Clinical Documentation Improvement Specialist

The Clinical Documentation Improvement (CDI) Specialist II supports accurate identification of diagnoses, conditions, and procedures that reflect the patient's hospital stay and care provided, including Severity of Illness (SOI) and Risk of Mortality (ROM) during inpatient hospitalization.

The role initiates concurrent queries to providers based on medical record documentation to improve the accuracy, integrity, and quality of patient data and to promote complete and precise physician documentation. This position works under the direction of the Manager of CDI and collaborates with coding staff, clinicians, medical staff, and physician advisors to improve documentation quality and support appropriate reimbursement.