CDI Specialist: Drive Accurate Clinical Documentation

Emanate Health; West Covina (CA); On-site; USD 69,000 - 105,000; Full time

Job summary

Emanate Health is seeking a Clinical Documentation Integrity Specialist (CDIS) to ensure accurate, complete clinical documentation for inpatient encounters. You will interact with providers to resolve missing or unclear diagnoses and assign MS-DRG/APR-DRG, SOI, ROM, and relevant indicators, following AHIMA/ACDIS guidelines.

Ideal candidates have at least one year of inpatient coding or CDI experience, a Bachelor's degree, and CCDS or CDIP certification within one year.

Qualifications

• Minimum of one year inpatient coding experience or CDI specialist experience.
• Strong knowledge of MS-DRG/APR-DRG and ICD-10-CM/PCS guidelines.
• Experience using encoder and EHR systems.
• Excellent verbal and written communication skills.
• Attention to detail and analytical problem-solving abilities.

Responsibilities

• Facilitate quality and accuracy of clinical documentation.
• Query physicians to resolve missing or unclear diagnoses.
• Assign MS-DRG/APR-DRG, SOI, ROM, and relevant indicators.
• Ensure CDI practices align with AHIMA/ACDIS guidelines.

Skills

MS-DRG guidelines

APR-DRG guidelines

ICD-10-CM/PCS

Analytical thinking

Problem-solving

Attention to detail

Verbal and written communication

Education

Bachelor's degree

ACDIS CCDS or CDIP within 1 year

Tools

EHR systems

Encoder

Job description

Emanate Health is seeking a Clinical Documentation Integrity Specialist (CDIS) to ensure accurate, complete clinical documentation for inpatient encounters. You will interact with providers to resolve missing or unclear diagnoses and assign MS-DRG/APR-DRG, SOI, ROM, and relevant indicators, following AHIMA/ACDIS guidelines.

Ideal candidates have at least one year of inpatient coding or CDI experience, a Bachelor's degree, and CCDS or CDIP certification within one year.