Clinical Documentation Improvement Specialist (Hybrid)

Mayo Clinic; Rochester (MN); Hybrid; USD 78,000 - 117,000; Full time

Job summary

Mayo Clinic seeks an Inpatient Clinical Documentation Improvement Specialist (CDIS) to review inpatient and outpatient records, validate medical necessity, and ensure documentation supports accurate coding and severity of illness.

This exempt, full-time hybrid role requires an Associate’s degree with 2 years of CDIS experience and certification (CDIP or CCDS). Location within 100 miles of Mayo Clinic campuses is preferred for onsite expectations.

Qualifications

• Associate’s degree and 2 years of experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS).
• Certification: CDIP or CCDS required.
• Exempt status

Responsibilities

• Reviews inpatient and/or outpatient medical records to ensure accurate representation of severity of illness.
• Validates that clinical documentation supports medical necessity of services and accurate coding.
• Ensures documentation reflects patient’s clinical status, risk of mortality, and care complexity.
• Promotes best practices in documentation and acts as a resource to clinical staff.
• May perform ICDI DRG Secondary Reviews and support audit related activities.

Education

Associate’s degree

Job description

Mayo Clinic seeks an Inpatient Clinical Documentation Improvement Specialist (CDIS) to review inpatient and outpatient records, validate medical necessity, and ensure documentation supports accurate coding and severity of illness.

This exempt, full-time hybrid role requires an Associate’s degree with 2 years of CDIS experience and certification (CDIP or CCDS). Location within 100 miles of Mayo Clinic campuses is preferred for onsite expectations.