Hybrid Clinical Documentation Specialist - CDI Educator

CHS Corporate; Laredo (TX); Hybrid; USD 75,000 - 115,000; Full time

Job summary

CHS Corporate seeks a Clinical Documentation Specialist to improve CDI practices and ensure accurate patient records at Laredo Medical Center. This hybrid role supports coding accuracy, quality metrics, and regulatory compliance while collaborating with physicians and CDI staff.

Ideal candidates have an RN with CDI experience and familiarity with 3M Encompass and Iodine Interact, plus a track record of physician education and documentation optimization.

Qualifications

• 3-5 years of acute care hospital nursing experience.
• 3-5 years of CDI or health information management experience preferred.
• Experience in physician education or query processes preferred.
• Familiarity with regulatory standards and quality metrics related to clinical documentation preferred.
• RN license or comparable clinical license required.

Responsibilities

• Analyzes inpatient clinical records to identify opportunities for improving documentation accuracy.
• Adheres to CDI workflows and uses CDI software to support documentation practices.
• Uses physician query processes to clarify documentation, following up daily on unanswered queries.
• Executes education and training for providers to improve documentation practices.
• Collaborates with coding professionals to ensure accurate diagnostic and procedural data.
• Monitors regulatory changes in coding and quality metrics and shares updates with staff.
• Creates reports and maintains records of CDI activities and impact metrics.
• Leads physician education initiatives and develops strategies for documentation improvement.

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing or Health Information Management

Tools

3M Encompass

Iodine Interact

Job description

CHS Corporate seeks a Clinical Documentation Specialist to improve CDI practices and ensure accurate patient records at Laredo Medical Center. This hybrid role supports coding accuracy, quality metrics, and regulatory compliance while collaborating with physicians and CDI staff.

Ideal candidates have an RN with CDI experience and familiarity with 3M Encompass and Iodine Interact, plus a track record of physician education and documentation optimization.