Clinical Doc Spec - Outpatient

The Outpatient Clinical Documentation (CDS) Specialist is responsible for ensuring the accuracy, specificity, and compliance of clinical documentation in the ambulatory setting, with a strong focus on risk adjustment and HCC capture. This role would report to Pop Health but would work with the Augusta Medical Group (AMG) providers to support the providers by validating diagnoses, improving documentation quality, and enhancing outpatient workflows. Unlike traditional inpatient CDS roles, the Outpatient CDS Specialist focuses on ambulatory documentation, outpatient coding guidelines, and clinical decision support tools to ensure documentation accurately reflects patient complexity and supports value-based care initiatives.

• Bachelor’s in nursing or equivalent experience
• Licensed Registered Nurse in Virginia
• Coding Certification with 6 months of hire if not already certified.
  
• Two (2) years of clinical nursing experience
• Certification in both outpatient coding and HCC coding preferred 
• Experience with ambulatory coding and documentation preferred 
• Teaching/Education experience preferred

• Knowledge of health systems operations, health policy, and/or health care contracting
• Knowledge of population health programs and concepts
• Strong clinical judgement and analytical skills with high attention to details and strong compliance mindset.
• Advanced written and verbal communication skills with the ability to engage with providers
• A high degree of professionalism and competency in dealing with a variety of individuals
• Ability to teach complex concepts and maintain collaborative relationships
• Ability to independently organize and prioritize work
• Ability to interpret clinical data and translate it into actionable documentation guidance.
• Ability to deploy appropriate data sources, analysis methods, and effective communication of analytical results
• Articulates and presents data, information, and ideas in a clear and concise manner
• Creates an environment that encourages diverse opinions, recognizes differences and incorporates into process and services