Clinical Documentation Quality Advocate

Oklahoma City Indian Clinic; Oklahoma City (OK); On-site; USD 65,000 - 90,000; Full time

Job summary

Oklahoma City Indian Clinic (OKCIC) seeks a Clinical Documentation Improvement Specialist to review medical records, ensure precise documentation, and improve coding practices. The role partners with clinicians, coders, and HIM staff to enhance data quality and compliance.

The CDIS will educate teams on documentation standards, collaborate across departments, and support performance measurement related to coding and documentation initiatives.

Qualifications

• Excellent communication and analytical thinking are required.
• Meticulous attention to detail in clinical documentation and coding.
• Knowledge of Medicare, Medicaid, commercial insurance and major coding systems.

Responsibilities

• Conduct daily evaluations of medical records and documentation accuracy.
• Engage with physicians and care teams to clarify and improve documentation.
• Educate clinical and coding staff on documentation criteria and compliance.
• Collaborate with HIM/coding professionals to ensure accurate final coded data.
• Develop provider education strategies to promote complete documentation and reduce negative trends.

Skills

Excellent communication

Analytical thinking

Meticulous attention to detail

Regulatory knowledge

Education

RHIT/RHIA or RN license/certification

Job description

Oklahoma City Indian Clinic (OKCIC) seeks a Clinical Documentation Improvement Specialist to review medical records, ensure precise documentation, and improve coding practices. The role partners with clinicians, coders, and HIM staff to enhance data quality and compliance.

The CDIS will educate teams on documentation standards, collaborate across departments, and support performance measurement related to coding and documentation initiatives.