Role Description CDI Specialists will collaborate extensively with physicians, nursing staff, other patient caregivers, and medical records coding staff to improve the quality, specificity, accuracy, and completeness of the documentation of care provided and coded. CDI Specialist will review medical records for opportunities for diagnosis clarification and validity as it pertains to DRG assignment, severity of illness, risk of mortality, and case mix data as well as timely, accurate, and complete documentation of clinical information used for measuring and reporting physician and facility outcomes. These goals will be accomplished by chart review and query placement when appropriate following AHIMA guidelines and CorroHealth policies and procedures. Essential Duties and Responsibilities - Review outpatient encounters (pre visit, concurrent, and/or post visit) to assess documentation accuracy and completeness. - Identify opportunities for improved documentation related to: - Chronic conditions and disease specificity - Risk adjustment (e.g., HCCs) - Quality measures and medical necessity - Provide compliant documentation clarification via query and feedback to providers through approved communication channels. - Support accurate problem list management and ongoing condition validation. - Collaborate with coding, quality, compliance, and revenue cycle teams as needed. - Track and report CDI interventions, trends, and outcomes. - Participate in provider education and training initiatives. - Stay current on outpatient coding, risk adjustment, and regulatory guidance. - Ensure compliance with CMS, payer, and organizational documentation and billing requirements. - Identify potential compliance risks, including but not limited to overcoding, undercoding, and missing and/or unsupported diagnoses. - Apply knowledge of HCCs, risk adjustment, quality measures, and outpatient reimbursement methodologies as applicable. Qualifications - An active coding credential required such as - RHIA, RHIT, CPC, COC, CCS-O, CCS, CDEO, CCDS, CDIP or CCDS-O. - 3+ years of outpatient coding, risk adjustment, outpatient CDI. - Strong understanding of: - ICD‑10‑CM outpatient coding - Risk adjustment models (e.g., Medicare Advantage HCCs) - Outpatient E/M documentation requirements. - Experience working in an ambulatory EHR (Epic, Cerner, or similar). Skills & Competencies - Strong clinical and analytical judgment. - Professional communication style. - Excellent written documentation skills. - Comfortable working independently in a fast-paced environment. - Proficient in Microsoft Office Applications. Desired Minimum Qualifications - Experience with telecommuting, working with EMRs and other electronic tools. - Strong analytical skills. - Strong Microsoft Office skills. - Works well with numbers. - Strong team player. - Ability to work with multiple and diverse clients and projects. - Ability to work with minimal supervision. - Ability to maintain and access multiple files. - Assure that work product is completed with high levels of accuracy and attention to detail. Education & Experience - CCDS, CDEI, or CDIP certification required. - Current clinical license (RN, NP, PA, MD). - Two years CDI experience. - Two years or more clinical experience in an acute care setting preferred. - Coding professional with CCS or RHIT/RHIA and CDI credential. Minimum three years CDI experience in IP CDI reviews required. Physical Demands Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.

Role Description This job leads and supervises the documentation excellence program for designated service lines comprised of multiple functional areas including hospital and professional coding, hospital and professional CDI, and documentation quality to meet system goals. This job is responsible for overseeing initiatives to improve processes, maximize efficiency, serve internal and external customers and maintain high employee engagement. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Qualifications - Required – High school diploma or equivalent - Preferred - Additional degrees, business training experience and/or certifications may be combined to meet minimum qualifications Requirements - Required – Three years of experience in healthcare management or related field - Preferred - One to two years of experience in revenue cycle processes - Preferred – Current RN License in the state of practice; Current Registered Health Information Technician (RHIT); Registered Health Information Administrator (RHIA); current CCS or CPC certification Knowledge Skills and Abilities (KSAs) - Must have computer skills and dexterity required for data entry and retrieval of required job information. - Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout required job processes. - Must be proficient with Windows-style applications, keyboard, and various software packages specific to role. - Strong interpersonal skills. - Must be able to work independently, set priorities and maintain complete confidentiality. Job Duties - Supervises the daily operations of the department. - Supervises and leads team by monitoring individual performance, coaching employees, establishing and enforcing policies and procedures, resolving employee issues and developing team members. - Implements and monitors quality control measures. - Monitors and documents performance metrics. - Works collaboratively with physicians, administration, nurses and support staff to improve documentation. - Other related duties as required. Physical and Environmental Demands - Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. - Normal routine involves no exposure to blood, body fluid or tissue and as part of their employment, incumbents are not called upon to perform or assist in emergency care or first aid. - The incumbent has no occupational risk for exposure to communicable diseases. - There may be occupational risk for exposure to hazardous medications or hazardous waste within the environment through receipt, transport, storage, preparation, dispensing, administration, cleaning and/or disposal of contaminated waste. Equal Opportunity Employer This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns. Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website. Individuals who reside in and will work from the following areas are not eligible for remote work position: Colorado, California, Hawaii, Illinois, Maryland, Massachusetts, Minnesota, New Jersey, New York, Vermont, Washington, and Washington D.C. Ochsner Health endeavors to make our site accessible to all users. If you would like to contact us regarding the accessibility of our website, or if you need an accommodation to complete the application process, please contact our HR Employee Solution Center at 504-842-4748 (select option 1) or careers@ochsner.org. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

• The Principal Medical Writer I is responsible for the development of clinical documents for submissions to regulatory authorities globally. • Provides strategic direction to cross-functional project teams with minimal oversight to ensure that clinical documents (eg, Investigators' Brochures [IBs], Clinical Study Reports [CSRs], and marketing authorization submission documents) accurately and consistently present key data-driven clinical messages in accordance with program goals and regulatory requirements. • Writes or provides direction and leadership to other writers to ensure the timely delivery of high quality documents that are scientifically rigorous, logically organized, and have accurate data presentation and interpretation. • Oversees the medical writing activities of multiple compounds and serves as lead writer for individual summary documents. • Mentors less experienced writers.

Role Description As the Registered Nurse, you will be responsible for effective care delivery and management of patient care within a specialty, utilizing the nursing process and adhering to current standards of nursing practice. Communicates and coordinates effectively with all entities involved in the care of the patient to promote safe, high quality care. Making decisions reflecting critical thinking and evidence based nursing practice. Position Details: - Location: Remote (MA Residents only) - Department: Population Health - Risk adjustment - Schedule: Full time, 40HRS Weekly If you are a MA resident, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: - Reviews encounters in the electronic medical record to ensure accuracy and appropriateness of clinician documentation using relevant risk adjustment program standards. - Utilizes abstract reports to substantiate HCC diagnoses that have been billed and/or are considered relevant but do not appear on the patient’s problem list. - Provides concurrent and retrospective abstraction for all Atrius Risk Adjustment programs. - Independently conducts chart reviews for supporting documentation of diagnosis codes which can be added to Problem List. Assigns accurate diagnosis codes to Problem List; follows standard work for adding diagnoses to Problem List. - Reviews new Atrius patients for potential diagnoses supporting risk adjustment programs and updates problem list in the electronic medical record. - With coding education team, provides clinician training for risk adjustment programs. Ad hoc visits to clinical sites may be scheduled to enhance coordination of team-based care and to facilitate clinician education. - Participates in development, implementation, and monitoring of procedures that support organizational goals and business objective related to risk adjustment capture. - Utilizes thorough understanding of CMS/Medicare coding regulations as well as technical knowledge of ICD-10 and CPT systems. - Performs other duties as assigned. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - Graduate of a State-approved school of nursing. - Current, unrestricted, license to practice professional nursing in the Commonwealth of Massachusetts. - Certification as professional coder (CPC, CCS-P, CCS, CPC-H, CRC-risk, AAPC) or ability to obtain certification while working in the position. - American Heart Association Basic Life Support (BLS). - 3+ years nursing experience with at least 3+ years of clinical experience with chronic disease patient population in an ambulatory or inpatient setting required. Experience in a variety of specialties and multiple diseases within each specialty preferred. - Computer experience with the ability to use word processing and spreadsheet programs. - Electronic medical record (EMR) experience and/or aptitude to master the EMR based on other technology experience. - Proven solid written communication skills. Preferred Qualifications - Bachelor of Science in Nursing (BSN). - Advanced Cardiac Life Support (ACLS) may be required based on specialty. - 2+ years of RN experience. - Proven solid critical thinking, problem solving, interpersonal and patient interviewing skills. - Proven ability to interpret clinical information, assess the implication of treatment and develop and implement a plan of care. - Proven ability to prioritize, multitask, and work in a rapidly changing environment with multiple demands. - Proven excellence in practice, documentation, and cost-effective care utilization. Maintains high patient satisfaction. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase. - 401k contribution (all benefits are subject to eligibility requirements). - Hourly pay for this role will range from $38.66 to $71.87 per hour based on full-time employment. Company Description At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.