Job Board

Welcome to the ACDIS Job Board!

ACDIS member organizations may post up to two openings per year. You must login to access the form. Additional job postings may be made available for a fee.

Non-ACDIS members can post openings for a fee of $350 per job description by contacting ACDIS member relations at, or by phone at 800/650-6787.

Each post will remain on the board for roughly 30 days.

Job description and benefit language must be limited to the actual job description and benefits, without extraneous language about the facility or region.

There is a character limit of 1,500 for description and 700 for benefits (including spaces and punctuation). We will edit your post (or return for you to edit) if the counts exceed the stated limits.

Date of Request: January 22, 2015
Job Title: Continuous Clinical Documentation Improvement Specialist (CQI/CDI)
Name of Facility/Hospital: Holy Redeemer Health System
Location of Facility/Hospital: Meadowbrook, PA
Contact Person/email/phone:  Human Resources/
Contact Address: Meadowbrook, PA

Job Description: The CQI CDI Specialist is responsible for coordinating all aspects of care provided to a defined patient population relating to specific quality/safety initiatives. This individual will be responsible for the collection, evaluation and reporting of related quality improvement, risk management and safety activities as identified by departmental/service leadership, system strategic imperatives and regulatory requirements. Also, be responsible for generating and evaluating statistical reports directed toward continuous improvement of the quality and safety of patient care and working with others to reduce risk and improve compliance with quality indicators by assisting in the development of preventative and corrective plans of action.
Bachelor’s Degree preferred. Registered Nurse with 3-5 years clinical experience in acute care required. Thorough knowledge of quality/performance improvement principles and tools preferred. Experience with facilitating quality and safety assessment and improvement activities preferred. Previous experience in inpatient coding required or sufficient knowledge of clinical documentation, DRG assignment and clinical conditions or procedures. Highly prefer previous quality improvement experience working with physician groups.
To apply, please visit
Equal Opportunity Employer

Compensation: DOE
Preferred Start Date: 
Position Type: Full-Time

Date of Request: January 20, 2015
Job Title: Clinical Documention Specialist
Name of Facility / Hospital: Marin General Hospital
Location of Facility / Hospital: Greenbrae, CAContact Person: Celia Lenson
Contact Address:

Job Description: Candidate facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support severity of illness, expected risk of mortality, and complexity of care of the patient. Candidate exhibits a sufficient knowledge of clinical documentation, DRG requirements, and clinical conditions or procedures. Duties include:

  1. Conducts initial concurrent review and subsequent reviews for all admissions to initiate the process and to document findings on the DRG worksheet. Also identifies other key quality indicators as needed
  2. Identifies and records principal and secondary diagnoses, principal procedures and assigns working DRG. Collaborates with physicians, nurses, clinical care providers, and HIM coders to clarify diagnoses
  3. Identifies the need to clarify documentation in the medical record and initiates communication with physicians, nurses, and/or clinical care providers by utilizing the appropriate "documentation request tools in order to capture the documentation in the medical record that supports the patient's severity of illness. Provides information and education to physicians and ancillary staff not responding to prompters.
  4. Conducts ongoing physician and staff education in groups or one-on-ones as necessary to provide further information on documentation requirement

Compensation: Competitive
Benefits: Competitive
Preferred Start Date: January 20, 2015
Position Type: Full-time

Date of Request: January 19, 2015
Job Title: Manager, Clinical Documentation Improvement
Name of Facility / Hospital: Health System
Location of Facility / Hospital: Texas
Contact Person: Grant Summers
Contact Address:

Job Description:  Our client, a 380 bed short term acute care teaching facility outside of Dallas, TX, is looking for a innovative CDI leader. The Clinical Documentation Manager provides concentrated daily oversight of the CDI Team of registered nurses. The CD Manager will work in association with the CDI clinicians, coders, and all members of the healthcare team to ensure accurate and timely clinical documentation in the medical record. The CD Manager will:
• Oversee the review processes of complex patients of different ages and development in acute and chronic disease states
• Demonstrate proven leadership and management skills to promote effective and efficient review of physician documentation and the medical record
• Demonstrate knowledge and job experience in management and supervision of personnel, including team building and conflict resolution
• Collaborate with interdisciplinary teams including, but not limited to, physicians, nurse practitioners, PA's, and the department managers for Revenue Integrity, Coding and Data Quality, Case Management and HIM
• Be involved in the direction and education of all phases of the CDI process
• Provide ongoing CDI management program education for new staff, including new CDI RN's, physicians, nurses and allied health professionals.
• Tracks and trends program compliance to ensure adherence to all CMS regulations

Compensation: Salary
Benefits: Full benefits, 401k, etc.
Preferred Start Date: February 2, 2015
Position Type: Full-time, Permanent

Date of Request: January 19, 2015
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: UW Medicine Northwest Hospital and Medical Center
Location of Facility / Hospital: Seattle
Contact Person: Linh Nguyen
Contact Address:

Job Description: The Clinical Nurse Specialist (CDS) functions as an expert or advanced practitioner in a defined area of nursing knowledge and practice. Utilizing relevant theory, the CNS observes, conceptualizes, analyzes, and diagnoses complex clinical or [INVALID]ems problems. The CNS assumes a leadership role in performing activities including clinical practice, consultation, research, education, selected administrative duties and quality assurance activities. The CDS is responsible for reviewing medical records to facilitate the accurate representation of the severity of illness. Promotes appropriate clinical documentation through extensive interaction with Physicians, nursing staff, other patient caregivers and HIM to ensure clinical documentation reflects the level of service rendered to patients is complete and accurate. Manages CDMP Trak. Provides education to a variety of staff regarding the CDMP (Compliant Documentation Management Program) process. Acts as a liaison between coding professionals and the medical staff.

Work Experience

  • Three years of recent acute care, clinical experience, nursing education, and training experience
  • Three years' experience as a practicing CNS in critical care required

Compensation: Competitive Salary
Benefits: Outstanding benefits and professional growth opportunities
Preferred Start Date: February 2, 2015
Position Type: Full-time

Date of Request: January 14, 2015
Job Title:  Clinical Documentation Improvement Manager
Name of Facility/Hospital: Salem Health
Location of Facility/Hospital: Salem, OR
Contact Person/email/phone:  Debra Harris/
Contact Address:, 890 Oak St., Salem, OR 97309

Job Description: The CDI Manager manages the organizational and administrative operations of Salem Hospital's Clinical Documentation Specialist team within the Health Information Management (HIM) department. Coordinates and oversees all functions within the CDI program in order to meet and maintain regulatory compliance, policies and procedures and personnel management. Ensures appropriate and compliant documentation in the patient record for appropriate DRG assignment, reimbursement that substantiates level of services rendered to patients, and measurement and reporting of physician and Salem Health outcomes. Ensures the appropriateness of clinical documentation through extensive medical record review and facilitates clarification with physicians through the CDI team, including the Medical Director of Continuum-of-Care. A collaborative, team-oriented approach is required of this leader to help the organization maximize its potential and minimize risk.

Compensation: Competitive
Benefits: Competitive
Preferred Start Date: Negotiable
Position Type: Manager

Date of Request: January 14, 2015
Job Title: Clinical Documentation Coordinator
Name of Facility / Hospital: Community Medical Center
Location of Facility / Hospital: Missoula, Montana
Contact Person: Nikaila Thrasher
Contact Address:

Job Description: Responsible for partnering with physicians to perform chart reviews and improve the overall quality, accuracy, and completeness of physician documentation used for measuring and reporting physician and facility outcomes. Oversees facilitation of modifications to clinical documentation through extensive interaction with physicians, nursing staff, other patient caregivers, and coding staff to insure that clinical documentation commensurate reimbursement of clinical severity and level of services rendered to all patients.

Minimum required:  Associate degree in Nursing. Licensed in the state of Montana. CCS, CPC, or RHIT certifications. Experience in ICD-9CM and CPTD coding. Minimum of 5 years experience adult inpatient medical surgical or critical care nursing. Immediate knowledge with Microsoft Office. Proficient in Word and Excel. Excellent interpersonal skills for the development of relationships necessary to influence physician documentation processes. Analytic skills necessary to clinically assess medical records. Excellent prioritization and organizational skills. Knowledge of prospective payment systems and MS DRGs. BLS upon hire; Healthcare Provider BLS within 3 months of hire.

Preferred/Desired:  BSN preferred. CCDS preferred. Greater than 5 years experience adult inpatient medical surgical or critical care nursing; or minimum 5 years inpatient coding. Case Management experience.

This position is subject to Drug & Alcohol testing according to MT Law:  39-02-205-39-2211.

Compensation: Competitive
Benefits: Benefits: Benefit eligible
Preferred Start Date: February 1, 2015
Position Type: Full-time

Date of Request: January 13, 2015
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: Thomas Jefferson University Hospital
Location of Facility / Hospital: Philadelphia, PA
Contact Person: Mary Marczyk
Contact Address:

Job Description: Full time position available (80 hours biweekly) for a Clinical Documentation Specialist who works closely with physicians and coding staff to assure documentation of discharge diagnosis(es) and any co-existing co-morbidities are a complete reflection of the patient's clinical status and care. Thoroughly review records to identify current and potential principal and secondary diagnoses and quality of the patient record. Identifies and queries physician appropriately for severity of illness/accurate reimbursement. Identifies and accurately completes quality measure abstractions to CDS endpoint. Bachelor's degree in Nursing required. RN licensure required. Minimum five years experience adult inpatient med-surg or critical care. Case management experience helpful but not required. Basic computer skills in word processing and spreadsheet utilization. Excellent interpersonal skills to develop relationships necessary to influence physician documentation processes. Analytic skills necessary to clinically assess medical records. Clinical Documentation experience strongly preferred. CCDS preferred.

Compensation: Competitive based on experience
Benefits: Excellent benefits including 33 days of earned time off and 7 holidays and tuition reimbursement up to $7,500./year.
Preferred Start Date: January 13, 2015
Position Type: Full-time , Permanent

Date of Request: January 12, 2015
Job Title: Auditing and Education Consultant-CDI
Name of Facility / Hospital: TrustHCS (Trust Healthcare Consulting Services)
Location of Facility / Hospital: Springfield, MO
Contact Person: Danielle Richmond
Contact Address:

Job Description:

  • Conduct clinical documentation audits, meeting productivity standards as set for each project. The threshold for billable productive hours, when client work is available, is expected to be at 80%.
  • Adhere to all coding and clinical documentation improvement guidelines as endorsed by ACDIS and AHIMA.
  • Perform review on CDIS queries and looks for additional query opportunities.
  • Demonstrate knowledge of DRG payer issues, documentation opportunities, clinical documentation requirements, and referral policies and procedures.
  • Analyze findings and identify potential root causes of produced errors.
  • Prepare referenced summary reports of findings for clients
  • Provide client education related to audit findings

Job Requirements:

  • Experience with telecommuting, working with EMRs and other electronic tools. Strong analytical skills.
  • Works well with numbers, using basic math skills.
  • Strong team player.
  • Ability to work with multiple and diverse clients and projects.
  • Ability to work with minimal supervision.
  • Ability to maintain and access multiple files.
  • Assure that work product is completed with high levels of accuracy and attention to detail.
  • This position may require travel.
  • Education & Experience:
  • Recognized CDI credential from ACDIS (CCDS) or AHIMA (CDIP)
  • Current clinical license (RN, NP, PA, MD)
  • 2+ years’ working as a CDS; 3 years or more clinical experience in an acute care setting
  • BS required; Master’s preferred.

Compensation: negotiable
Benefits:  Employee medical coverage premiums paid by TrustHCS, spouse and family coverage premiums paid by employee • 401K • Long term/short term disability • Life Insurance paid by us • We provide equipment/monitor • Lots of great "extras" such as travel club optional benefit. • Excellent support and team environment
Preferred Start Date: January 12, 2015
Position Type: Full-time

Date of Request: January 12, 2015
Job Title: Senior CDI Specialist
Name of Facility / Hospital: Stanford Health Care
Location of Facility / Hospital: Palo Alto CA
Contact Person: Rosan Lam
Contact Address:

Job Description: The Senior CDI Specialist uses clinical and coding knowledge to conduct medical record reviews in order to identify opportunities for improving the quality of documentation.

  • Conducts focused reviews in areas identified by CDI leaders: mortality reviews, PSI reviews, as well as other identified projects.
  • Develops/presents to CDI specialists and other related departments, ongoing education on current documentation trends, CDI practices, focus areas and areas of opportunity identified through the analysis of information from a variety of sources. Lead new CDI specialist orientation and provider education training.
  • Communicates review results to department leaders, CDI Specialists and other appropriate staff. Makes recommendations to leadership for corrective action.
  • Evaluates CDI accuracy and standardizes review findings and methodology to report monitoring results.
  • Evaluates the adequacy and effectiveness of internal and operational controls designed to ensure that CDI processes and practices lead to appropriate execution of regulatory requirements and guidelines related to facility coding and CDI practices.
  • Monitors and evaluates the effectiveness of reviews and queries completed by the CDI team.
  • Partners with CDI Director HIMS coding, Quality and Compliance to ensure the accuracy and completeness of the documentation and to identify trends, issues and potential solutions.

Compensation: Competitive
Benefits: Benefit Eligible
Preferred Start Date: February 1, 2015
Position Type: Full-time


Date of Request: January 12, 2015
Job Title: Clinical Document Specialist RN - Full Time
Name of Facility / Hospital: Seton Healthcare
Location of Facility / Hospital: Austin, TX
Contact Person: Matt Brown
Contact Address:

Job Description: Responsibilities: Performs ongoing medical record review using documentation improvement guidelines to evaluate overall quality and completeness of clinical documentation. Conducts follow-up reviews of clinical documentation to ensure issues discussed and clarified with clinical staff have been recorded in patient's chart. Works with physicians and medical staff to improve clinical documentation for more accurate code assignments and higher case mix index. Establishes and maintains a [INVALID]em to track and analyze outcomes of documentation improvement program. Prepares regular outcomes progress reports and presents as designated to administrative staff and committees. Uses performance improvement methodologies and education strategies to develop formal training and improvement programs for staff concerning clinical documentation opportunities, coding and reimbursement issues.

  • Bachelor's Degree is required
  • At least one year of CCDS experience is required
  • CCDS certification is preferred

Compensation: Depends on experience
Benefits: Very Competitive Package which includes: Retirement Savings Medical, Dental, Vision Tuition Reimbursment
Preferred Start Date: February 9, 2015
Position Type: Full-time

Date of Request: Janaury 12, 2015
Job Title:  Manager, HIM Coding and Clinical Documentation Improvement
Name of Facility/Hospital: Children’s Hospital Los Angeles
Location of Facility/Hospital: Los Angeles, CA
Contact Person/email/phone:  Stephanie Brady /
Contact Address: 4650 Sunset Blvd, Los Angeles, CA

Job Description: The Manager, HIM Coding and Clinical Documentation Improvement (CDI) is responsible for the overall management and control of the functions and activities of the Coding and Clinical Documentation Improvement (CDI) sections of the Health Information Management Department.  In the absence of the Director, is jointly responsible (with the other Managers) for the Department.

Minimum Education/Training Required: Certified Clinical Documentation Specialist or Certified Documentation Improvement Specialist with at least 5 years relevant CDI experience. Certified Coding Specialists with at least 5 years’ experience in acute hospital setting and at least 3 years project/supervisory/management experience.

Minimum Experience Required: Five years relevant supervisory or management CDI experience at an in-patient hospital. Experience in a large teaching hospital preferred.

License, Registration or Certification Required: Certified Clinical Documentation Specialist or Certified Documentation Improvement Specialist and Certified Coding Specialist (CCS)

Preferred Start Date: 
Position Type: Management

Date of Request: January 9, 2015
Job Title: Inpatient Coder
Name of Facility / Hospital: Allegiance Health
Location of Facility / Hospital: Jackson, MI
Contact Person: Michelle Taylor
Contact Address:
Job Description: 1. Codes and abstracts demographic and procedural information to maintain a database for billing, comparative and planning purposes. 2. Formulates optimal DRG assignment through chart review and communication with the physician to ensure appropriate documentation of severity of illness. 3. Coordinates daily workflow to minimize receivables and follows up on outstanding cases to decrease days to bill. 4. Appropriately apply guidelines for Present On Admission rules. 5. Evaluation of mortality scores to ensure levels coincide with patient's risk of mortality. 6. Familiarity with transfer DRGs and coordinating appropriate discharge status. 7. Review CDI assigned DRGs and coordinate with CDS or physician for clarification for optimal DRG assignment. 8. Provide education on coding guidelines for CDS or physician as necessary. 9. Review cases for audit, indicating clinical indicators and outline documentation needed for appeal letters. 10. Use multiple computer software programs concurrently to achieve daily expectations. 11. Participates in all ICD-10 coding education and training activities. 12. Participates in quality studies and meetings to ensure standardized coding. Advanced clinical knowledge of body anatomy and physiology required. Previous 2-5 years inpatient coding experience preferred. Coding certification or certification as a Registered Health Information Technician or certified coder is desirable.
Compensation: Competitive
Benefits: Medical/Dental/Vision, PTO, Paid Holidays, Majority of work is remote
Preferred Start Date: February 1, 2015
Position Type: Full-time 

Date of Request: January 8, 2015
Job Title: CDI Interim Manager
Name of Facility / Hospital: Seagate Consultants
Location of Facility / Hospital: National
Contact Person: Susan Parker
Contact Address:

Job Description: CDI Management opportunity at client sites. RN required. CDI credential preferred. Typical engagement lasts several months. Work closely with client interdisciplinary leadership team. Good communication, understanding of coding, clinical knowledge and CDI. Immediate need.

Compensation: competitive
Preferred Start Date:
February 3, 2015
Position Type: Contract

Date of Request:  January 8, 2015
Job Title:  Coordinator, HIM
Name of Facility/Hospital:  Atlantic Health System
Location of Facility/Hospital:  Morristown, NJ
Contact Person/email/phone:  No replies, please apply online.
Contact Address:

Job Description: Morristown Medical Center. We are currently seeking a full time Coordinator-HIM. The selected candidate must have organizational, analytical, critical thinking, problem solving and deductive reasoning skills. 3 yrs minimum exp. with recent hospital clinical exp. preferably in ICU, CCU, or strong Medical / Surgical required; Knowledge of Pathophysiology and Disease Process, knowledge of Medicare Part A and Medicare Part B; Understanding of hospital based Quality initiatives; Knowledge of regulatory environment; Understand and support CDMP® documentation strategies. The candidate will manage and supervise a team of nurses responsible for the daily assignment of cases in the clinical documentation program. Must have ability to learn/develop the skills necessary to perform CDMP, accurate and timely record review, recognize opportunities for documentation improvement, increase Case Mix Index (CMI) - goal 4-8% improvement in Case Mix Index in first 12 months from initial Implementation. 
Current RN NJ lic. reguired. BSN and CCDS pref.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability or protected veteran status.  - req. # 00083894

Preferred Start Date:
Position Type: 
Full Time

Date of Request: January 7, 2015
Job Title: Corporate Director of CDI
Name of Facility / Hospital: Continuous Quality Improvement Executive Search
Location of Facility / Hospital: Nashville, Tennessee
Contact Person: Carolyn Lee
Contact Address:

Job Description: The Corporate CDI Director provides remote and onsite support and education to coders, physicians and administration to ensure improved documentation resulting in appropriate reimbursement. The Director is responsible for coordinating CDI audits, providing physician documentation education and providing CFO orientation on documentation improvement activities. This individual will be required to make independent decisions regarding documentation for accurate ICD-9-CM code assignment. These decisions will play a key role in determining the reimbursement potential and adherence to coding compliance regulations and corporate policies developed to ensure accurate billing. This position will require relocation to Nashville, Tennessee. Salary range is a firm $110K and the company provides an incentive bonus up to 20%. Company will provide an attractive relocation assistance and benefit package. If you have an interest please email your resume in word doc format to: Requirements: Must have at least 4 years experience in CDI education and knowledge Ability to travel approximately 50% - 75% of the time. Travel required by both airplane and automobile. Relocation to Tennessee. CERTIFICATES, LICENSES, REGISTRATIONS: Must have a RN degree. Preferred Certifications: CDIP, CCDS, CCS and/or ICD-10 certification or Trainer designation. Valid Driver's License.

Compensation: $110K up to 20% Bonus Incentive
Benefits: Attractive relocation assistance and benefits package.
Preferred Start Date: January 26, 2015
Position Type: Full-time

Date of Request: January 7, 2015
Job Title: CDI Consultant
Name of Facility / Hospital: Huff DRG Review
Location of Facility / Hospital: National
Contact Person: Wendy Clesi, RN, CCDS, Director CDI Services
Contact Address:

Job Description: Huff DRG Review is growing and we are seeking Clinical Documentation Improvement (CDI) Consultants for full time, permanent positions. Our unique approach to CDI includes regular interaction with our board-certified physicians and our daily pre-bill MS-DRG Assurance Program. The CDI Consultant is responsible for CDI client engagement delivery including project management, client education and training, medical record documentation analysis, program assessment and gap analysis, reporting, and ongoing client support.  This position involves partnering with clients and maintaining extensive interactions in all phases of CDI engagements to assist the client in developing a successful and sustainable CDI program. It also includes direct involvement in daily client interaction and client satisfaction.  Frequent travel to client sites and participation in industry events and speaking engagements to promote CDI expertise and capabilities is required.
Qualifications: Bachelor’s degree in Health Information Management or other Health Related field with an RN Nursing certification or RHIA preferred. CCDS, CDIP, or CCS certification preferred. Minimum of 5 years of CDI management experience and/or 2 years CDI Consulting experience. Direct experience working as a CDS or in development of CDI program in the acute care setting and understanding of CDI program infrastructure, workflow and reporting/metrics is required.

Compensation: Competitive
Benefits: Competitive salary, majority of work is remote with very approximately 50% travel, PTO, paid holidays, profit sharing plan, continuing education, annual employee retreat
Preferred Start Date: January 7, 2015
Position Type: Full-time , Permanent

Date of Request: 11/25/2014
Job Title:  Clinical Documentation Supervisor
Name of Facility/Hospital: Hillcrest Medical Center
Location of Facility/Hospital: Tulsa OK
Contact Person/email/phone:  Carrie Brannon ( 918-579-5208
Contact Address: 1145 S Utica Ave Tulsa OK 74104

Job Description:  This leader will be accountable for CDI successes as demonstrated through accurate Severity of Illness (SOI) / Risk of Mortality (ROM) capture rates, Complicating or Comorbid Condition (CC) / Major Complicating or Comorbid Condition (MCC) capture rates, Case Mix Index (CMI) analysis, physician query- response rates, and tracking financial variances. The CDI Supervisor will utilize historic and current data to monitor and track performance and trends, and escalate issues in order to advance improvements.

The CDI Supervisor will assist in ensuring ICD-10 requirements are met within the CDI program which includes physician education and engagement, and updating any CDI tools utilized within the program. The CDI Supervisor must be able to manage multiple priorities, including concurrent record reviews on assigned units at least 50% of the time, and monitor CDI team, physician training/education, tracking results for senior leadership visibility and other necessary administrative duties 50% of the time.

Additional responsibilities: teaching CDI principles and ICD10 concepts to key stakeholders across the organization, working closely with Physician Advisors on escalated cases to ensure that the appropriate documentation is added to the medical record, collaborating with the inpatient Coding team and Clinical Informatics team and their leadership to ensure adherence to established processes, and providing second level reviews of selected cases (with Physician Advisor support).

Compensation:  Competitive within market area
Preferred Start Date: ASAP
Position Type:

Date of Request: January 6, 2015
Job Title: Clinical Documentation Specialist
Name of Facility / Hospital: St. Vincent Hospital
Location of Facility / Hospital: Worcester, MA
Contact Person: Diane Bennett
Contact Address:

Job Description: Clinical Documentation Specialist-Responsible for improving overall quality and completeness of provider documentation. Graduate of an accredited nursing program preferably RN minimum of 5 years recent acute care experience; would consider LPN with minimum of 10 years acute care specialty area experience. Or a graduate of an approved HIM program credentiaed as RHIA, RHIA eligible, RHIT, RHIT eligible, CCS, CCS-P. FT days, w/e and holidays if needed.

Compensation: TBD
Preferred Start Date: January 19, 2015
Position Type: Full-time

Date of Request: January 2, 2015
Job Title: RN Clinical Documentation Specialist
Name of Facility / Hospital: Novant Health Forsyth Medical Center
Location of Facility / Hospital: Winston-Salem, NC
Contact Person: Tena Trantham in Talent Acquisition
Contact Address:

Job Description: The RN Clinical Documentation Specialist applies clinical and coding knowledge to evaluate the clinical indicators, diagnoses, and treatment plan for assigned inpatients, and identifies potential gaps in physician documentation. Apply at

  • Communicates with attending physicians and other providers to clarify existing documentation via concurrent query process.
  • Reviews targeted DRGs and mortality cases to optimize severity of illness/risk of mortality. Assigns working MS-DRG and APR-DRG for all cases.
  • Develops and promotes collaborative processes and strong working relationships with physicians and other health care professionals to accomplish program goals and ensure exceptional documentation.
  •  Collects data on CDI program, including but not limited to, CDS productivity, physician response rate, physician agreement rate and query impact.
  • Summarizes and interprets findings, suggests action plan where correction is needed, and shares findings and suggestions with management.
  • Contributes to development of team members via formal and informal education.

Minimum qualifications: RN currently licensed in the state of North Carolina, BS/BSN preferred. CCDS or CDIP certification preferred. Five years of broad-based nursing experience with at least one year in the care of the targeted patient population. Working knowledge of MS Office products. Excellent written and verbal communication skills.

Compensation: Competitive
Benefits: Includes medical/dental/vision insurance, 403(b) retirement plan, paid time off, employee discounts, employee wellness program.
Preferred Start Date: January 2, 2015
Position Type: Full-time


Date of Request: December 29, 2014
Job Title:  Clinical Associate (Clinical Documentation Improvement)
Name of Facility/Hospital:  Provident Management Consulting
Location of Facility/Hospital: Virtual with Travel
Contact Person/email/phone:
Contact Address: Please email resumes

Job Description :
A Provident Clinical Associate plays a key role in developing work plans, completing complex analyses and preparing “client ready” deliverables.

  • Continuously evaluate the quality of clinical documentation to spot incomplete or inconsistent documentation for inpatient encounters that impact the code selection and resulting DRG grouping and payment
  • Assess skill level and competency of CDI staff by reviewing Working DRG versus final billed DRG
  • Identify query opportunities missed by CDI staff
  • Review effectiveness and compliance of client queries
  • Perform data and quality reviews on inpatient records to validate ICD-9-CM codes, DRG group appropriateness, and missed secondary diagnosis and procedures, and ensure compliance with all DRG mandates and reporting requirements
  • Identify areas for documentation improvement
  • Conduct client interviews, perform analyses, develop recommendations, and prepare client deliverable presentations
  • Collaborate to plan client engagements


  • At least 3 years’ experience in Clinical Documentation Improvement; some consulting experience preferred
  • BA/BS in a healthcare-related field
  • Coding credentials (CCS, RHIT, RHIA, CPC) or RN/BSN
  • Detail oriented
  • Excellent interpersonal, written/verbal communication and presentation skills
  • Ability to work independently as well as in a team environment
  • Proficiency with Microsoft Office suite
  • Ability to travel

Compensation:  Competitive compensation
Benefits: Competitive benefits package includes Medical/Dental/Vision, Life/Disability, 401(k), generous paid time off policy
Preferred Start Date:
Position Type: Full-time. Independent contractors are also welcome to submit resumes for variable project work.

UPDATE: Have you revised your queries for ICD-10-CM/PCS compliance?
No, we are waiting to see if implementation is going to remain 2015
No, we are waiting until after ICD-10-CM/PCS implementation
Don't know
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