Community Health Network logo

Clinical Documentation Specialist IHCI - RN or MD

Community Health Network
Full-time
On-site
Indianapolis, Indiana, United States
Registered Nurse

Join Community

Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you.

Partner with Community Health Network and Deaconess Health System – IHCI

The Innovative Healthcare Collaborative of Indiana LLC (IHCI) is a company formed through the partnership of Community Health Network (CHNw) and Deaconess Health System (DHS). Both CHNw and DHS place high importance on continuing and advancing population health and value-based care to improve patient health outcomes.

Make a Difference

The Innovative Healthcare Collaborative of Indiana (IHCI) is seeking a Clinical Documentation Specialist to join our population health team. Our goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system. Reporting to the Clinical Documentation Integrity Manager, this role performs proactive documentation integrity to ensure conditions are available for provider review with evidence included before the patient is seen. At all times, the Clinical Documentation Specialist will uphold the IHCI values of Respect, Teamwork, Integrity, Continuous Learning, Innovation, Patient Centered, and Providing Value.  The Clinical Documentation Specialist may not perform all these duties, or may perform additional, related duties not listed here:

  • Perform proactive or retrospective reviews of patient medical records for accuracy, completeness and clarity of documentation

  • Identify documentation gaps and query providers for clarification when clinical indicators suggest conditions not fully captured

  • Educate and provide feedback to providers on HCC documentation requirements, CMS guidelines and best practices

  • Collaborate with coding teams to ensure documentation supports accurate code assignment and aligns with risk adjustment models.

  • Follow internal workflows to work within and between technical platforms

  • Assist in Physician resource development and Population Health Advisor training support as needed.

  • Monitor trends in documentation deficiencies and develop targeted education or process improvement initiatives.

  • Support regulatory compliance by ensuring all documentation meets CMS, ICD-10-CM and organizational standards

  • Complete project-based work from health plan provided insights to integrate into existing platforms and workflows

  • Support continuous performance improvement activities within the team to optimize outcomes

  • Meet all required productivity and audit requirements of the role

  • Attend and participate in all team and company meetings and/or trainings

Exceptional Skills and Qualifications

  • 2-year / associate degree (Required)

  • 4-year / bachelor’s degree (Preferred)

  • Doctorate Degree (Preferred)

  • 3+ years experience in Clinical Documentation Integrity (Required)

  • 3+ years Professional Clinical Experience, such as\: RN or MD (Required)

  • 3+ years experience in Population Health (Preferred)

  • 3+ years experience in Outpatient Risk Adjustment (HCC) (Required)

 

Preferred Certifications/Licensures

  • Certified Risk Adjustment Coder (CRC)

  • Certified Clinical Documentation Specialist (CCDS)

  • Certified Documentation Improvement Practitioner (CDIP)