Specialist I - Inpatient Clinical Documentation Integrity (ICDI)

Mayo Foundation for Medical Education and Research; Rochester (MN); Hybrid; USD 78,000 - 117,000; Full time

Benefits offered by this job

Medical plan options

Dental coverage

Vision plan

HSA/FSAs available

Retirement plan

Job summary

Mayo Clinic is seeking an established Inpatient Clinical Documentation Improvement Specialist (CDIS) to validate documentation, support accurate coding, and ensure medical necessity across inpatient and outpatient records. The role emphasizes collaboration with physicians, coders, and care teams to improve documentation quality.

The candidate should hold an Associate’s degree with at least 2 years of CDIS experience and possess CDIP or CCDS certification.

Qualifications

• Associate’s degree and 2 years of experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS).
• Certifications required: CDIP or CCDS.
• Exemption status: Exempt from overtime.

Responsibilities

• Review inpatient and/or outpatient medical records to validate severity of illness and medical necessity of services.
• Ensure documentation reflects patient status, risk of mortality, and care complexity.
• Identify opportunities for improvement in concurrent and retrospective documentation.
• Collaborate with physicians, coders, case managers, nurses and staff to improve documentation quality.
• Educate clinical staff and act as a change agent for improved documentation practices.

Skills

CDIS experience

Education

Associate’s degree

Job description

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.

Responsibilities

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, pathophysiology, medications, and critical thinking to identify and remedy 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 practices. May perform ICDI DRG Secondary Reviews as well as support audit related activities. Maintains compliance with ethical, legal, and coding standards. 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. Must be able to work flexible hours, including evenings and weekends, as needed to meet business demands. During the selection process you may participate in an OnDemand (pre-recorded) interview that you can complete at your convenience. During the OnDemand interview, a question will appear on your screen, and you will have time to consider each question before responding. You will have the opportunity to re-record your answer to each question — Mayo Clinic will only see the final recording. The complete interview will be reviewed by a Mayo Clinic staff member and you will be notified of next steps. This vacancy is not eligible for sponsorship/ we will not sponsor or transfer visas for this position. Also, Mayo Clinic DOES NOT participate in the F-1 STEM OPT extension program.

Qualifications

Associate’s and 2 years of experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS).

Certifications (either are required): Certified Documentation Improvement Practitioner (CDIP) OR Certified Clinical Documentation Specialist (CCDS) certification

Exemption Status

Exempt

Compensation Detail

$78,270.40 - $117,312.00 / year

Benefits Eligible

Yes

Schedule

Full Time

Hours/Pay Period

80

Schedule Details

Monday - Friday, Business hours. This is a hybrid position and must be located within 100 miles of ANY Mayo Clinic campus for onsite expectations as business needs dictate.

Weekend Schedule

Based on business need

International Assignment

No

Site Description

Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status.

Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.