CDI Specialist: Elevate Clinical Documentation & Compliance

San Antonio Regional Hospital; Upland (CA); Hybrid; USD 65.000 - 99.000; Vollzeit

Zusammenfassung

San Antonio Regional Hospital seeks a Clinical Documentation Integrity (CDI) Specialist to review medical records and identify opportunities to clarify diagnoses and clinical conditions. You will collaborate with providers, coders, and the care team to ensure accurate documentation that supports compliant reimbursement and regulatory requirements.

The role emphasizes close teamwork, effective written and verbal communication, and the ability to work in a hybrid schedule while supporting

Qualifikationen

• Bachelor’s Degree in related field preferred.
• 5 years of recent experience in a clinical health care setting.
• Experience in clinical documentation review and ICD-10 knowledge.
• High level of clinical knowledge regarding the patient population served.
• Ability to communicate verbally and in writing to individuals with varying education levels.
• Current CA RN License, Nurse Practitioner, Physician Assistant, MD with UR/CDIS/CDIP; CCS encouraged but not required.
• Demonstrated ability to use technology and appropriate software.
• Must be able to perform the essential physical requirements and work a hybrid schedule.

Aufgaben

• Review medical records to identify opportunities to clarify diagnoses and clinical conditions.
• Collaborate with providers, coders, and the care team to ensure accurate documentation.
• Support compliant reimbursement, quality reporting, regulatory requirements, and organizational performance.

Kenntnisse

Clinical knowledge

Communication

Team collaboration

Ausbildung

Bachelor's degree

Jobbeschreibung

San Antonio Regional Hospital seeks a Clinical Documentation Integrity (CDI) Specialist to review medical records and identify opportunities to clarify diagnoses and clinical conditions. You will collaborate with providers, coders, and the care team to ensure accurate documentation that supports compliant reimbursement and regulatory requirements.

The role emphasizes close teamwork, effective written and verbal communication, and the ability to work in a hybrid schedule while supporting