Clinical Documentation Improvement Specialist
Listed on 2026-01-01
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Healthcare
Healthcare Administration, Healthcare Compliance
Clinical Documentation Improvement Specialist
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Brief DescriptionThe Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the improvement in the overall quality and completeness of provider‑based clinical documentation in the medical record. This position will assist treating providers to ensure that documentation in the medical record accurately reflects the severity of illness of the patient as well as the level of services rendered.
The Clinical Documentation Improvement (CDI) specialist is responsible for facilitating the improvement in the overall quality and completeness of provider‑based clinical documentation in the medical record. This position will assist treating providers to ensure that documentation in the medical record accurately reflects the severity of illness of the patient as well as the level of services rendered.
RequirementsWhat you need to bring to this role:
- Bachelor's degree in a healthcare‑related field required
- Required certification or license must be one of the following:
- Registered or Licensed Practical Nurse
- Certified Coder (AAPC or AHIMA preferred)
- MD Equivalent
- AHIMA Clinical Documentation Improvement Practitioner (CDIP) certification
- 1+ years' experience in population health required (3+ preferred)
- 1+ years' experience working in a healthcare setting required (3+ in outpatient ambulatory setting preferred)
- 1+ years' experience with abstracting and data entry related to clinical documentation required
- Proficient in Microsoft Office Suite required
- Valid driver's license required
- Ability to move between sites as needed (with mileage reimbursement)
- Bilingual (Spanish/English) a plus
- MCR Health Services is a drug‑free workplace. All job applicants selected for employment must submit to a pre‑employment drug test and background check.
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