Lead - ICDI Specialist

Mayo Clinic; Rochester (CA); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Medical plans

Dental coverage

Vision plan

HSA/FSAs

Retirement plan

Job summary

Mayo Clinic is seeking an Enterprise Provider Educator – Inpatient CDI to train providers on documentation best practices, risk adjustment, and coding accuracy. You will develop tailored education content and support quality improvement initiatives across inpatient and outpatient settings.

The role is hybrid and requires living within 100 miles of a Mayo Clinic campus; occasional evenings/weekends may be needed to meet business demands.

Qualifications

• Excellent written and verbal communication skills.
• Strong teamwork and adaptability; ability to work with diverse teams.
• Proficiency in Microsoft Office suite; familiarity with collaboration tools.
• Project management and problem-solving abilities.
• High attention to detail and organizational skills.

Responsibilities

• Review inpatient/outpatient records to ensure accurate representation of illness severity and medical necessity.
• Identify documentation gaps and promote best practices in documentation and coding.
• Collaborate with physicians, coders and nurses to improve documentation quality.
• Lead education efforts and act as a resource for clinical staff.
• Support quality improvement projects and audits as needed.

Skills

Communication

Teamwork

Adaptability

Project management

Attention to detail

Flexibility

Education

CDIP or CCDS certification

CCS or CIC certification

CRC certification

Tools

Word

PowerPoint

Excel

OneNote

SharePoint

Copilot

Job description

We’re Hiring: Enterprise Provider Educator – Inpatient CDI! Join our team to train providers on documentation best practices and risk adjustment, deliver tailored education, and develop engaging content across Mayo Clinic.

Key Qualifications:

• Excellent written and verbal communication
• Strong teamwork, adaptability, and demonstration of situational awareness
• Proficiency in Word, PowerPoint, Excel; familiarity with OneNote, SharePoint and Copilot
• Project management and problem-solving
• Strong attention to detail and excellent organizational skills
• Flexibility with work hours to meet business needs

Reviews inpatient and/or outpatient medical records to ensure accurate representation of severity of illness. Validates that clinical documentation supports medical necessity of services and accurate coding. Ensures documentation reflects patient’s clinical status, risk of mortality, and care complexity. Applies advanced knowledge of disease processes, medications, and critical thinking to identify documentation gaps. Identifies opportunities for improvement in concurrent and retrospective documentation. Ensures compliance with regulatory standards related to documentation, coding, and billing. Collaborates with physicians, coders, case managers, nurses, and other staff to improve documentation quality. Acts as an educator and resource to clinical staff, promoting best practices in documentation. Acts as a change agent for improved documentation and enhanced documentation. Demonstrates strong analytical thinking and problem-solving skills. Communicates effectively, both verbally and in writing, with physicians, leadership, and interdisciplinary teams. Self-motivated with the ability to work independently and without close supervision. Works collaboratively in a dynamic, team-oriented environment. May perform ICDI DRG Secondary Reviews as well as support audit and denial related activities. Performs special projects / Quality Improvement Initiatives. May be asked to perform secondary mortality reviews. Timekeeping delegate. Initiates counseling to staff regarding quality of work, productivity, and team communication for corrective action/ performance improvement plans. Acting as liaison between staff and supervisor. Communicating information and work assignments to others in the unit and carrying out special assignments as requested. Providing work direction and assistance to other employees. Ensuring that the work in the area of responsibility is properly completed. Participate in the orientation and training of new employees. Maintains compliance with ethical, legal, and coding standards. Must be able to work flexible hours, including evenings and weekends, as needed to meet business demands. Applies advanced clinical knowledge and expertise from the Certified Coding Specialist (CCS) or CIC certification to accurately assign inpatient codes, ensuring compliance with coding guidelines and supporting optimal reimbursement. Collaborates with clinical teams to clarify documentation and enhance coding accuracy. Utilizes specialized knowledge from the Certified Risk Coder (CRC) certification to ensure accurate capture in inpatient documentation, supporting risk adjustment and value-based care initiatives. Reviews clinical records to identify and validate chronic conditions impacting patient risk scores and reimbursement.

This is a hybrid role and the incumbent must live within 100 miles of a Mayo Clinic campus.

Mayo Clinic will not sponsor or transfer visas for this position including F1 OPT STEM.

Associate’s and 7 years of experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS) required OR Bachelor’s and 5 years experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS) required.

Certifications (All three areas below required):

• Certified Documentation Improvement Practitioner (CDIP) OR Certified Clinical Documentation Specialist (CCDS) certification
• Certified Coding Specialist (CCS) AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification
• Certified Risk Adjustment Coder (CRC) AAPC certification

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Benefits Highlights

• Medical: Multiple plan options.
• Dental: Delta Dental or reimbursement account for flexible coverage.
• Vision: Affordable plan with national network.
• Pre-Tax Savings: HSA and FSAs for eligible expenses.
• Retirement: Competitive retirement package to secure your future.