Lead Clinical Documentation Specialist, RN - Health Informat

Lead Clinical Documentation Specialist, RN - Health Informat

Hawaii Pacific Health | Posted Feb 27, 2026

Full-time

Hawaii

Negotiable

Advanced (5-10 yrs)

Hawai'i Pacific Health is a not-for-profit health care network with over 70 locations statewide including medical centers, clinics, physicians and other caregivers serving Hawai'i and the Pacific Region with high quality, compassionate care. Its four medical centers - Kapi'olani, Pali Momi, Straub and Wilcox - specialize in innovative programs in women’s health, pediatric care, cardiovascular services, cancer care, bone and joint services and more.

Hawai'i Pacific Health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.

Health Information Services (HIS) processes patient medical records and releases health information to patients, physicians, and other outside facilities for treatment, payment, or review. HIS is the custodian and gatekeeper for privacy of the organization’s medical records and also generates the coding procedures for data collection, research, and reimbursement. With the widespread computerization of health records and other information sources, including hospital administration functions and health human resources information, health informatics and health information technology are being increasingly used in the health care sector.

Hawai‘i Pacific Health is seeking a Lead Clinical Documentation Specialist (CDS) – RN to support and elevate the quality, accuracy, and completeness of clinical documentation across our hospitals. In this role, you will conduct concurrent reviews, identify documentation improvement opportunities, and collaborate closely with physicians, clinicians and coding teams to ensure medical records accurately reflect severity of illness and support compliant ICD‑10‑CM/PCS coding.

You will help drive CDI program excellence by training new and existing CDS nurses, leading documentation improvement initiatives, supporting DRG reconciliation efforts, and providing targeted physician education. This role also analyzes data trends, refines processes, and partners with internal and external stakeholders to advance documentation integrity system‑wide. We’re looking for someone who is confident working independently and comfortable in a diverse professional setting.

If you bring enthusiasm, strong attention to detail, the ability to set your own priorities—and share our commitment to a healthier Hawai‘i— you may be the perfect fit.

Location: Harbor Court (On-site position, is not a hybrid nor a work-from-home position)
Work Schedule: Day - 8 Hours
Work Type: Full Time Regular
FTE: 1.000000
Bargaining Unit: Non-Bargaining
Exempt: Yes
Req : 32314
Pay Range:  -  USD per hour
Category: Health Information Management
Minimum Qualifications: Bachelor’s Degree and/or equivalent combination of training, and/or experience in Nursing or related field. Must meet education requirements for Hawai‘i state licensing. Current Hawai‘i RN license. Five (5) years of acute care nursing experience demonstrating progressive experience in reviewing medical records and/or compliance of medical record documentation. Two (2) year of hospital based inpatient CDI and coding experience. Professional knowledge of DRGs and other reimbursement methodologies as well as official coding guidelines inpatient ICD CM/PCS coding guidelines.

Knowledge of medical terminologies, A&P, disease process and pharmacology drug names. Proficient in Microsoft Office including Outlook, Word, Excel, PowerPoint or Access. Must obtain the Certified Clinical Documentation Specialist (CCDS) Or Certified Clinical Documentation Improvement Professional (CDIP) certification within one (1) year of hire.
Preferred Qualifications: ICD-10 Trainer certification or Certified Coding Specialist (CCS). Certified Clinical Documentation Specialist (CCDS) Or Certified Clinical Documentation Improvement Professional (CDIP). Previous leadership experience. Previous training/preceptor experience.
EOE/AA/Disabled/Vets

Hawai‘i Pacific Health offers a comprehensive and competitive total rewards package that includes pay and benefits. Rate of pay for selected candidates will be determined by various factors including knowledge, skills, abilities, relevant experience and training, as well as internal peer equity.

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