Lead Clinical Documentation Specialist

Job Summary

A company is looking for a Lead CDI Specialist.

Key Responsibilities

• Assist leadership in managing day-to-day operations of the Clinical Documentation Integrity program
• Facilitate quality improvement in medical record documentation through audits, education, and data analysis
• Perform pre-bill compliance audits and ensure accurate code assignment and adherence to guidelines

Required Qualifications

• Minimum of three (3) years of experience as a Clinical Documentation Integrity Specialist
• Bachelor's degree (preferably BSN) or an Associate of Science in Nursing (ASN) with two (2) years of relevant clinical experience
• Certified Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) certification required within one (1) year
• Proficiency in Microsoft Excel and Outlook
• Regular and predictable attendance is required