CDI Specialist IV — Clinical Documentation & Compliance

Kaiser Permanente; Pasadena (CA); On-site; USD 95,000 - 125,000; Full time

Job summary

Kaiser Permanente is seeking a Clinical Documentation Improvement professional to review medical records, assign codes, and support the CDI program. The role enhances documentation accuracy and supports audits in line with coding guidelines and regulations.

The position collaborates with teams to educate staff on clinical documentation standards and to implement improvements across the health system.

Qualifications

• Minimum 2 years in inpatient acute care or clinical setting.
• Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field.
• california Licensure requirements: CA RN/PA/MD depending on role.

Responsibilities

• Promotes learning and provides guidance to coworkers and stakeholders.
• Collaborates cross-functionally to drive effective decisions and solutions.
• Performs CDI reviews and supports documentation improvement initiatives.
• Supports audits and regulatory compliance with coding guidelines and federal/state regulations.

Skills

Cross-functional collaboration

Training & education

Audits & compliance

Regulatory knowledge

Problem solving

Education

Bachelor's degree in Nursing or related field

Tools

Epic Systems

Job description

Kaiser Permanente is seeking a Clinical Documentation Improvement professional to review medical records, assign codes, and support the CDI program. The role enhances documentation accuracy and supports audits in line with coding guidelines and regulations.

The position collaborates with teams to educate staff on clinical documentation standards and to implement improvements across the health system.