Clinical Documentation Specialist: Drive DRG Accuracy

JPS Health Network; Fort Worth (TX); On-site; USD 75,000 - 110,000; Full time

Job summary

JPS Health Network in Fort Worth, TX seeks a Clinical Documentation Specialist to ensure accurate representation of patient illness through provider documentation within hospitalized care teams.

You will review medical records, collaborate with physicians and coding staff, and drive documentation improvements across the organization to support quality outcomes and compliant coding practices.

Qualifications

• Associate’s Degree in Nursing, Health Information Technology or related field.
• 2+ years of hospital CDI experience.
• High School Diploma with 2+ years of CDI experience.

Responsibilities

• Review hospitalized patients' records to accurately represent severity of illness.
• Establish DRG based on ICD diagnosis and procedures.
• Identify opportunities to impact case mix through documentation of comorbid conditions and provider queries.
• Complete provider clarification queries when documentation is ambiguous or incomplete.
• Present clinical documentation trends at medical staff meetings and educate on documentation impact.
• Lead Task Force meetings with coding staff to discuss DRG discrepancies and education.
• Perform other related duties as assigned.

Skills

CDI

Medical coding

Healthcare documentation

Education

Associate’s Degree in Nursing, HIT or related field

High School Diploma with CDI experience

Bachelor’s Degree (preferred)

Tools

Clinical documentation software

ICD coding systems

Job description

JPS Health Network in Fort Worth, TX seeks a Clinical Documentation Specialist to ensure accurate representation of patient illness through provider documentation within hospitalized care teams.

You will review medical records, collaborate with physicians and coding staff, and drive documentation improvements across the organization to support quality outcomes and compliant coding practices.