Hybrid CDI Specialist: Clinical Documentation Integrity

Parkland Health; Texas; Hybrid; USD 90,000 - 120,000; Full time

Job summary

Parkland Health in Dallas, TX is seeking a Clinical Documentation Integrity Specialist (CDIS) to review patient records and ensure complete, accurate documentation for hospitalization and treatment. The role requires expertise in ICD-10, complications/comorbidities, and DRG attribution, with queries to medical staff as needed.

The position is full-time, hybrid (3 days on site, 2 days work-from-home), with flexible start times 5am–9am, Monday–Friday, at the Moody Building.

Qualifications

• Must meet one of the following educational/experience tracks: MD/DO with 2+ years clinical experience; RN with 3+ years in acute care; HIM professional with 2+ years coding experience.

Responsibilities

• Collaborates with physician, physician extender, nurse, case manager/utilization reviewer and HIM coder to identify principal diagnosis options, secondary diagnoses and procedures, to assign working MS-DRGs and or APR-DRG for at least 85% of identified populations.
• Conducts initial and extended-stay concurrent reviews on all selected admissions and documents findings within 3M CDIS software.
• Identifies need to clarify documentation in records and utilizes strong communication skills with physician, physician extender, nurse or other healthcare professionals, utilizing appropriate tools to capture needed documentation.
• Serves as a resource to physicians and administration regarding issues to the appropriateness of inpatient MS-DRG and APR-DRG assignment.
• Assists in the development of query response physician reports. Maintains complete confidentiality of patient information, in addition to hospital and individual physician practice pattern data.
• Provides information and in-services as necessary to physician and ancillary staff.

Skills

Organizational skills

Analytical skills

Written communication

Interpersonal skills

Medical terminology knowledge

ICD-10 and CPT coding knowledge

MS Office suite

Teaching in group settings

Education

Nursing degree

Medical degree (MD, DO)

Master’s degree in Healthcare/Medical field

HIM program certification

Tools

MS Office (Word, Excel, PowerPoint)

Job description

Parkland Health in Dallas, TX is seeking a Clinical Documentation Integrity Specialist (CDIS) to review patient records and ensure complete, accurate documentation for hospitalization and treatment. The role requires expertise in ICD-10, complications/comorbidities, and DRG attribution, with queries to medical staff as needed.

The position is full-time, hybrid (3 days on site, 2 days work-from-home), with flexible start times 5am–9am, Monday–Friday, at the Moody Building.