CDI Specialist IV: Clinical Documentation & Compliance Leader

Kaiser Permanente; Oakland (CA); Hybrid; USD 90,000 - 130,000; Full time

Job summary

Kaiser Permanente is seeking a Clinical Documentation Specialist to review inpatient medical records, assign accurate DRGs and codes, and support the CDI program. The role promotes quality improvement through integrated processes and collaboration with cross-functional teams.

The position focuses on regulatory compliance, audits, and education to improve documentation accuracy and issue resolution across departments.

Qualifications

• Minimum two (2) years of experience in an inpatient acute care or clinical setting is required.
• FMG degree required at hire.
• Clinical documentation/coding certifications required at hire (CDIS/CCS) or equivalent.

Responsibilities

• Promotes learning and collaboration; builds relationships with stakeholders and mentors others.
• Completes work autonomously on CDI-related projects and improves processes across teams.
• Reviews clinical documentation to promote accuracy and DRG capture; supports SOI/ROM indicators.

Education

Foreign Medical Graduate (FMG) Degree

Clinical Documentation Specialist Certificate

Certified Coding Specialist (CCS)

Certified Documentation Integrity Specialist (CDIS)

Tools

Epic Systems

Job description

Kaiser Permanente is seeking a Clinical Documentation Specialist to review inpatient medical records, assign accurate DRGs and codes, and support the CDI program. The role promotes quality improvement through integrated processes and collaboration with cross-functional teams.

The position focuses on regulatory compliance, audits, and education to improve documentation accuracy and issue resolution across departments.