Professional/Ambulatory Clinical Documentation Improvement Specialist

The Ambulatory/Professional Fee Clinical Documentation Specialist serves as an advisor and expert resource to providers, supporting accurate and complete clinical documentation that reflects patient complexity, risk profiles, and appropriate Evaluation and Management (E/M) service levels. This role supports professional fee billing accuracy, appropriate reimbursement, and compliance with applicable regulatory and industry standards. The CDS identifies clinically relevant information and documentation opportunities through comprehensive chart review, focusing on the recapture and identification of chronic conditions represented by Hierarchical Condition Categories (HCCs).