CDI Specialist: Elevate Patient Care & Documentation

Premier Health; Dayton (OH); On-site; USD 75,000 - 95,000; Full time

Job summary

Premier Health in Dayton, OH is seeking a Clinical Documentation Specialist to ensure accurate documentation, coding alignment, and optimal patient outcomes.

You will collaborate with physicians, nurses, and coding staff to improve documentation quality, support compliant coding, and contribute to quality measures and HIPAA compliance. A BSN or similar clinical degree is required with RN licensure in Ohio and CDI certification preferred.

Qualifications

• Bachelor’s degree required.
• Licensure as Registered Nurse in Ohio (or reciprocal states).
• Experience in clinical documentation and coding preferred.
• Strong knowledge of ICD-10 and coding guidelines.
• 3–5 years of related CDI experience preferred.

Responsibilities

• Analyze medical records to ensure accurate severity of illness and DRG assignment.
• Educate providers on documentation best practices to improve coding accuracy.
• Conduct admission reviews with appropriate principal diagnosis and comorbidities.
• Perform post-discharge reviews for CDI and coding alignment.
• Collaborate with physicians, nurses, and coding staff to close documentation gaps.

Skills

Clinical knowledge

Critical thinking

Analytical skills

Interpersonal skills

Documentation improvement

Communication

Team collaboration

Education

BSN degree

RN licensure (Ohio)

CCDS or CCS certification preferred

Tools

EPIC

3M

Midas

CDE One

ICD-10 knowledge

Job description

Premier Health in Dayton, OH is seeking a Clinical Documentation Specialist to ensure accurate documentation, coding alignment, and optimal patient outcomes.

You will collaborate with physicians, nurses, and coding staff to improve documentation quality, support compliant coding, and contribute to quality measures and HIPAA compliance. A BSN or similar clinical degree is required with RN licensure in Ohio and CDI certification preferred.