Clinical Documentation Integrity Specialist
INTEGRIS Health · Oklahoma, United States · 1 mo ago
HybridFull-time
About the role
Join our team as a day shift, full time, Clinical Documentation Integrity Specialist at INTEGRIS Health in Oklahoma City, OK. INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives.
Responsibilities
- Reviews clinical documentation to ensure accuracy, completeness, and alignment with coding and regulatory requirements, supporting appropriate reimbursement and data integrity.
- Reviews medical records to identify documentation gaps impacting coding accuracy and data integrity.
- Initiates queries to obtain clarification and ensure complete and accurate documentation.
- Applies clinical, documentation, and coding knowledge to support accurate medical records.
- Maintains productivity and quality standards while managing assigned work queues and supports alignment between documentation and coding.
- Works with providers, coders, and care teams to support accurate documentation.
- Communicates documentation needs and query requests clearly.
- Uses clinical knowledge to identify documentation gaps and escalate appropriately.
- Completes documentation reviews and queries timely while maintaining quality.
- Follows CDI workflows and supports consistent documentation practices.
- Supports accurate documentation to ensure appropriate coding and reimbursement.
- Adapts to updates in documentation and regulatory requirements.
Qualifications
- Experience: 2 years of nursing or clinical coding experience
- Education: High School Diploma or GED
- License/Certifications: AHIMA‑RHIA (Registered Health Information Administrator) OR AHIMA‑RHIT (Registered Health Information Technician) OR AHIMA‑CCS (Certified Coding Specialist) OR AAPC‑CIC (Certified Inpatient Coder) OR RN (Registered Nurse)
- Preferred: Experience reviewing clinical documentation for coding alignment
Skills
Day‑to‑day work requires reviewing clinical documentation to identify gaps impacting code assignment and data integrity; applying knowledge of clinical conditions, documentation standards, and coding principles to ensure accurate and complete records; initiating queries for clarification; supporting alignment between documentation and coding; and maintaining productivity and documentation review accuracy.
Benefits
- Front‑loaded PTO
- Medical benefits through the extensive INTEGRIS Health network
- Financial assistance for continued education
- 24/7 mental health support