CDI Specialist II - Improve Clinical Documentation & DRG

Baylor Scott & White Health; Olympia (WA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Health benefits

401(k) match

Tuition reimbursement

PTO from Day 1

Job summary

Baylor Scott & White Health in Olympia, WA is seeking a Clinical Documentation Improvement Specialist to review patient records for complete and accurate documentation. You will query physicians, ensure ICD-10 and DRG accuracy, and collaborate with HIM coders and clinicians to improve SOI, ROM, and reimbursement.

The role requires RN or RHIA credentials with 4+ years of inpatient coding, clinical documentation, or CDI experience, plus CDI/CCDS/CCS-type certifications.

Qualifications

• Must have RN or RHIA credentials.
• Requires 4 years of inpatient coding, CDI, or related experience.
• Certifications CCDS, CCS, or CPC are preferred.

Responsibilities

• Facilitate complete documentation in patient records and query physicians when clarification is needed.
• Review records to ensure accurate DRG, SOI, ROM, and documentation for reimbursement.
• Collaborate with Health Information Management coders and clinicians to improve documentation.
• Educate practitioners and staff on documentation opportunities and best practices.
• Support interdisciplinary teams to validate accurate DRG assignments.

Skills

ICD-10 knowledge

DRG impact understanding

Documentation improvement

Interdisciplinary collaboration

Querying physicians

Education

Bachelor's degree in Nursing or Health Information Management or Health Informatics

Job description

Baylor Scott & White Health in Olympia, WA is seeking a Clinical Documentation Improvement Specialist to review patient records for complete and accurate documentation. You will query physicians, ensure ICD-10 and DRG accuracy, and collaborate with HIM coders and clinicians to improve SOI, ROM, and reimbursement.

The role requires RN or RHIA credentials with 4+ years of inpatient coding, clinical documentation, or CDI experience, plus CDI/CCDS/CCS-type certifications.