CDI Specialist II

Who You Are You’re a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don’t deter you—instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health’s commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You’re ready to join a team focused on reimagining primary care for a healthier future that benefits all. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders—from health systems, physician organizations, and payers to providers, practices, and patients—to deliver innovative solutions that elevate care, control costs, and support long‑term health. Guided by our core values, we’re creating a value‑driven model that creates lasting benefits for everyone, now and into the future. Your Role As a CDI SpecialistII, you will support physician offices within our established partnerships to assist them in Honest’s concurrent and retrospective programs to ensure accurate coding/documentation and comprehensive data collection. You serve as a subject matter expert in ICD‑10‑CM, AHA Coding Clinic for ICD‑10‑CM and CMS Medicare PartC instructions and requirements for diagnostic coding. This expertise will also be used to educate internal team members and external providers about compliant, accurate and comprehensive documentation and coding for their patient populations. In addition, the CDI SpecialistII role will include an analysis component designed to identify trends and educational opportunities for the external providers with whom we partner. Primary Functions of the CDI SpecialistII Work collaboratively with physicians, Advanced Practice Practitioners, other healthcare professionals, and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes, and quality are captured for the level of service rendered to all patients. Provide coding support, education, and training related to quality of documentation and diagnosis coding while adhering to ICD‑10‑CM Official Guidelines for Coding and Reporting, AHA Coding Clinic, and CMS Medicare PartC instructions and guidance. Audit clinical documentation and coded data to ensure appropriate support of diagnoses, procedures, treatment, services rendered for reimbursement, and reporting purposes. Design, develop, and deliver training presentations based upon documentation review findings. Identify documentation performance opportunities, communicate to leadership, and develop an education strategy/plan for improvement. Prepare training and presentations on complex conditions, providing guidance on appropriate documentation and coding. Deliver risk adjustment coding and documentation training to provider partners’ internal billing and coding team. Perform other related responsibilities as assigned. How You Qualify High school diploma, GED, Associate’s degree or suitable equivalent 4+ years medical coding experience required 4+ years provider engagement and education experience required CRC required CPC, CCS, CCS‑P, RHIT, or RHIA required CDEO or CCDS‑O preferred Auditing experience required CPMA preferred AAPC Approved Instructor, preferred A thorough understanding of anatomy, pathophysiology, and medical terminology necessary to correctly code using CPT, ICD‑10, and HCPCS LevelII coding systems Demonstrate understanding of current Quality Measure Initiatives including Value‑Based Care Demonstrate knowledge of pathophysiology, disease management, and coding guidelines Working knowledge of HIPAA Privacy and Security Rules Demonstrated proficiency in computer skills, i.e., Microsoft Windows, Outlook, Excel, Word, PowerPoint, Internet browsers, Microsoft Teams Excellent communication skills, both verbal and written Strong people skills and ability to build supportive relationships with providers Outstanding organizational skills and an ability to operate efficiently and independently CMS HCC Risk Adjustment experience, required High attention to detail required Occasional travel to deliver education to providers in person may be required, up to 15% Compensation The base pay range for this role is $36.83 - $42.74. Compensation takes into account several factors including but not limited to a candidate’s experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one element of the total rewards program offered by Honest. Eligible roles also qualify for short‑term incentives and a comprehensive benefits package. Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally‑protected characteristics. Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email View email address on click.appcast.io for assistance. Reasonable accommodation will be determined on a case‑by‑case basis. #J-18808-Ljbffr Honest Medical Group LLC