Clinical Documentation Integrity Specialist (Roseville)

About the role

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Responsibilities

• Assists with ensuring accurate and complete documentation in the medical record to support quality measures and coding accuracy.
• Reviews patient records, recommends provider queries using established templates, and helps ensure documentation supports appropriate coding.
• Supports the Quality teams by performing chart reviews, following up on query responses, and assisting with documentation improvement initiatives.
• Works collaboratively with providers, quality, CDI and coding staff to address documentation gaps and supports data integrity efforts.

Requirements

• Education and Work Experience: Associate's/Technical Degree in Nursing, Health Information Management, or related clinical field or equivalent combination of education/related experience.
• Bachelor's Degree: Preferred
• Three years' CDI/clinical documentation experience OR coding experience.
• Two years' clinical experience: Required
• Familiarity with PSI/HAC validation, mortality reviews and external quality reporting. Exposure to risk adjustment concepts (HCC, SOI/ROM).
• Experience communicating with providers.

Qualifications

• Licenses/Certifications: RN OR LPN OR RHIT OR CCS, or equivalent.
• Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner Certificate (DIP): within 12 months of hire.
• Current licensed RN, medical provider or equivalent.

Skills

• Familiarity with CDI/clinical documentation processes.
• Ability to communicate effectively with healthcare providers and staff.
• Strong attention to detail and organizational skills.
• Knowledge of quality measures and coding standards.

Benefits

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Pay

The estimated base pay for this position is $46.75 to $64.13. Additional individual compensation may be available for this role through differentials, extra shift incentives, bonuses, etc. Base pay is only a portion of the total rewards package, and a comprehensive benefits program is available for qualifying positions. Please contact our Talent Acquisition team for more information.

Schedule

Shift Length: 8 Hours

Locations

Roseville, CA, United States

Hiring Department

Quality Resources