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University Hospitals Logo University Hospitals · IT - Administration

Clinical Documentation Integrity (CDI) Analyst

United States, Shaker Heights Employment contract 79331.00 - 124051.00 USD / Year · Job Posted June 28, 2026
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Job Description

Applies clinical expertise and knowledge of health care workflows in order to educate and train CDI Specialists in the essential duties of their role to improve the overall accuracy and comprehensiveness of medical record documentation, with focus on ensuring accurate reporting of quality outcomes Educates CDI Specialists on the rules/regulations associated with coding and clinical documentation integrity. Trains newly hired CDI Specialists and provides ongoing coaching and education specific to daily CDI Specialist job functions. Ensures the work output of the Clinical Documentation Integrity staff is accurate and compliant. Collaborates with CDI leadership and Coding team to identify training opportunities and assist with education of CDI and Coding staff with regard to clinical documentation integrity and/or clinical and coding scenarios as needed.

Job Responsibility

  • Performs post-discharge, final coded, pre-bill reviews of targeted records identified for second-level review for opportunity to accurately capture patient acuity, severity of illness, risk of mortality, and DRG assignment in compliance with industry rules and regulations
  • Documents SLR findings within CDI application
  • Serves as a role model and resource for CDI team members
  • Maintains a summary of opportunities identified through second level review for feedback and education with the CDI team
  • Periodically review the criteria established for cases triggering a second level review and recommend updates or modifications to the criteria to assist in identifying areas of opportunity
  • Is actively engaged in quality and process improvement efforts
  • Performs other duties as assigned
  • Complies with all policies and standards
  • Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients

Requirements

  • Other Accredited Program: Diploma in Nursing or in Health Information Management
  • Associate's Degree preferably in Health Information Management or Nursing
  • Bachelor's Degree preferably in Health Information Management or Nursing
  • Doctorate Degree in Medicine
  • 3+ years CDI experience as a concurrent reviewer
  • Extensive clinical knowledge and understanding of pathology/physiology
  • Strong critical thinking skills
  • Demonstrates comprehension of Case Mix Index (CMI)
  • Knowledge of age-specific patient needs and the elements of disease processes and related procedures
  • Excellent written and verbal communication skills
  • Assertive personality traits
  • Working knowledge of inpatient admission criteria
  • Ability to work independently in a time-oriented environment as well as working as part of a team, primarily in a virtual setting
  • Applies knowledge and expertise to daily job responsibilities
  • Earns and maintains Certification for Clinical Documentation Improvement
  • Incorporates current literature, research and best practice (ACDIS and AHIMA) into daily practice
  • Up to-date clinical and coding experience, and current working knowledge of pathology, pharmacology, surgical procedures, etc.
  • Detail-oriented and organized, have excellent time-management skills, and have good analytical and problem-solving ability
  • Notable client service, communication, presentation and relationship building skills
  • Registered Nurse (RN), Ohio and/or Multi State Compact License
  • Registered Health Information Administration (RHIA)
  • Registered Health Information Technologist (RHIT)
  • Certified Clinical Documentation Specialist (CCDS)
  • Clinical Documentation Improvement Practitioner (CDIP)
  • International medical doctor education and experience can meet qualifications in lieu of RN, RHIA or RHIT

What we offer

  • $5,000 Sign on Bonus
  • healthcare
  • dental
  • vision
  • retirement plan options
  • additional offerings
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