Senior CDI & Documentation Integrity Specialist (Remote)

Kaiser Permanente; Pleasanton (CA); On-site; USD 133,000 - 172,000; Full time

Job summary

Kaiser Permanente is seeking a Clinical Documentation Improvement professional to enhance CDI and DRG capture across medical record reviews. The role emphasizes accuracy, audit readiness, and collaboration with cross-functional teams to sustain regulatory compliance and documentation integrity.

Applicants should bring experience in inpatient coding, clinical documentation improvement, and education delivery, with a focus on quality standards and diagnosis capture.

Qualifications

• Minimum two (2) years of experience in inpatient acute care or clinical setting.
• Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field; CDI/inpatient coding experience preferred.

Responsibilities

• Lead CDI education and knowledge sharing with cross-functional teams.
• Autonomously support projects by applying domain expertise.
• Conduct clinical documentation reviews to improve accuracy and DRG capture.
• Support regulatory compliance through audits and documentation reviews.

Skills

Clinical documentation

Medical coding

DRGs

Regulatory compliance

Cross-functional collaboration

Training & education

Education

Bachelor's degree in Nursing, Medicine, Health Administration, Health Information Management, or related field

Job description

Kaiser Permanente is seeking a Clinical Documentation Improvement professional to enhance CDI and DRG capture across medical record reviews. The role emphasizes accuracy, audit readiness, and collaboration with cross-functional teams to sustain regulatory compliance and documentation integrity.

Applicants should bring experience in inpatient coding, clinical documentation improvement, and education delivery, with a focus on quality standards and diagnosis capture.