Clinical Documentation Integrity (CDI) - Audit & Education

Ascension Healthcare; Oregon City (OR); On-site; USD 70,000 - 90,000; Full time

Job summary

Ascension Healthcare is seeking a Clinical Documentation Integrity (CDI) Audit/Educator to enhance the quality of clinical documentation. This role involves auditing documentation for compliance, educating providers, and developing training materials. Join a leading non-profit health system dedicated to transforming healthcare delivery and making a positive community impact.

Benefits

Paid time off (PTO)

Health insurance options

Retirement benefits with employer match

Tuition reimbursement

Parental leave and adoption assistance

Qualifications

• Clinical Documentation Professional credential required prior to hire.
• 2 years of experience or 4 years of applicable experience.
• Expert understanding of CDI best practices and coding principles.

Responsibilities

• Perform audits of CDI queries and documentation reviews.
• Develop and deliver CDI education programs.
• Collaborate with coding and compliance teams.

Skills

Analytical skills

Communication skills

Attention to detail

Knowledge of coding principles

Education

High School diploma or equivalent

Associate's/Bachelor's degree

Clinical Documentation Professional credential

Tools

EHR systems (e.g., Epic)

CDI software platforms

Job description

Details

• Department: Administration
• Schedule: Full Time, Days
• Location: Remote

Benefits

• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement
• Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, and salary range at the time of the offer.

Responsibilities

The Clinical Documentation Integrity (CDI) Audit/Educator plays a dual role in promoting excellence across the CDI program. As an auditor, responsible for assessing the accuracy, consistency, and compliance of clinical documentation reviews performed by front-line CDSs. As an educator, supports professional development and provides provider-facing education to improve documentation practices. Serves as a subject matter expert in documentation standards, coding guidelines, regulatory compliance, and clinical best practices.

Key Responsibilities:

Audit Functions:

• Perform routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries for compliance with standards and regulations.
• Evaluate query appropriateness, clinical evidence, and coding alignment (ICD-10-CM/PCS, UHDDS, CMS).
• Identify trends, variances, and opportunities for improvement.
• Maintain audit tools, track performance metrics, and present findings to leadership.
• Collaborate with coding and compliance teams to resolve discrepancies.

Education Functions:

• Develop and deliver CDI education programs, including onboarding and continuing education.
• Provide coaching based on audit findings or performance trends.
• Create educational materials, tip sheets, and query templates.
• Offer targeted documentation education to providers through presentations and feedback.
• Support rollout of new coding/guidance, EHR tools, and CDI initiatives.
• Participate in national/regional CDI education forums.
• Provide just-in-time feedback to providers and support educational initiatives.

Requirements

Licensure / Certification / Registration:

• Clinical Documentation Professional credential from the Association of Clinical Documentation Improvement Specialists obtained prior to hire or transfer.

Education:

• High School diploma equivalency with 2 years of experience OR Associate's/Bachelor's degree OR 4 years of applicable experience.

Additional Preferences

• Expert understanding of CDI best practices, DRG methodologies, and coding principles.
• Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators, and CMS compliance.
• Ability to develop engaging education content for diverse audiences.
• Excellent written and verbal communication skills.
• Proficiency with audit tools, EHR systems (e.g., Epic), and CDI software platforms.
• Analytical, detail-oriented, and solution-focused with excellent organizational skills.

Why Join Our Team

Ascension associates are key to transforming healthcare and providing care to all, especially those most in need. Join us to drive impact through reimagining healthcare delivery and creating solutions. Explore career opportunities across locations and within our headquarters.

Ascension is a leading non-profit, faith-based health system with over 134,000 associates and 2,600 sites, including hospitals and senior living communities across 19 states.

Our Mission, Vision, and Values guide all we do. Every associate is empowered to give back, volunteer, and make a positive community impact. Our careers are opportunities to enhance your life and those around you.

Equal Employment Opportunity Employer

Ascension provides EEO to all applicants and associates without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, childbirth, medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, or other protected statuses as per law.

See the EEO posters for more info: English and Spanish.

We support military families, veterans, and reservists, promoting career flexibility and benefits.

Note: Ascension only makes employment offers via official applications. Beware of fraudulent offers. We do not solicit money or banking info.

**E-Verify**: We participate in the E-Verify program. More info at E-Verify.