Clinical Documentation Integrity Specialist

Socket.dev; Oklahoma; On-site; USD 65,000 - 90,000; Full time

Job summary

INTEGRIS Health in Oklahoma City, OK is seeking a day shift, full-time Clinical Documentation Integrity Specialist to ensure accurate documentation and compliant coding. You will review medical records, initiate queries when needed, and collaborate with providers and care teams to support appropriate reimbursement.

The role requires 2 years of nursing or clinical coding experience, a High School Diploma or GED, and relevant AHIMA or AAPC certifications or RN licensure.

Qualifications

• 2 years of nursing or clinical coding experience
• High School Diploma or GED required
• Certifications listed (AHIMA/RHIT/CCS or CIC) or RN licensure preferred

Responsibilities

• Reviews clinical documentation to ensure accuracy, completeness, and alignment with coding and regulatory requirements.
• Identifies documentation gaps and initiates queries for clarification.
• Maintains productivity and quality while managing work queues.
• Collaborates with providers, coders, and care teams to support accurate documentation.
• Communicates documentation needs and query requests clearly.
• Supports alignment between documentation and coding for appropriate reimbursement.
• Adapts to updates in documentation and regulatory requirements.

Skills

Documentation reviews

Coding knowledge

Query initiation

Regulatory alignment

Education

High School Diploma or GED

AHIMA-RHIA/RHIT/CCS or AAPC-CIC or RN

Job description

Join our team as a day shift, full time, Clinical Documentation Integrity Specialist at INTEGRIS Health in Oklahoma City, OK.

Get to Know Your Team

• INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
• Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
• Take the first step toward growing your career by joining us.

Responsibilities

The Clinical Documentation Integrity Specialist reviews clinical documentation to ensure accuracy, completeness, and alignment with coding and regulatory requirements, supporting appropriate reimbursement and data integrity.

Reviews medical records to identify documentation gaps impacting coding accuracy and data integrity. Initiates queries to obtain clarification and ensure complete and accurate documentation. Applies clinical, documentation, and coding knowledge to support accurate medical records. Maintains productivity and quality standards while managing assigned work queues and supports alignment between documentation and coding.

• Works with providers, coders, and care teams to support accurate documentation.
• Communicates documentation needs and query requests clearly.
• Uses clinical knowledge to identify documentation gaps and escalation appropriately.
• Completes documentation reviews and queries timely while maintaining quality.
• Follows CDI workflows and supports consistent documentation practices.
• Supports accurate documentation to ensure appropriate coding and reimbursement.
• Adapts to updates in documentation and regulatory requirements.

Qualifications

REQUIRED QUALIFICATIONS

EXPERIENCE:

• 2 years of nursing or clinical coding experience

EDUCATION:

• High School Diploma or GED

LICENSE/CERTIFICATIONS:

• AHIMA-RHIA (Registered Health Information Administrator) OR AHIMA-RHIT (Registered Health Information Technician) OR AHIMA-CCS (Certified Coding Specialist) OR AAPC-CIC (Certified Inpatient Coder) OR RN (Registered Nurse)

SKILLS:

• Day-to-day work requires reviewing clinical documentation to identify gaps impacting code assignment and data integrity; applying knowledge of clinical conditions, documentation standards, and coding principles to ensure accurate and complete records; initiating queries for clarification; supporting alignment between documentation and coding; and maintaining productivity and documentation review accuracy.

PREFERRED QUALIFICATIONS:

• Experience reviewing clinical documentation for coding alignment

INTEGRIS is an Equal Opportunity/Affirmative Action Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.

Get to Know Your Team

• INTEGRIS Health, Oklahoma's largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
• Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more.
• Take the first step toward growing your career by joining us.