Clinical Documentation Integrity Specialist
Guidehouse
Clinical Documentation Integrity, Audit & Education
Ascension Executive Recruitment
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $91,107 - $126,998 per year
Job Level
JuniorMid-Level
About the role
- Perform routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries for compliance with internal standards, industry guidelines, and regulatory requirements.
- Develop and deliver comprehensive CDI education programs, including onboarding, continuing education, and skills refreshers for CDSs.
- Provide one-on-one coaching for new or developing team members, based on audit findings or performance trends.
- Create and maintain educational materials, tip sheets, and query templates in accordance with evolving CDI best practices.
- Offer targeted documentation education to providers through presentations, individual feedback, and query response coaching.
- Support rollout of new coding or documentation guidance, EHR tools, and CDI initiatives across the enterprise.
Requirements
- Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
- High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
- Must have a Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialists (ACDIS)
- Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles.
- Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC, mortality), and CMS compliance.
- Exceptional written and verbal communication skills.
- Proficiency with audit tools, EHR systems (e.g., Epic), and CDI software platforms (e.g., Iodine, 3M, Nuance).
Benefits
- Paid time off (PTO)
- Various health insurance options & wellness plans
- Retirement benefits including employer match plans
- Long-term & short-term disability
- Employee assistance programs (EAP)
- Parental leave & adoption assistance
- Tuition reimbursement
- Ways to give back to your community
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
CDI best practicesDRG methodologiesMS-DRGAPR-DRGSOIROMMCCCC capturerisk adjustmentquality indicators
Soft skills
coachingcommunication
Certifications
Clinical Documentation Prof.Certified Clinical Documentation Specialist (CCDS)
