Clinical Documentation Integrity Specialist job at Curana Health in US National

Clinical Documentation Integrity (CDI) Specialist Location US-Remote ID 2025-2251 Category Other Position Type Full-Time At Curana Health, we’re on a mission to radically improve the health, happiness, and dignity of older adults—and we’re looking for passionate people to help us do it. As a national leader in value-based care, we offer senior living communities and skilled nursing facilities a wide range of solutions (including on-site primary care services, Accountable Care Organizations, and Medicare Advantage Special Needs Plans) proven to enhance health outcomes, streamline operations, and create new financial opportunities. Founded in 2021, we’ve grown quickly—now serving 200,000+ seniors in 1,500+ communities across 32 states. Our team includes more than 1,000 clinicians alongside care coordinators, analysts, operators, and professionals from all backgrounds, all working together to deliver high-quality, proactive solutions for senior living operators and those they care for. If you’re looking to make a meaningful impact on the senior healthcare landscape, you’re in the right place—and we look forward to working with you. For more information about our company, visit CuranaHealth.com. Summary As a Clinical Documentation Integrity (CDI) Specialist, you’ll play a critical role in ensuring our medical documentation tells the true story of each member’s health journey. Your expertise helps us drive accurate coding, optimize quality metrics, and support compliance—all while improving care for the populations we serve. Essential Duties & Responsibilities Champion Accuracy: Review inpatient and outpatient medical records, abstract key data, and ensure ICD-10-CM codes accurately reflect the patient’s story. Elevate Documentation: Partner with providers to identify opportunities for more complete documentation that supports severity of illness, risk adjustment, and quality outcomes. Be the Expert: Apply coding guidelines, evidence-based knowledge, and CMS requirements to improve coding quality and audit readiness. Collaborate & Educate: Respond to provider and internal team inquiries, lead provider training sessions, and strengthen vendor relationships. Stay Ahead: Maintain up-to-date knowledge of ICD-10-CM, CPT/HCPCS, RADV requirements, and state/federal regulations to keep our compliance strong. Ensure Excellence: Support RADV audits and coding quality initiatives using official coding guidelines and internal protocols. Qualifications Certifications: Registered Health Information Administrator (RHIA, AHIMA) and Certified Risk Adjustment Coder (CRC) or Clinical Documentation Expert Outpatient (CDEO, AAPC). Experience: 2+ years of experience with CPT/HCPCS coding. Background in risk adjustment, provider training, and RADV work. Knowledge & Skills: Strong grasp of CMS HCC model, ICD-10, CPT/HCPCS, and HIPAA requirements. Hands-on experience with medical record reviews and audits. Analytical mindset with advanced proficiency in Microsoft Office tools. Strong interpersonal skills with the ability to influence provider behavior and drive quality outcomes. We’re thrilled to announce that Curana Health has been named the 147th fastest growing, privately owned company in the nation on Inc. magazine’s prestigious Inc. 5000 list. Curana also ranked 16th in the “Healthcare & Medical” industry category and 21st in Texas. This recognition underscores Curana Health’s impact in transforming senior housing by supporting operator stability and ensuring seniors receive the high-quality care they deserve. Curana Health is dedicated to the principles of Equal Employment Opportunity. We affirm, in policy and practice, our commitment to diversity. We do not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable or state law, genetic information, or any other characteristic protected by applicable federal, state and local laws and ordinances. The EEO policy applies to all personnel matters as outlined in our company policy including recruitment, hiring, transfers, and general treatment during employment. • The company is unable to provide sponsorship for a visa at this time (H1B or otherwise). Apply tot his job Apply tot his job