Clinical Documentation Integrity Specialist Job at Emanate Health (West Covina)

Clinical Documentation Specialist RN

Improves the overall quality and completeness of clinical documentation by perfo...

Location

United States

Salary:

38.20 - 57.30 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

Graduate from an accredited school of nursing
BSN
5 years relevant clinical experience
Current nursing license in the State of Illinois
Ability to prioritize work
Excellent communication skills
Good problem solving skills
Critical thinking skills
Basic Computer skills
Effective problem-solver with good interpersonal communication skills, verbal and written

Job Responsibility

Improves the overall quality and completeness of clinical documentation by performing chart reviews using clinical documentation guidelines based on accepted standards, evidenced based practice, and current regulatory requirements
Communicates with appropriate healthcare team members to ensure accurate and complete documentation is in the medical record
Conducts follow-up reviews of clinical documentation to ensure points of clarification and agreed upon documentation have been recorded in the patient’s chart
Identifies the most appropriate principal diagnosis and complications including date to accurately reflect clinical acuity and risk of mortality in compliance with government regulations
Reviews clinical issues with coding staff to assign a working DRG, follows up with physicians if appropriate
Provide daily clinical evaluation of the medical record including physician and clinical documentation, lab results, diagnostic information and treatment plan
Confers with physicians, face to face or via clinical documentation inquiry forms, regarding missing, unclear or conflicting medical record documentation to clarify the information, obtain needed documentation, present opportunities, and educate for appropriate identification of severity of illness
Responsible for the day-to-day evaluation of documentation by the Medical Staff and healthcare team in accordance with the hospital’s designated clinical documentation policies and procedures
Gather and analyze information pertinent to documentation findings and outcomes
Educates all internal customers on clinical documentation opportunities, coding and reimbursement issues, as well as performance improvement strategies

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

42.80 - 66.34 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of three (3) years of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10- CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

42.80 - 66.34 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of three (3) years of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10- CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

42.80 - 66.34 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of three (3) years of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10- CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

New

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

69.00 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) preferred
Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Parttime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

49.55 - 76.80 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

49.55 - 76.80 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) required
Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Fulltime

Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist (CDIS) facilitates the overall q...

Location

United States , West Covina

Salary:

69.00 USD / Hour

Emanate Health

Expiration Date

Until further notice

Requirements

Medical degree or Bachelor of Science in Nursing (BSN) preferred
Minimum of one (1) year of inpatient coding experience and/or experience working as a Clinical Documentation Integrity Specialist in an acute care setting
Strong knowledge of MS-DRG, APR-DRG, ICD-10-CM/PCS coding guidelines
Experience using encoder and electronic health record (EHR) systems
Excellent verbal and written communication skills
Strong analytical thinking, problem-solving abilities, and attention to detail
Proficiency in Microsoft Office applications preferred
ACDIS Certified Clinical Documentation Specialist (CCDS) or AHIMA Certified Documentation Integrity Practitioner (CDIP) required within 1 year of hire/transfer

Job Responsibility

Facilitates the overall quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and other members of the healthcare team
Ensures that documentation accurately reflects the patient’s clinical conditions and level of service
Communicates with providers through discussion and/or compliant queries to address missing, unclear, conflicting, or clinically unsupported diagnoses
Includes appropriate assignment of MS-DRG/APR-DRG, severity of illness (SOI), risk of mortality (ROM), and identification of relevant clinical indicators (e.g., HACs, PSIs)
Applies principles of clinical validation and ensures all queries comply with AHIMA/ACDIS guidelines and the CDI Code of Ethics

Parttime

Clinical Documentation Integrity Specialist

Emanate Health

Location:
United States , West Covina

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
January 24, 2026

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