Hybrid CDIS Specialist — Clinical Documentation Expert

Mayo Foundation for Medical Education and Research; Rochester (MN); Hybrid; USD 78,000 - 117,000; Full time

Benefits offered by this job

Medical plan options

Dental coverage

Vision plan

HSA/FSAs available

Retirement plan

Job summary

Mayo Clinic is seeking an established Inpatient Clinical Documentation Improvement Specialist (CDIS) to validate documentation, support accurate coding, and ensure medical necessity across inpatient and outpatient records. The role emphasizes collaboration with physicians, coders, and care teams to improve documentation quality.

The candidate should hold an Associate’s degree with at least 2 years of CDIS experience and possess CDIP or CCDS certification.

Qualifications

• Associate’s degree and 2 years of experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS).
• Certifications required: CDIP or CCDS.
• Exemption status: Exempt from overtime.

Responsibilities

• Review inpatient and/or outpatient medical records to validate severity of illness and medical necessity of services.
• Ensure documentation reflects patient status, risk of mortality, and care complexity.
• Identify opportunities for improvement in concurrent and retrospective documentation.
• Collaborate with physicians, coders, case managers, nurses and staff to improve documentation quality.
• Educate clinical staff and act as a change agent for improved documentation practices.

Skills

CDIS experience

Education

Associate’s degree

Job description

Mayo Clinic is seeking an established Inpatient Clinical Documentation Improvement Specialist (CDIS) to validate documentation, support accurate coding, and ensure medical necessity across inpatient and outpatient records. The role emphasizes collaboration with physicians, coders, and care teams to improve documentation quality.

The candidate should hold an Associate’s degree with at least 2 years of CDIS experience and possess CDIP or CCDS certification.