Job Description

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team. The CDIS ensures that documentation accurately reflects the patient's clinical conditions and level of service. The CDIS communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses. The role includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs). The CDIS applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics.

Job Requirements

• Minimum Education Requirement: Medical degree or Bachelor of Science in Nursing (BSN) preferred.
• Minimum Experience Requirement: Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting. Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines. Experience using encoder and electronic health record (EHR) systems. Excellent verbal and written communication skills. Strong analytical thinking, problem-solving abilities, and attention to detail. Proficiency in Microsoft Office applications preferred.
• Minimum License Requirement: ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer.

Delivering world-class health care one patient at a time. Pay Range: $69.00 - $69.00

We are more than just a health system. At Emanate Health, we are a catalyst for change and a beacon for healthier lives. When you come to any one of our locations, you'll be treated like family. And as part of our family, you can rest easy knowing we'll do whatever it takes to benefit your health and wellness.

Our mission Emanate Health exists to help people keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment.

Our vision We are an integral partner in elevating our communities' health.

Our values

• Respect. We affirm the rights, dignity, individuality and worth of each person we serve and of each other.
• Excellence. We maintain an unrelenting drive for excellence, quality and safety, and strive to continually improve all that we do.
• Compassion. We care for each person and each team member as part of our family.
• Integrity. We believe in fairness and honesty and are guided by our code of ethics.
• Stewardship. We wisely care for the human, physical and financial resources entrusted to us.

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