Clinical Documentation Improvement Specialist Full Time Days

• Provider Education
• Educate providers on documentation best practices, clinical definitions, and regulatory requirements
• Identify trends in documentation opportunities and deliver targeted education
• Support new provider onboarding related to documentation expectations

• Collaboration & Interdisciplinary Work
• Work closely with coding professionals to ensure documentation supports accurate code assignment
• Collaborate with quality, case management, utilization review, and compliance teams
• Support audit readiness and payer review responses

• Quality, Compliance & Risk Adjustment
• Support quality metrics, including mortality, complications, readmissions, and patient safety indicators
• Assist in risk adjustment and hierarchical condition category (HCC) capture where applicable
• Participate in internal and external audits
• Ensure adherence to CMS, payer, and organizational documentation standards

• Data Tracking & Reporting
• Monitor and report CDI performance metrics, including:
• Query rates and response times
• Documentation improvement trends

Performs all other duties as assigned or required.

Job qualifications

• Minimum Education/Certification (Indicate minimum education or degree required.)
• Clinical licensure or certification (RN, MD, DO, PA, NP, ECFMG, or equivalent clinical background)
• Minimum 1-2 years of recent clinical or CDI-related and/or coding experience
• Strong knowledge of:
• 1) Disease processes and clinical indicators
• 2) ICD-10-CM/PCS coding concepts
• 3) DRG, SOI/ROM, and/or HCC methodologies
• 4) Excellent written and verbal communication skills
• 5) Proficiency with electronic health records (EHRs)

• Preferred Education/Certification (Indicate preferred education or degree required.)
• CDI certification (CCDS, CCDS-O, CDIP)
• Coding certification (CCS, CPC, RHIA, RHIT)
• Prior experience in acute care, outpatient CDI, or risk adjustment
• Familiarity with ACDIS and AHIMA CDI guidelines

• Minimum Work Experience and Qualifications (Indicate minimum years of job experience, skills or abilities required for the job.)
• Clinical critical thinking and analytical skills
• Professional provider communication and conflict resolution
• Attention to detail and accuracy
• Ability to work independently and collaboratively
• Strong organizational and time-management skills

• Preferred Work Experience and Qualifications (Indicate preferred years of job experience, skills or abilities required for the job.)
• N/A

• Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.)
• Current Los Angeles County Fire Card (required within 30 days of employment)
• Assault Response Competency (ARC) (required within 30 days of employment)

Status

• Full
• Time (On-Site)
• Shift:
• Days
• Hours: 8hrs
• Weekly/Bi-Weekly
• Hours: 40hrs/80hrs
• FTE: 1.0

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