Impactful Clinical Documentation Improvement Specialist

University of Southern California; United States; On-site; USD 64,000 - 84,000; Full time

Job summary

The CDI Specialist at University of Southern California reviews medical records to ensure accurate reflection of illness severity and care. You will work with physicians, HIM staff, and nursing to improve documentation and coding practices.

Proficiency in ICD-10-CM/PCS, CPT coding, and HIPAA is essential, with prior CDI or utilization review experience preferred. USC emphasizes equal opportunity employment and ongoing education for regulatory compliance.

Qualifications

• Graduate from a nursing, RHIT, RHIA, or foreign medical doctorate program preferred.
• Accredited coursework in anatomy and/or physiology, medical terminology, and disease process required.

Responsibilities

• Assist and develop tracking mechanisms to demonstrate program impact.
• Meet productivity targets for record review and query placement.
• Demonstrate knowledge of ICD-10-CM and ICD-10-PCS coding conventions and apply to medical record evaluation.
• Design tools to support physician documentation and collaboration with leadership.
• Facilitate multidisciplinary teams to improve clinical documentation.

Skills

Critical thinking

Problem solving

Deductive reasoning

Verbal communication

Written communication

Education

Nursing BSN or RHIT/RHIA or foreign medical doctorate

Anatomy/Physiology coursework

Tools

Windows based software

CPT/HCPCS knowledge

Job description

The CDI Specialist at University of Southern California reviews medical records to ensure accurate reflection of illness severity and care. You will work with physicians, HIM staff, and nursing to improve documentation and coding practices.

Proficiency in ICD-10-CM/PCS, CPT coding, and HIPAA is essential, with prior CDI or utilization review experience preferred. USC emphasizes equal opportunity employment and ongoing education for regulatory compliance.