State Licensed Clinical Documentation Specialist

Job Summary

A company is looking for a Clinical Documentation Integrity Specialist I (CDI Tri-Valley - Remote).

Key Responsibilities

• Conducts concurrent and retrospective reviews of medical records to improve clinical documentation quality
• Collaborates with clinical providers to ensure accurate documentation and coding practices
• Performs ongoing documentation analysis and submits queries to address gaps in medical records

Required Qualifications

• Bachelor's degree in Nursing, Medicine, Health Information Management, or a related field
• Five years of progressively responsible inpatient clinical experience
• 0-2 years of CDI related work experience
• Preferred experience in ICU/ED and Academic Medical Centers
• Preferred experience in case management or utilization review