Akido logo
Akido

Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care. Serving 500K+ patients across California, Rhode Island, and New York Offers primary and specialty care in 26 specialties Founded in 2015 (YC W15) Expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform

Clinical Documentation Integrity (CDI) Specialist - Outpatient

Clinical ResearchClinical ResearchFull TimeRemoteMid LevelTeam 501-1,000

Location

United States

Posted

81 days ago

Salary

$63K - $68K / year

Seniority

Mid Level

No structured requirement data.

Job Description

Clinical Documentation Integrity (CDI) Specialist - Outpatient

Akido

Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America’s physician shortage and make exceptional healthcare universal. Its AI empowers doctors to deliver faster, more accurate, and more compassionate care. Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York. Founded in 2015 (YC W15), Akido is expanding its risk-bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. Read more about Akido’s $60M Series B. More info at Akidolabs.com. The Opportunity The Outpatient Clinical Documentation Integrity (CDI) Specialist is a key figure in enhancing patient care. Serving as a bridge between providers, coders, and the revenue cycle, you will use your clinical knowledge, national coding, and compliance guidelines to clarify at-risk or incomplete documentation and ensure complete and accurate claim submissions. Your responsibility for reviewing patient medical records in the clinic setting to capture an accurate representation of risk adjustment and facilitate proper coding is crucial. It directly influences the quality of care our patients receive and the accuracy of our clinical practices. This Outpatient CDI role is not just a job but a dedication to the patients attributed to RIPCPC. What you’ll do To perform this job, an individual must perform each essential function satisfactorily with or without reasonable accommodation. - Possess expertise in how proper provider documentation drives the coding accuracy for complexity and medical necessity, improving the quality of care and patient outcomes for outpatient services and associated risk adjustment. - Demonstrate the ability to build strong working relationships with clinicians, administrators, and revenue cycle colleagues. - Ability to abstract clinical data from medical record documentation to produce queries for missed medical diagnosis opportunities. - Conduct pre and post visit audit to ensure the accuracy and completion of the medical record documentation for claims submission and reimbursement. - Work independently with minimal supervision while utilizing one's own strong work ethic, time management, and problem-solving skills. - - Leverage strong communication skills to bridge interrelated concepts, business functions, and processes to deliver results through an Outpatient CDI program. - Understand various payment structures, fee schedules, reimbursement methodologies in the outpatient setting and physician encounters, and how physician documentation translates into ICD-10-CM and HCC risk adjustment for claims submission to meet reporting requirements. - Utilize EHR to prioritize encounters for review and accurately enter data in Dynamics Tool (Microsoft product internally built to our process needs) to ensure the integrity of tracked data for reporting key performance indicators, including productivity, physician engagement, and potential financial impact. - Knowledge of, but not limited to, current coding guidelines and methodologies: HCCs, ICD-10-CM coding guidelines, Office of Inspector General (OIG), and other government mandates - Extensive knowledge of medical terminology, anatomy, pathophysiology, pharmacology, and ancillary test results - Possess strong organization and analytical thinking skills and is detail-oriented Additional Information: The position serves both employed and independent providers and clinicians in RIPCPC clinics. Access to and work with sensitive and confidential information. Exhibit a comprehensive understanding of healthcare regulatory and compliance (e.g., HIPAA) information. Skilled in the application of policies and procedures. Knowledge of business office standards and recommended practices. This Position is 100% Remote. Who you are - Education: Preferred Risk Adjustment Coder and/or the certifications listed below. - Experience: A minimum of 3 years of ambulatory risk adjustment coding experience with some clinical knowledge preferred. License or Certification: A Certified Risk Adjusted Coder (CRC) is preferred. Certified Professional Coder (CPC) and Certified Coding Specialist (CCS) certifications will also be considered. Skills and Abilities: This position requires an understanding and knowledge of physician documentation requirements in a clinic setting to capture patients’ acute and chronic conditions - ICD-10-CM Coding experience - Ability to work independently with minimal supervision after training - Knowledge of HCCs and risk models - Proficient critical thinking, reasoning, and deduction to draw accurate clinical conclusions - Ability to navigate various electronic health records and utilize AI/NLP technologies - Positive attitude and team player - Ability to collaborate with providers Benefits - Health benefits include medical, dental and vision - Company paid Health Reimbursement Arrangement - Reduces employee responsibility portion of medical plan deductible - Voluntary Health Savings Account (HSA) - 401K - Long-term disability - Paid Time Off - Life insurance- Company paid basic life and voluntary supplemental life 👉Physical Demands: Sedentary work typically involves sitting most of the time but may involve walking or standing for brief periods. Salary range $63,000—$68,000 USD Akido Labs, Inc. is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.

Related Categories

Related Job Pages

More Clinical Research Jobs

Cherokee Federal logo

Clinical Informaticist I

Cherokee Federal

Building. Solving. Serving.

Full TimeRemoteTeam 5,001-10,000Since 1969H1B No Sponsor

Clinical Informaticist I As required by our governmental client, this position requires being a US Citizen. The Clinical Informaticist I supports the design, integration, and optimization of enterprise clinical data systems within the 4DW (Data Warehouse) program, with a focus on enabling longitudinal patient records, clinical analytics, and data-driven care delivery. Compensation & Benefits: Estimated Starting Salary Range for Clinical Informaticist I: $75,000-$85,000 Pay commensurate with experience. Full time benefits include Medical, Dental, Vision, 401K, and other possible benefits as provided. Benefits are subject to change with or without notice. Clinical Informaticist I Responsibilities Include: - Clinical Data Integration & Validation - Support the integration of clinical data from legacy systems (e.g., RPMS/VistA) into the 4DW Clinical Data Repository (CDR) and downstream systems (CDV, analytics platforms). - Validate clinical data domains including: - Patient demographics and identity - Encounters and visit history - Orders, results, labs, vitals, and observations - Clinical documentation and notes - Ensure clinical accuracy, context, and usability of migrated and transformed data. - FHIR & Interoperability Support - Assist in the implementation and validation of FHIR-based integrations (e.g., Azure API for FHIR). - Support mapping of clinical data to FHIR resources (Patient, Encounter, Observation, Condition, etc.). - Collaborate with technical teams to ensure data consistency across APIs, repositories, and consuming applications. - Clinical Workflow Alignment - Evaluate how clinical data supports workflows within PATH EHR and Lookback Viewer. - Ensure historical (RPMS) and current (PATH) data are clearly delineated and clinically interpretable. - Provide input into workflow design to ensure alignment between data structures and clinical use. - Data Quality & Governance - Participate in data quality validation, reconciliation, and issue resolution across systems. - Support definition and enforcement of data governance standards, including: - Data lineage and traceability - Clinical data definitions and standardization - Change control processes for data transformations - Assist in distinguishing defects vs. enhancement requests in clinical data behavior. - EMPI & Patient Identity Support - Support integration with Enterprise Master Patient Index (EMPI) systems. - Assist in resolving patient identity issues, including: - Duplicate records - MRN reconciliation - Identity matching across systems - Ensure patient identity integrity across 4DW, PATH, and legacy data sources. Clinical Informaticist I Experience, Education, Skills, Abilities requested: - Bachelor’s degree in health informatics, Information Technology, Nursing, or a related field. - Ensure clinical information systems are properly maintained and optimized for user efficiency. - Provide prompt and effective support for clinicians experiencing issues with EHR and other clinical applications. - Work closely with IT, clinical staff, and other stakeholders to improve system functionality and user experience. - Assist in the implementation of new clinical information systems and upgrades. - Contribute to quality improvement initiatives by providing data and insights from clinical information systems. - Must pass pre-employment qualifications of Cherokee Federal. Company Information: Cherokee Nation Integrated Health (CNIH) is a part of Cherokee Federal – the division of tribally owned federal contracting companies owned by Cherokee Nation Businesses. As a trusted partner for more than 60 federal clients, Cherokee Federal LLCs are focused on building a brighter future, solving complex challenges, and serving the government’s mission with compassion and heart. To learn more about CNIH, visit cherokee-federal.com. #CherokeeFederal #LI-CG #LI-REMOTE Cherokee Federal is a military friendly employer. Veterans and active military transitioning to civilian status are encouraged to apply. Similar searchable job titles: - Clinical Informatics Specialist - Clinical Data Integration Analyst - Health Informatics Analyst - EHR Data Analyst (PATH / RPMS / VistA) - Clinical Data Quality Analyst (CDR / Data Warehouse) - Interoperability Analyst (FHIR / HL7) - FHIR Implementation Specialist (Azure API for FHIR) - Clinical Systems Analyst (EHR / Health IT) - Patient Identity / EMPI Analyst - Clinical Data Warehouse Analyst (Healthcare) Keywords: - FHIR - HL7 - Azure - API - PATH - RPMS - VistA - 4DW - EMPI - CDR Legal Disclaimer: All qualified applicants will receive consideration for employment without regard to protected veteran status, disability or any other status protected under applicable federal, state or local law. Many of our job openings require access to government buildings or military installations.

United States
$75K - $85K / year
Job Closed
Rho logo

Biostatistician I

Rho

Experience, Rho. A global full-service CRO.

Full TimeRemoteTeam 501-1,000Since 1984H1B Sponsor

• Develop, test, maintain, and archive SAS program code to conduct planned and exploratory statistical analysis of clinical data • Interpret the results using written, oral, and graphic methods, as appropriate, either in a statistical report or as part of a clinical trial report • Prepare analysis plans and specifications for analysis data sets and data displays (tables, listings, & graphs) • Collaborate with statistical programming team on the production of datasets and displays • Identify and troubleshoot missing, miscoded, or incomplete data and work with clinical team to resolve issues • May perform sample size computations and develop/validate randomization schemes for clinical trials

United States
$80K - $90K / year
Job Closed
Humana logo

Clinical Programs Pharmacy Technician

Humana

Louisville, Kentucky-based Humana is a leading healthcare company that offers a variety of health, wellness, and insurance products and services designed to off

Become a part of our caring community As a Rx Clinical Programs Pharmacy Technician Representative 2 you will support Pharmacists and patients by executing programs developed to improve overall health outcomes with a focus on prescription drugs, and medication therapy and helps drive the strategy on comprehensive medication reviews. As a Rx Clinical Programs Pharmacy Technician Representative 2 you will perform varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. In this role as a Rx Clinical Programs Pharmacy Technician Representative 2 you will assist in driving prescription drug optimization in cases where patients are taking multiple medications. Through effective communication, helps drive health awareness with patients through Rx Education and targeted quarterly campaigns. Assists Pharmacists by placing and retrieving calls to confirm patients are taking drugs and provides counseling. Decisions are typically focus on interpretation of area/department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction. Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion. In this role, you will: - Make outbound and take inbound calls - Communicate with Humana members - Collect medication history information - Prepare members for a comprehensive medication review Use your skills to make an impact PLEASE MAKE SURE YOU ATTACH YOUR RESUME TO YOUR APPLICATION (PDF OR WORD FORMAT) ** Earn a $1,500 hiring sign on bonus! * (50% payable at hire and 50% payable at 180 days; you must be employed until that date to be eligible to receive the payment!) - Applicable to external candidates only Required Qualifications - Resident State Pharmacy Technician License OR National Pharmacy Technician Certification - High School Diploma or equivalent - Excellent communication skills both written and verbal - Applied knowledge of insurance processing, customer service or call center processes and practices - High speed hardwired internet and phone, minimum speed 20Mbps - Must have a designated work area with a door that locks Schedule: Must have the flexibility to work any hours between 8:00am-7:00pm EST and holidays/weekends and overtime as needed. - You must be on time, dressed appropriately, with your camera ON during 2+ weeks of training and for other meetings required by leadership. Attendance is vital for success, time off during your 180-day appraisal period is not permitted. Exception: Should a Humana-observed holiday occur during training or within the 180-day appraisal period, you will have the holiday off (paid). Preferred Qualifications - Associate's degree or equivalent work experience - Experience in mail order and/or retail pharmacy setting - Ability to speak both English and Spanish fluently - Previous call center experience in a pharmacy setting - Strong communication and telephonic skills - Ability to solve problems and encourage others in collaborative problem solving - Self-directed, but also able to work well in a group - A positive, proactive attitude, energetic, highly motivated and a self-starter - Work ethic that is focused, accurate and highly productive Referral Bonus Information Associates may receive a bonus for the referral of external candidates to this requisition, provided that all other eligibility requirements are met. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $40,000 - $52,300 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

United States
$40K - $52.3K / year
Job Closed
Medpace, Inc. logo

Bilingual Clinical Research Associate (CRA) - Montreal

Medpace, Inc.

Medpace is a full-service clinical contract research organization (CRO). We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries. Our mission is to accelerate the global development of safe and effective medical therapeutics through its scientific and disciplined approach. We leverage local regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system, anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, employing more than 5,000 people across 40+ countries.

Full TimeRemoteTeam 5,001-10,000

Medpace is growing quickly and we are seeking a Clinical Research Associate to join our team in Montreal Canada. We are an innovative, scientifically oriented mid-sized CRO that is focused on full-service project work. This is a home-based position in Montreal Canada. Through our PACE Training Program, you will join other Professionals Achieving CRA Excellence and receive customized, expedited training, and efficient onboarding to familiarize experienced CRAs with Medpace systems. WE OFFER THE FOLLOWING - Competitive bonus plans including Resourcing Bonus (following training completion and successful assignment to studies) and Yearly Travel Incentives - Voluntary retirement scheme - Home office furniture allowance, mobile phone and hotspot for internet access anywhere - In-house travel agents, reimbursement for airline club and TSA pre-check - Customized PACE training program based on your experience and therapeutic background and interest - User friendly CTMS with electronic submission and approval of monitoring visit reports - Ongoing therapeutic training by our in-house physicians who are medical and regulatory experts - National assignments with average of 2 protocols - In-house administrative support for all levels of CRAs - Opportunities to work with international team of CRAs - Low turnover rates for CRAs - No metric for minimum required days on site per month - Flexible work hours across days within a week - Opportunity for CRA leadership positions – Lead CRA, CRA Manager - Many additional perks unmatched by other CROs! Responsibilities - Conduct pre-study, initiation, monitoring, and closeout visits for research sites according to Medpace/Sponsor SOPs and GCP; - Maintain ongoing site correspondence and site files; - Complete visit reports and maintaining study-related databases; - Oversight and interaction with clinical research sites; and - Review of patient charts and clinical research data. Qualifications - Bachelor’s degree in science from an accredited university; - At least 1 year as a Clinical Research Associate or Clinical Research Coordinator; - Bilingual in English and French; - Thorough knowledge of the methodology related to the conduct and monitoring of clinical trials per ICH E-6 guidelines and per Part-C, Division 5 of the Health Canada Food and Drug regulations; - Excellent interpersonal, written and verbal communication skills in English and French; - Strong attention to detail and organization skills; - Highly motivated, independent, flexible; - Ability to travel between 60-80%; - Ability to prioritize workload to meet timelines across multiple studies; and - Proficient in Microsoft Office. Medpace Overview Medpace is a full-service clinical contract research organization (CRO). We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries. Our mission is to accelerate the global development of safe and effective medical therapeutics through its scientific and disciplined approach. We leverage local regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system, anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, employing more than 5,000 people across 40+ countries. Why Medpace? People. Purpose. Passion. Make a Difference Tomorrow. Join Us Today. The work we’ve done over the past 30+ years has positively impacted the lives of countless patients and families who face hundreds of diseases across all key therapeutic areas. The work we do today will improve the lives of people living with illness and disease in the future. Medpace Perks - Flexible work environment - Competitive compensation and benefits package - Competitive PTO packages - Structured career paths with opportunities for professional growth - Company-sponsored employee appreciation events - Employee health and wellness initiatives Awards - Recognized by Forbes as one of America's Most Successful Midsize Companies in 2021, 2022, 2023 and 2024 - Continually recognized with CRO Leadership Awards from Life Science Leader magazine based on expertise, quality, capabilities, reliability, and compatibility What to Expect Next A Medpace team member will review your qualifications and, if interested, you will be contacted with details for next steps.

Canada