Founded in 1991, Illinois Bone & Joint Institute (IBJI) is the largest orthopedic group practice in Illinois, serving northern Illinois and northwest Indiana with more than 100 locations. The organization provides comprehensive orthopedic and related clinical services, including imaging, pain management, surgical and non-surgical treatment, rheumatology, therapy services, wellness, and sports training.
The Outpatient Clinical Documentation Integrity (CDI) Specialist improves the accuracy, completeness, and integrity of outpatient clinical documentation and coding across the organization. This role performs prospective and retrospective audits, provides provider feedback and education, manages documentation and coding send-backs, partners with coding and Revenue Cycle teams, and audits AI-assisted coding output. The position supports compliant charge capture, revenue integrity, workflow optimization, and reduced denials and rework.
Associate degree in Health Information Management, Health Information Technology, Nursing, or a related healthcare field preferred; equivalent relevant experience may be considered.
Current professional coding credential such as CPC, CCS, CCS-P, or equivalent strongly preferred. CPMA, CDIP, CCDS-O, or another auditing/CDI credential preferred.
Minimum of 3 years of professional fee outpatient coding, coding auditing, CDI, or revenue integrity experience preferred. Orthopedic, musculoskeletal, or multi-specialty physician practice experience strongly preferred. Experience providing physician/provider education and communicating audit findings preferred. Experience with Epic professional billing workflows, workqueues, edits, or reporting preferred. Experience reviewing computer-assisted coding, autonomous coding, or AI-supported coding solutions preferred.
Strong knowledge of ICD-10-CM, CPT, HCPCS, modifiers, E/M coding, NCCI edits, and professional fee coding guidelines. Ability to interpret clinical documentation, payer policies, and coding guidance and apply them to outpatient services. Strong analytical, communication, organization, and follow-up skills. Proficiency with EHR systems, coding systems, Microsoft Office, and reporting tools. Ability to work independently and collaborate across coding, revenue cycle, Epic/IT, clinical operations, and provider leadership.
Medical, dental, and vision insurance Life and AD&D insurance Long-term and short-term disability coverage 401(k) with company match and profit sharing Wellness program Health savings accounts and flexible savings accounts ID protection plan Accident, critical illness, and hospital benefits Paid holidays Paid time off
Location
Illinois, US
Employment Type
Full-time
Experience Level
Intermediate Level
Salary Range
$95,000 - $110,000
Remote work allowed
No
Posted
1 month ago