CDI Specialist: Elevate Documentation & Coding Quality

ArchWell Health; Las Vegas (NV); On-site; USD 90,000 - 120,000; Full time

Job summary

ArchWell Health is seeking a Clinical Documentation Improvement Specialist (CDIS) to enhance accuracy and completeness of clinical documentation in the EMR. You will collaborate with outpatient physicians to ensure coding precision, including HCC capture and ICD-10-CM specificity, serving as a subject matter expert and educator across care teams.

The role requires proactive education for physicians and staff, travel to outpatient centers (minimum one week per month), and ongoing documentation

Qualifications

• Bachelor's degree in Nursing (BSN) required.
• Provider education experience preferred.
• Clinical nursing experience required/preferred.

Responsibilities

• Facilitate appropriate clinical documentation through concurrent, prospective, and retrospective medical record review.
• Ensure documentation in the medical record follows the official coding guidelines and internal guidelines.
• Identify potential gaps in clinical documentation using clinical knowledge.
• Provide ongoing feedback to physicians and other providers regarding coding guidelines and documentation requirements.
• Educate physicians, providers, and clinic staff on clinical documentation compliance and new coding policies.
• Maintain competence on HCC documentation, ICD-10-CM coding, and related guidelines.
• Travel to outpatient centers to assist inquiries and present education materials to provider groups.
• Educate providers on clinical documentation updates and present chart review findings.

Skills

Autonomy

Travel

EMR experience

Coding guidelines knowledge

Medical terminology

Analytical thinking

Critical thinking

Self-motivation

Communication

Education

BSN

Provider education experience

Clinical nursing experience

Tools

EMR systems

Microsoft Office

Job description

ArchWell Health is seeking a Clinical Documentation Improvement Specialist (CDIS) to enhance accuracy and completeness of clinical documentation in the EMR. You will collaborate with outpatient physicians to ensure coding precision, including HCC capture and ICD-10-CM specificity, serving as a subject matter expert and educator across care teams.

The role requires proactive education for physicians and staff, travel to outpatient centers (minimum one week per month), and ongoing documentation