Hybrid Clinical Documentation Specialist | Elevate Quality

Tenet Healthcare; Phoenix (AZ); Hybrid; USD 70,000 - 95,000; Full time

Job summary

Abrazo Community Health Network Hospital is hiring a Clinical Documentation Specialist to improve the completeness of clinical documentation and accurately reflect patient severity and risk. You will work with physicians, case management, nursing and coding staff to clarify documentation and educate teams.

This hybrid role combines onsite and remote work, with responsibilities including documentation reviews, DRG reconciliation, and supporting coding accuracy.

Qualifications

• Knowledge of care delivery documentation systems and related medical record documents.
• Detailed knowledge of MSDRGs and OIG work plan as it relates to correct coding and MSDRG assignment.
• Excellent written and verbal communication skills, with ability to build relationships with physicians, case management, nursing and coding staff.
• Computer skills and familiarity with basic office equipment; ability to work independently in a time‑oriented environment.
• Self-directed, motivated and positive attitude.

Responsibilities

• Initiates and performs concurrent documentation reviews to clarify conditions/diagnoses and procedures with inadequate or conflicting documentation.
• Educates physicians and clinicians on documentation importance to improve code assignment; uses queries and education programs.
• Remains current with coding guidelines to ensure accuracy of codes.
• Performs ongoing CDI Final Review and DRG reconciliation; documents outcomes.
• Monitors queries and outcomes; participates in inter/intra-departmental projects.
• Collaborates with physicians as liaison between coding and clinical teams; mentors new staff.

Skills

Care documentation systems

MSDRGs & OIG guidelines

Written and verbal communication

Interpersonal skills

Independent work

Education

Nursing degree or AHIMA accreditation or equivalent medical education

Job description

Abrazo Community Health Network Hospital is hiring a Clinical Documentation Specialist to improve the completeness of clinical documentation and accurately reflect patient severity and risk. You will work with physicians, case management, nursing and coding staff to clarify documentation and educate teams.

This hybrid role combines onsite and remote work, with responsibilities including documentation reviews, DRG reconciliation, and supporting coding accuracy.