Clinical Documentation Specialist

Clinical Documentation Specialist

At Quincy Medical Group, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do. With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

About the Role

As a Clinical Documentation Specialist at Quincy Medical Group, you will play a key role in advancing our Value-Based Care initiatives by partnering with providers to improve clinical documentation, diagnosis capture, and coding accuracy. Serving as a trusted resource and educator, you will help ensure documentation reflects the complexity of patient care while supporting regulatory compliance, quality outcomes, and organizational performance. Working collaboratively with providers, clinical leaders, coding professionals, and operational teams, you will identify opportunities for documentation improvement, provide individualized education, and help implement best practices that enhance the accuracy and completeness of the medical record. This role is ideal for someone with a strong clinical background, a passion for education, and an interest in improving healthcare through accurate documentation and data.

Schedule & Work Environment

Full-time position, Monday - Friday, daytime hours. Schedule flexibility may be necessary to accommodate provider education sessions and organizational initiatives. Collaborative environment supporting providers across multiple specialties.

Primary Responsibilities

• Partner with providers to improve clinical documentation, diagnosis capture, and coding accuracy.
• Provide education and training on documentation best practices, risk adjustment principles, and applicable coding guidelines.
• Review medical record documentation to identify opportunities for improved specificity, completeness, and accurate diagnosis capture.
• Analyze documentation trends, audit findings, and performance metrics to develop targeted provider education.
• Serve as a subject matter expert on documentation integrity, regulatory requirements, and clinical documentation improvement initiatives.
• Collaborate with coding, quality, operations, and clinical leadership teams to support organizational goals.
• Develop educational resources, job aids, and reference materials that support provider success.
• Monitor documentation performance and assist with developing action plans to improve documentation quality and compliance.
• Maintain current knowledge of CMS guidance, ICD-10, HCC risk adjustment, and industry best practices.
• Support ongoing quality improvement initiatives and process enhancement efforts.
• Build collaborative relationships with providers, clinic leadership, and interdisciplinary teams.
• Perform other duties as assigned to support Value-Based Care initiatives.

Qualifications

• Bachelor's degree in nursing, health information management, healthcare administration, or a related field preferred.
• Current RN license or comparable clinical background preferred.
• Certified Professional Coder (CPC), Certified Risk Adjustment Coder (CRC), or ability to obtain certification within six months of hire preferred.
• Minimum of two years of experience in clinical documentation improvement, risk adjustment, coding, quality, population health, or a related healthcare field preferred.
• Working knowledge of ICD-10 coding, CMS documentation requirements, and risk adjustment principles preferred.
• Strong analytical, critical thinking, and problem-solving skills.
• Excellent presentation, communication, and relationship-building abilities.
• Ability to educate and influence providers through collaborative coaching and feedback.
• Strong organizational skills with the ability to manage multiple priorities independently.
• Proficiency with electronic medical records and Microsoft Office applications.

Benefits

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• Flexible time off.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

The compensation for this role includes a base pay range of $63,211.20 - $94,827.20 annually, with actual pay determined by experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through bonuses and other incentives. Base pay is only a portion of the total rewards package.

If you are committed to putting our patients first and helping shape the future of care, you belong at QMG.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a qualified individual.