Clinical Optimization Specialist - Signature Service Line

Core Duties and Responsibilities

• Partner with System Coding and HVI AVP of Finance to identify documentation gaps affecting acuity of care, reimbursement, and overall revenue performance.
• Review evolving coding requirements and ensure HVI providers remain informed proactively of necessary documentation elements to support accurate acuity and prevention of payor denials.
• Serve as a subject-matter expert and resource for providers regarding documentation standards, coding questions, template utilization, and best practices.
• Participate in chart audits and feedback loops to identify trends, opportunities for improvement, and systemic issues requiring workflow changes.
• Collaborate closely with System Revenue Cycle leadership to support enterprise-level coding initiatives and standardization efforts.
• Work with physician and APP leaders to ensure alignment with service line documentation goals and quality expectations.
• Partner with IT and clinical informatics teams to optimize Epic documentation templates, smart phrases, and workflows to incorporate required documentation points.
• Support ongoing training and communication to HVI providers related to documentation updates, coding changes, and compliance requirements.
• Maintain clinical competency by possibly providing direct patient care in clinic or inpatient settings up to two days per month.
• Optional additional per diem coverage may be performed when mutually agreed upon and not conflicting with the Monday–Friday documentation role.
• Act as the primary liaison between HVI providers and System Revenue Cycle teams to ensure bidirectional communication, issue resolution, and documentation improvement support.
• Facilitate case-based discussions or education aimed at helping clinicians understand how documentation drives coding and revenue accuracy.
• Communicate coding trends, updates, and opportunities to service line leadership.

Physical Requirements

• May need to sit for extended periods of time

Working Environment

• Standard office equipment

Skills and Abilities

• Demonstrated knowledge of clinical documentation requirements, patient acuity indicators, and reimbursement practices
• Proficiency in Epic EMR, including documentation tools, smart phrases, and workflow navigation
• Strong attention to detail, excellent communication skills, and the ability to educate and influence clinical peers
• Ability to work effectively with multidisciplinary teams including Revenue Cycle, IT, Finance, and physician leadership
• Strong Excel, database, and PC skills
• Strong organizational skills and attention to detail
• Ability to multi-task and work in a challenging fast paced environment
• Excellent written and verbal communication skills
• Independent worker and analytical thinker with ability to conduct research, data analysis, and resolve complex problems