Clinical Documentation Strategist | SOI & DRG Expert

Brown-University-Health-1; Providence (RI); On-site; USD 87,000 - 174,000; Full time

Job summary

Brown University Health seeks a Clinical Documentation Specialist to perform concurrent auditing of patient records, ensuring documentation accurately reflects severity of illness, risk of mortality, and complexity of care. The role requires collaboration with physicians, nursing staff, and coding professionals to improve quality and completeness of clinical information used for outcomes reporting.

You will maintain the CDI database, perform DRG reconciliation, and provide education on

Qualifications

• RN licensed in RI with 3 years of relevant clinical experience (BSN required, master's preferred).
• Physician Assistant or Nurse Practitioner with RI licensure and 3 years of clinical experience, or MD with 2 years of clinical documentation experience.

Responsibilities

• Audits medical records concurrently to reflect accuracy of illness severity and risk of mortality.
• Identify documentation gaps and opportunities to clarify incomplete or conflicting records.
• Develops concise, compliant queries and communicates with physicians and mid-level providers.
• Maintains the CDI database and performs DRG reconciliation to ensure accurate coding.
• Collaborates with coding staff to resolve discrepancies and acts as clinical liaison.

Skills

Clinical documentation

Auditing

Interprofessional collaboration

Education

RN licensure RI

PA/NP license requirement

BSN required; master’s preferred

Tools

3M Encoder

HIM coding standards

Job description

Brown University Health seeks a Clinical Documentation Specialist to perform concurrent auditing of patient records, ensuring documentation accurately reflects severity of illness, risk of mortality, and complexity of care. The role requires collaboration with physicians, nursing staff, and coding professionals to improve quality and completeness of clinical information used for outcomes reporting.

You will maintain the CDI database, perform DRG reconciliation, and provide education on