University of Arkansas
Clinical Documentation Specialist
University of Arkansas, Little Rock, Arkansas, United States, 72208
to view the University of Arkansas System’s GDPR disclosures.**UAMS offers amazing benefits and perks** (available for benefits eligible positions only):* 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* Certified Professional Coder (CPC) ; Certified Risk Adjustment Coder (CRC) –Coding Specialist (CCS) or Clinical Documentation Improvement (CDI) Certificatio**n*** 2 years work in Risk Coding, provider education, audit experience in a billing coding role**Special knowledge, abilities and skills:**
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.* 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.At the University of Arkansas for Medical Sciences (UAMS), we are looking for health care and non-health care professionals who believe in excellence as a way of life. If you think you have the skills and commitment to succeed at the highest level, consider a career at UAMS, the state’s only academic health sciences center. Combining diverse talents and expertise, our employees work together to provide advanced patient care.We currently have a wide variety of positions available, from patient care to support staff- we may have the perfect position for you.UAMS rewards its nurses! Statewide opportunities are available in direct patient care, education, and research settings.
We offer Bonus Programs, Hotel Lodging, New Graduate RN Residency and support for Clinical Ladder, National Certification, Shared Governance, and Recognition Programs to name a few. Go to
for more details.The below report is provided in compliance with the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act) and the Higher Education Opportunity Act (HEOA).The report will provide you with information on campus safety and security including information on various policies and procedures for reporting crime, safety and security prevention and protection programs, victim assistance services, fire safety, and other materials to assist you in maintaining your safety and security.. #J-18808-Ljbffr
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.* 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.At the University of Arkansas for Medical Sciences (UAMS), we are looking for health care and non-health care professionals who believe in excellence as a way of life. If you think you have the skills and commitment to succeed at the highest level, consider a career at UAMS, the state’s only academic health sciences center. Combining diverse talents and expertise, our employees work together to provide advanced patient care.We currently have a wide variety of positions available, from patient care to support staff- we may have the perfect position for you.UAMS rewards its nurses! Statewide opportunities are available in direct patient care, education, and research settings.
We offer Bonus Programs, Hotel Lodging, New Graduate RN Residency and support for Clinical Ladder, National Certification, Shared Governance, and Recognition Programs to name a few. Go to
for more details.The below report is provided in compliance with the Jeanne Clery Disclosure of Campus Security Policy and Crime Statistics Act (Clery Act) and the Higher Education Opportunity Act (HEOA).The report will provide you with information on campus safety and security including information on various policies and procedures for reporting crime, safety and security prevention and protection programs, victim assistance services, fire safety, and other materials to assist you in maintaining your safety and security.. #J-18808-Ljbffr