Clinical Documentation Integrity Specialist - Full Time (On-Site) - Days - 8hr QVH

Emanate Health; West Covina (CA); On-site; USD 103,000 - 160,000; Full time

Job summary

Emanate Health is seeking a Clinical Documentation Integrity Specialist to enhance documentation quality and accuracy on a full-time, on-site basis at West Covina, CA. You will interact with providers to address missing or unclear diagnoses while ensuring proper DRG assignments and CMS guideline compliance.

Ideal candidates hold a Bachelor's degree with CDI/inpatient coding experience and strong communication, analytical, and problem-solving skills.

Qualifications

• Bachelor's degree required.
• Minimum 1 year inpatient coding or CDI experience.
• Strong knowledge of MS-DRG and APR-DRG.
• Experience with ICD-10-CM/PCS coding guidelines.
• Experience using encoder and EHR systems.
• Excellent verbal and written communication skills.
• Strong analytical thinking, problem-solving abilities, and attention to detail.
• Proficiency in Microsoft Office applications.

Responsibilities

• Improve documentation accuracy and completeness through provider queries.
• Assign MS-DRG/APR-DRG and assess SOI/ROM.
• Ensure CDI compliance with AHIMA/ACDIS guidelines.
• Collaborate with healthcare team to resolve gaps.
• Query providers to clarify missing or conflicting diagnoses.

Skills

Inpatient coding

MS-DRG

APR-DRG

ICD-10-CM/PCS

Query communication

EHR systems

MS Office

Analytical thinking

Attention to detail

Verbal communication

Education

Bachelor's degree

Tools

Encoder

EHR systems

Microsoft Office

Job description

## Clinical Documentation Integrity Specialist - Full Time (On-Site) - Days - 8hr QVHApply: Emanate Health Queen of the Valley Hospital - West Covina: Full time: Posted Today: R0014331# **Current Emanate Health Employees - Please log into your Workday account to apply**Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the work you do at Emanate Health affects lives. When you join Emanate Health, you become part of a team that works together to strengthen our communities and grow as individuals.On Glassdoor's list of \"Best Places to Work\" in 2021, Emanate Health was named the #1 ranked health care system in the United States, and the #19 ranked company in the country.# **Job Summary**The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team. The CDIS ensures that documentation accurately reflects the patient’s clinical conditions and level of service. The CDIS communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses. The role includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs). The CDIS applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics.# **Job Requirements**## **Minimum Education Requirement:**Bachelor's degree required.## **Minimum Experience Requirement:**Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting. Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines. Experience using encoder and electronic health record (EHR) systems. Excellent verbal and written communication skills. Strong analytical thinking, problem-solving abilities, and attention to detail. Proficiency in Microsoft Office applications preferred.**Minimum License Requirement:**ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer.Delivering world-class health care one patient at a time.Pay Range:$49.55 - $76.80