Documentation Integrity Specialist IV, Clinical Licensure-Risk Adjustment

ISHE; Sacramento (CA); Hybrid; USD 90,000 - 120,000; Full time

Job summary

ISHE is seeking a CDI risk adjustment professional to support programs by ensuring documentation quality and identifying opportunities for clarification and improvement. The role collaborates with providers, coding, compliance, and operational teams to align with coding and regulatory standards and support audit readiness.

The candidate will drive continuous quality improvements, strengthen documentation integrity, and contribute to program effectiveness in a fast-paced clinical setting in

Qualifications

• Minimum two years of experience in inpatient acute care or clinical setting.
• Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field AND minimum four years experience in nursing, CDI, inpatient coding, quality review, case management, or a directly related field OR Minimum seven years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field.

Responsibilities

• Support CDI risk adjustment programs through documentation quality and identify opportunities for clarification and improvement.
• Promote alignment with coding, regulatory, and organizational standards.
• Collaborate with providers, coding, compliance, and operational teams to support audit preparedness and strengthen documentation integrity.
• Drive continuous quality improvement initiatives and improve program effectiveness.

Skills

Documentation quality

Cross-functional collaboration

Quality improvement

Audit readiness

Education

Bachelor's degree in Nursing/Medicine/Health Administration/Health Information Management

Job description

Support Clinical Documentation Integrity Risk Adjustment programs through documentation quality, identify opportunities for clarification and improvement, and promote alignment with coding, regulatory, and organizational standards. Collaborate with providers, coding, compliance, and operational teams to support audit preparedness, strengthen documentation integrity, improve program effectiveness, and drive continuous quality improvement initiatives.

Minimum two (2) years of experience in an inpatient acute care or clinical setting.
Bachelors degree in Nursing, Medicine, Health Administration, Health Information Management, or related field AND minimum four (4) years experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field OR Minimum seven (7) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field.
Physician Assistant License (California) required at hire OR Doctor of Medicine License (California) required at hire OR Nurse Practitioner Certificate (California) required at hire OR Registered Nurse License (California) required at hire