Clinical Documentation Specialist (Remote)

Remote (U.S. Residents Only)

United Vein & Vascular Centers is a national leader in outpatient vein and vascular care with 60+ clinics across the United States. We specialize in minimally invasive treatments for peripheral arterial disease (PAD), venous disease, embolization procedures, and advanced wound care-delivering high-quality care in clinic and office-based laboratory (OBL) settings. We are seeking a detail-oriented Clinical Documentation Specialist to ensure the accuracy, completeness, and consistency of clinical documentation that supports excellent patient care, regulatory compliance, and appropriate reimbursement.

What You'll Do

You will partner closely with physicians, advanced practice providers, revenue cycle, coders, and clinical operations to strengthen documentation quality across services.

Key Responsibilities

• Review outpatient vascular procedure and wound care documentation (including PAD revascularization, embolization, vein ablation/sclerotherapy, debridement, skin substitutes, and related interventions) for accuracy, completeness, and consistency
• Identify documentation gaps or inconsistencies and proactively query clinicians to clarify diagnoses, procedure details, medical necessity, and coding-relevant elements
• Ensure documentation aligns with payor requirements, particularly for complex procedures involving devices, catheters, IVUS, embolic agents, biologics, and advanced wound care products
• Confirm that medical records clearly demonstrate medical necessity and clinical appropriateness (beyond solely meeting Medical Coverage Guidelines)
• Collaborate with revenue cycle, pre-authorization, and clinical operations teams to track denial and documentation deficiency trends; develop targeted education to reduce recurring issues
• Partner with revenue cycle, pre-authorization, and compliance teams to minimize denial risk and support appeals
• Educate providers on documentation best practices through quarterly educational sessions (including onboarding for new providers and refreshers for existing staff) with rotating, predetermined topics
• Work with clinical operations leadership to review payor Medical Coverage Guideline (MCG) updates and coordinate implementation of required changes with authorization and care teams
• Collaborate on EMR documentation tools-including templates, macros, and related builds-to support medical necessity and billing requirements for vascular and wound care services
• Provide ongoing education to providers and clinical staff on diagnosis specificity (e.g., Rutherford classification for PAD, wound staging), medical necessity, and procedure details
• Maintain current knowledge of payer policies, regulatory changes, and industry best practices for clinical documentation improvement (CDI)
• Participate in monthly denial review meetings to identify trends, develop solutions, and keep stakeholders informed
• Demonstrate and promote UVVC's Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity
• Uphold UVVC's Standards of Conduct and maintain the confidentiality and security of Protected Health Information (PHI) in accordance with HIPAA

What We Are Looking For

• RN, LPN, RHIA, RHIT, CCS, CIRCC, or equivalent clinical or coding credential required
• Minimum of 2 years of experience in clinical documentation, medical coding, or vascular/endovascular and/or wound care procedures preferred
• Strong understanding of outpatient vascular and wound care interventions, including PAD revascularization, embolization, vein treatments, wound debridement, and related CPT/HCPCS codes
• Familiarity with payor policies, medical necessity criteria (LCDs/NCDs), and OBL/wound care reimbursement guidelines
• Proficiency in electronic health records (EHR) and clinical documentation systems

Additional information

Location & Travel This is a remote position. Applicants must reside in the United States. We are unable to support foreign applicants.

Pay and benefits

Why Join UVVC? * Competitive compensation * Comprehensive benefits (medical, dental, vision, and more) * Generous paid time off / paid holidays * 401(k) option * Opportunity to make a meaningful impact

Total compensation is based on experience and may include base salary, bonuses, and other incentive pay.

Compensation $75,000 - $85,000 USD