Clinical Documentation Integrity Specialist Clinical Doc Integrity Full-Time

Baton Rouge, LA - USA

Monthly Salary: Not Disclosed

Posted on: 15 hours ago

Vacancies: 1 Vacancy

Job Summary

The Clinical Documentation Integrity (CDI) Specialist is responsible for reviewing clinical documentation to ensure it accurately completely and consistently reflects the patients clinical condition severity of illness (SOI) risk of mortality (ROM) and care provided. The role supports compliant documentation practices in accordance with ACDIS and AHIMA-endorsed guidelines official coding rules and applicable regulatory requirements. The CDI Specialist serves as a clinical documentation resource to providers coding professionals quality teams and revenue cycle stakeholders promoting high-quality healthcare data for reimbursement quality reporting compliance and population health analysis.

Requirements:

Two-year associate degree or four-year bachelors degree in nursing.
Applicable clinical license such as RN or LPN.
Professional CDI certification CCDS or CDIP preferred or obtained within 3 years of hire.
Professional coding certification CCS preferred or obtained within 2 years of obtaining CDI credential or upon hire.
Five years clinical work experience in an acute care setting.
Experience in Clinical Documentation Integrity Coding Health Information Management Quality Utilization/Case Management Chart Review Auditing Denials Management or related field including practical exposure to the healthcare revenue cycle preferred.

Responsibilities:

Conduct concurrent and retrospective reviews of inpatient medical records to identify documentation gaps inconsistencies and opportunities for improvement.
Analyze clinical indicators diagnostics and treatment plans to ensure documentation supports diagnoses and procedures.
Ensure documentation accurately reflects patient acuity severity of illness (SOI) and risk of mortality (ROM).
Initiate and follow up on compliant physician queries to clarify documentation in accordance with industry guidelines.
Educate physicians and clinical staff on documentation best practices regulatory requirements and specificity.
Collaborate with coding teams to ensure accurate code assignment including MS-DRGs CC/MCC capture and reimbursement alignment.
Identify documentation opportunities impacting case mix index (CMI) quality metrics and reimbursement.
Review documentation for alignment with medical necessity admission status and level-of-care requirements.
Support quality reporting initiatives including patient safety indicators and risk-adjusted performance metrics.
Track CDI activities and participate in audits performance improvement initiatives and ongoing program development.
Any other duties as assigned by Womans Hospital.

Schedule:

Monday Friday; Hybrid Schedule

8:00 AM 4:30 PM

Pay Range:

Salary/Exempt

$63000 $91000

A Work Experience with Purpose

Womans is one of the largest specialty hospitals in the country dedicated to the care of women and infants.Nationally recognizedfor exceptional patient care innovative programs and a supportive work environment we consistently exceed state and national benchmarks for patient satisfactiona reflection of our commitment to those we serve.

Were home to Louisianas largest delivery service and perform thousands of procedures annually including over 8500 surgeries and 35000 breast procedures. Womans was the first hospital in the Baton Rouge area to earn Magnet designation for nursing excellence and were honored to be named one of Modern Healthcares Best Places to Work in Healthcare year after year.

We are proud of the care our staff provides to patientsand to one anotherevery day.

For more information or to contact our recruiting team email us at.

Womans Hospital is an equal opportunity employer. We do not discriminate on the basis of race color religion sex sexual orientation age disability genetic information veteran status national origin gender identity and/or expression marital status or any other characteristic protected by federal state or local law.

Required Experience: