Senior Clinical Doc Improvement Specialist
Core
Conduct reviews of inpatient medical records to identify missing, vague, or incomplete components and communicate needs to clinical providers to ensure documentation integrity.
Role type
Senior Clinical Documentation Improvement Specialist
Builds
High-quality medical records supporting accurate coding, reimbursement, and quality measures
Domain
Healthcare / Clinical Documentation
Required skills
Inpatient medical record review, clinical data analysis, diagnosis identification, healthcare regulations knowledge, data reporting, workflow planning, mentorship
Preferred skills
CCDS or CDIP certification, 3-5 years CDI experience, advanced data presentation
Technologies
Excel, Word, PowerPoint
Responsibilities
Review inpatient medical records for completeness, communicate documentation gaps to providers, provide data reports and educational support to healthcare providers, mentor lower-level CDI Specialists, collaborate with coding, quality, and compliance departments
Seniority
Senior, hands-on IC with mentorship duties
