Specialist, Clinical Documentation Improvement

ArchWell Health is a new innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable accessible neighborhood clinics where seniors can feel at home and become part of a vibrant wellness-focused community. Our members experience greater continuity of care as well as the comfort of knowing they will be treated with respect by people who genuinely care about them their families and their Summary: The Clinical Documentation Improvement Specialist (CDIS) uses clinical knowledge and understanding of national coding guidelines and standards of compliance to improve overall quality and completeness of clinical documentation within the patient electronic medical record. The CDIS works collaboratively with outpatient physicians and advanced practice providers to ensure that the clinical information within the medical record is accurate complete and compliant and supports accurate coding. This includes accurate documentation to support the capture of Hierarchical Condition Categories (HCCs) and ICD-10-CM specificity in outpatient visits. The CDIS functions as an SME resource and provides education to members of the patient care team both formally and informally regarding the impact of documentation on patient care quality metrics and accurate disease burden reporting. Duties/Responsibilities:Facilitate appropriate clinical documentation through concurrent prospective and retrospective medical record documentation in the medical record follows the official coding guidelines and internal clinical knowledge to identify potential gaps in clinical ongoing feedback to physicians and other providers regarding coding guidelines and documentation with education of physicians other providers and clinic staff relating to clinical documentation compliance as well as new policies and procedures related to competence related to HCC documentation requirements ICD-10-CM code assignment and coding and reporting to assigned outpatient centers to provide availability for inquiries and present education materials to provider both formal and informal education to physicians advanced practice providers and other key healthcare providers regarding clinical documentation updates and present chart review findings. Revision Date Revised by 5/29/2026 Patty Canary Director Clinical Documentation Integrity Required Skills/Abilities:Ability to work both autonomously and within the team innovation and collaboration is a priorityAbility to travel travel required minimum one (1) week per month (Monday - Friday) to assigned clinical site(s)Experience with an Electronic Medical Record (EMR) system(s)Knowledge of but not limited to current coding guidelines and methodologies including CMS HCC models ICD-10-CM coding guidelines and conventionsExtensive knowledge of medical terminology anatomy and pathophysiology pharmacology and ancillary test resultsStrong organization and analytical thinking skills detail orientedProficient with Microsoft Office applications (Outlook Excel PowerPoint) Demonstrates critical thinking skills able to assess evaluate and teachSelf-motivated and able to work independently without close supervisionStrong communication skills (interpersonal verbal and written)Education and Experience:Bachelors degree in Nursing (BSN)Provider education experience Clinical nursing experience Preferred Qualifications:CCS CPC CRC or similar coding certificationThree (3) years HCC/Risk Adjustment coding/documentation experience Previous outpatient CDI experienceArchWell Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to their race color religion age sex sexual orientation gender identity national origin disability veteran status or any other protected classificationRevision Date Revised by 5/29/2026 Patty Canary Director Clinical Documentation Integrity