Lead CDI Specialist: Clinical Documentation & Education

Community Health Systems; Missouri; On-site; USD 70,000 - 95,000; Full time

Job summary

The Clinical Documentation Specialist (CDS) at Community Health Systems will perform CDI activities to improve accuracy and completeness of patient records. The role partners with providers to ensure codes reflect illness severity and care provided, through education and physician queries.

Local to Missouri, the position requires on-site presence at Poplar Bluff Medical Center at least two days per week and emphasizes compliance with regulatory standards and quality metrics.

Qualifications

• Associate Degree in Nursing or comparable field required.
• 3-5 years of acute care hospital nursing experience required.
• 3-5 years in CDI, health information management, or inpatient coding preferred.

Responsibilities

• Analyzes inpatient records to identify opportunities for documentation improvement.
• Uses CDI workflows and software to support documentation practices.
• Follows approved physician query processes and daily query follow-ups.
• Conducts follow-up reviews to identify new documentation opportunities.
• Tracks CDI activities and reports impact metrics.
• Provides education and training to providers on documentation improvement.
• Collaborates with coding professionals to ensure accurate data.
• Leads physician education initiatives to improve practices.
• Monitors regulatory changes in coding, documentation, and quality metrics.
• Creates and submits accurate reports and maintains records of activities.

Skills

Strong knowledge of CDI principles and

Analytical and problem-solving skills

Proficiency in CDI software (3M 360 En

Effective communication and teamwork

Educational program delivery

Strong organizational skills

Regulatory compliance focus

Education

Associate Degree in Nursing

Bachelor's Degree in Nursing/Health Information Management

Tools

3M 360 Encompass

Iodine Interact

Job description

The Clinical Documentation Specialist (CDS) at Community Health Systems will perform CDI activities to improve accuracy and completeness of patient records. The role partners with providers to ensure codes reflect illness severity and care provided, through education and physician queries.

Local to Missouri, the position requires on-site presence at Poplar Bluff Medical Center at least two days per week and emphasizes compliance with regulatory standards and quality metrics.