You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking a dedicated Accounts Receivable Specialist to efficiently manage and optimize clinical documentation processes. The primary goal is to enhance clinical documentation accuracy and compliance with national industry standards, thereby supporting patient care and hospital revenue integrity.

Responsibilities / Job Duties

• Clinical Documentation Governance: Conduct comprehensive concurrent and retrospective reviews of patient records to ensure clinical indicators accurately reflect the severity of illness (SOI) and risk of mortality (ROM).
• Provider Engagement & Query Management: Facilitate clinically sound, compliant queries to medical staff to clarify complex diagnoses, procedures, and POA status, adhering strictly to national industry standards.
• Strategic Education: Deliver targeted documentation training to providers and medical staff, identifying longitudinal trends and supporting the onboarding process for new clinicians.
• Interdisciplinary Collaboration: Partner with Coding, Quality, and Case Management teams to reconcile documentation gaps and ensure accurate code assignment, HCC capture, and audit readiness.
• Metrics & Compliance Oversight: Monitor departmental KPIs, including query response rates and documentation improvement trends, while maintaining adherence to CMS and third-party payer regulations.

Minimum Education and Experience Qualification Requirements

Education

• Active clinical licensure or certification (RN, MD, NP, PA, or equivalent) with 1–2 years of recent clinical or CDI-specific experience, OR relevant Coding background in addition to recent CDI experience.

Qualifications

• Deep knowledge of disease processes, ICD-10-CM/PCS coding concepts, and DRG/HCC methodologies.
• Exceptional professional communication and conflict resolution skills, with the ability to provide real-time feedback to physicians and executive leadership.
• Proficiency in various Electronic Health Record (EHR) platforms and the ability to work independently in a high-volume, accuracy-driven environment.
• Must be able to obtain and maintain required regional safety and workplace conduct certifications (including fire safety and specialized behavioral response training) within 30 days of hire.

Experience

• 1-2 years of recent clinical or CDI-specific experience.

Skills

• Technical expertise in disease processes, ICD-10-CM/PCS coding, and DRG/HCC methodologies.
• Excellent communication and conflict resolution skills.
• Proficiency in various EHR platforms.

Schedule / Shift

Monday - Friday, 8am - 5pm

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

This position is subject to certain compliance requirements. Please inquire for more details.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.