis affecting RAF scores within the ambulatory patient population by collaborating with physicians and advanced practice providers.
- Conduct thorough prospective and sometimes retrospective quality reviews of ambulatory patient records, documenting all relevant findings and tracking key information through the process.
- Identify areas where documentation requires clarification and engage with physicians, advanced practice providers and other healthcare professionals to effectively resolve discrepancies.
- Ensure medical record documentation is accurate, complete and compliant, supporting acute or chronic conditions and medical necessity.
- Apply understanding of payment structures, outpatient reimbursement models and the impact of provider documentation and HCC risk adjustment, ensuring compliance with reporting standards for claims submission.
- Identify patterns and trends impacting documentation and coding and act as a technical resource related to documentation, coding and billing regulations for assigned service area.
- Associate’s degree in Business, Healthcare, Nursing or related field, or equivalent combination of education and experience.
- Experience with compliant healthcare documentation, HCC coding requirements, alternate payment models in a multi‑facility, integrated health care delivery system, revenue cycle or consulting experience.
- Certified Risk Adjustment Coder (CRC), Certified Clinical Documentation Integrity (CDI), Certified Clinical Documentation Specialist – Outpatient (CCDS‑O), Certified Documentation Expert Outpatient (CDEO), or Certified Documentation Integrity Practitioner (CDIP) credential with coding or clinical documentation integrity experience.
- Bachelor’s degree in nursing, HIM or related healthcare field.
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