Clinical Documentation Integrity Specialist

OU Health

CDI Specialist conducting clinical documentation review for OU Health. Collaborating with physicians to improve patient care documentation accuracy and compliance.

Posted 5/14/2026full-timeRemote • Kansas, Montana, Oklahoma • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Conducts concurrent review of the clinical documentation in the medical record
Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures
Provides daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plans
Responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team
Communicates with physicians regarding missing, unclear or conflicting medical record documentation
Communicates with appropriate healthcare team members to ensure accurate and complete documentation is in the medical record
Gathers and analyzes information pertinent to documentation findings and outcomes

Requirements

What you’ll need

Associate’s degree required
BS in Nursing or Registered Nurse preferred
Five years acute care hospital experience or RHIA/RHIT/CCS with five years acute care inpatient coding experience required
Licensed healthcare experience (RN, LPN, CRT/RRT) or completion of medical school preferred
CCP, CCDS or CDIP preferred
Excellent verbal and written communication skills
Proficiency in organization and planning
Proficiency in computer usage including database and spreadsheet analysis, presentation programs, word processing and Internet searching
Understanding of organizational policies and procedures
Working knowledge of quality improvement theory and practice
Ability and willingness to seek out and accept change
Demonstrates adaptability and self-motivation by staying abreast of CMS rules and regulations and incorporating those changes into daily practice
Knowledge of federal, state and private payer regulations

Benefits

Comp & perks

PTO
401(k)
medical and dental plans
comprehensive benefits package

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

acute care hospital experienceinpatient codingclinical documentationdocumentation evaluationdata analysisquality improvement theoryCMS rules and regulations

Soft Skills

verbal communicationwritten communicationorganizationplanningadaptabilityself-motivation

Certifications

Registered NurseRHIARHITCCSCCPCCDSCDIP