Senior CDI Specialist – Clinical Documentation & Compliance

Kaiser Permanente; Oakland (CA); Presencial; USD 133.000 - 172.000; Jornada completa

Descripción de la vacante

Kaiser Permanente in Oakland, CA is seeking a Clinical Documentation Improvement Specialist to review medical records, assign codes and DRGs, and support CDI initiatives.

Responsibilities include training staff, collaborating across teams, auditing documentation for regulatory compliance, and ensuring accurate diagnosis capture per federal regulations. Requires FMG degree, CDI/CCDS/CCS credentials preferred, and Epic experience.

Formación

• Minimum two (2) years of experience in inpatient acute care or clinical setting.
• FMG degree required; appropriate licensure and credentials at hire.
• Epic Systems experience preferred.
• Strong knowledge of CDI, coding guidelines and regulatory standards.

Responsabilidades

• Reviews inpatients’ medical records to promote accurate, complete documentation and assigns medical codes and DRGs.
• Supports CDI program by integrating processes to improve documentation accuracy and issue resolution.
• Conducts staff training and education on CDI, coding, quality standards, and documentation capture.
• Drives regulatory compliance by audits and documenting cases of non-compliance with federal and state regulations.
• Collaborates cross-functionally to identify and implement documentation improvement initiatives.

Educación

Foreign Medical Graduate (FMG) Degree

Clinical Documentation Specialist Certificate

CDI certifications: CCDS / CCS / CDIP / CCS-P / RHIA / RHIT

Descripción del empleo

Kaiser Permanente in Oakland, CA is seeking a Clinical Documentation Improvement Specialist to review medical records, assign codes and DRGs, and support CDI initiatives.

Responsibilities include training staff, collaborating across teams, auditing documentation for regulatory compliance, and ensuring accurate diagnosis capture per federal regulations. Requires FMG degree, CDI/CCDS/CCS credentials preferred, and Epic experience.