Clinical Documentation Integrity Specialist Outpatient

UVMMC - Medical Center - Main Campus
Location and Address
Location Address: 111 Colchester Avenue, Burlington Vermont
Building Name
Building Name: UVMMC - Medical Center - Main Campus
Clinical Documentation Integrity
Schedule Full Time / Regular
Standard Hours
Day/Eve-8hr (United States of America)
Primary Shift
8:00 am - 4:30 pm
Weekend Needs
Weekend Needs
Abby Luck
Job Requisition ID

Job Description


This clinical position uses clinical nursing knowledge and understanding of national coding guidelines and standards of compliance to improve overall quality and completeness of clinical documentation within the patient electronic medical record.  Works collaboratively with ambulatory physicians and advanced practice providers to ensure that the clinical information within the medical record is accurate, complete, and compliant.  This includes accurate documentation to support the capture of Hierarchical Condition Categories (HCC) and ICD-10-CM specificity of ambulatory patient visits. Formulates documentation clarifications, as appropriate, to reflect the true complexity of the patient.  Provides informal and formal provider education regarding documentation guidelines, coding requirements and Service -specific requirements.    

State of Vermont Registered Nurse (RN) License required.  The University of Vermont Medical Center is moving towards an all Bachelor of Science in Nursing (BSN) workforce.  All external candidates hired into, or current employees promoted to, a RN position will be required to obtain their BSN as outlined in the terms of their current offer letter.  Current Internal RN’s are strongly encouraged to pursue a BSN to support this initiative. 


Minimum of 5 years direct clinical nursing experience required; other experience in utilization management or case management appreciated.  Experience with leading process improvement and physician education.