firsthand · 1 day ago
Clinical Documentation Integrity Specialist (CDIS)
United States
Full-time
Remote
Senior Level
$33/hr - $33/hr
5+ years expFirsthand supports individuals living with serious mental illness, focusing on holistic care through a dedicated team. The Clinical Documentation Integrity Specialist (CDIS) will ensure accurate clinical documentation to empower care teams and support population health interventions.
Health CareMental HealthPersonal HealthWellness
No H1B
Responsibilities
Perform prospective, retrospective, and concurrent coding reviews based on evaluations of prior visit documentation, lab results, images, external medical records, payer claims data, and more
Demonstrate an understanding of complications, comorbidities, case mix and the impact of procedures on the billed record as well as the ability to impart this knowledge to providers and other members of the healthcare team
Support pre-visit planning by communicating to firsthand providers individuals’ potential chronic conditions and care gaps with robust and appropriate evidence
Ensure accurate, timely, and comprehensive clinical documentation to support code capture, including querying providers when these clinical documentation standards are not met
Support medical records requests when providers require additional information prior to addressing and diagnosing potential conditions
Work with team leadership to identify chronic condition prevalence trends by individuals’ demographics; identify and execute potential interventions, e.g., ongoing education to firsthand providers and the CDI team, ongoing quarterly retrospective reviews of unaddressed suspects
Qualification
Required
Certified Risk Adjustment Coder (CRC) or Certified Professional Coder (CPC) from AAPC in good standing
An Associate's or Bachelor's degree in a healthcare related field with RHIA, RHIT, CRC or CCS credential, RN or LPN license is required
Minimum of 5 years of risk adjustment-focused medical record review and ICD-10 coding experience, specifically using the Medicare HCC model, in multiple settings (e.g., inpatient, outpatient)
Fluent knowledge of ICD-10 CM Official Guidelines for Coding and Reporting, and AHA/AMA/CMS coding resources, to support audit findings
Ability to gain proficiency in and apply productivity tools, such as spreadsheets, Google Suite, and EHR systems
Excellent written and verbal communication skills, especially to maintain working relationships with firsthand providers (APNs, NPs), other CDISs, Medical Records Specialists, and others
Proven experience working remotely
Alignment to firsthand's mission, vision and values: Demonstrate respect, dignity, empathy, and professional conduct to both individuals that firsthand serves and firsthand team members
Preferred
Familiarity with Medicaid risk models, such as CDPS or ACG
Benefits
Physical and mental health
Dental
Vision
401(k) with a match
16 weeks parental leave for either parent
15 days/year vacation in your first year (this increases to 20 days/year in your second year and beyond)
Supportive and inclusive culture
Company
firsthand
Firsthand is a mental health platform that supports underserved people with serious mental illnesses.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$42.89M2023-02-03Series Unknown· $28.08M
2021-12-06Series Unknown· $14.81M
Leadership Team
Samir Malik
Co-Founder and CEO
Andrew Hayek
Co-Founder & Board Director
Recent News
Behavioral Health Business
2025-10-10
2025-08-13
thesaasnews.com
2025-07-25
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