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UAMS - University of Arkansas for Medical Sciences · 8 hours ago

Clinical Documentation Specialist

Little Rock, AR

Full-time

Onsite

Mid, Senior Level

4+ years exp

The University of Arkansas for Medical Sciences (UAMS) is a collaborative health care organization focused on improving patient care and the lives of Arkansans. The Clinical Documentation Specialist supports UAMS's population health, quality, and financial performance through accurate coding and documentation practices, partnering with clinicians to enhance understanding of risk adjustment principles. Responsibilities include conducting coding audits, providing education to providers, and ensuring compliance with CMS and payer guidelines.

EducationHealth CareNon Profit

No H1B

Responsibilities

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

Qualification

Registered Nurse (RN)CCS certificationICD-10-CMCPC certificationRisk CodingCommunication skillsDetail orientedTeamwork

Required

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

Coding professional with CCS certification and 6 years of inpatient coding experience with documented education in anatomy/physiology and pharmacology

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

Preferred

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

Benefits

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

Company

UAMS - University of Arkansas for Medical Sciences

Glassdoor3.6

UAMS is the state’s only comprehensive academic health center, with colleges of Medicine, Nursing, Pharmacy, Health Professions and Public Health; a graduate school; a hospital; a northwest Arkansas regional campus; a statewide network of regional centers; and seven institutes: the Winthrop P.

Founded in 1879

Little Rock, Arkansas, USA

10001+ employees