Job Description:
• Provide high-quality concurrent and/or retrospective clinical documentation review across Ascension markets as assigned.
• Float seamlessly between inpatient units, service lines, and CDI teams based on organizational need and leadership direction.
• Perform compliant query generation to clarify conflicting, missing, or unclear documentation that impacts coding, severity, quality metrics, and reimbursement.
• Maintain productivity and quality standards consistent with senior-level CDS expectations.
• Quickly acclimate to local workflows, documentation practices, EHR systems (e.g., Epic, Cerner), and CDI software platforms (e.g., 3M, Iodine, Nuance).
• Participate in new market launches, staff orientation, and short-term CDI education efforts as needed.
• Assist regional or corporate leadership with implementation of CDI best practices during transition or expansion periods.
• Provide mentoring or shadow support to newer CDS team members during onboarding or periods of low census.
• Demonstrate excellent communication skills and professionalism in all market interactions, serving as an ambassador of the Ascension CDI model.
Requirements:
• Required Credential(s): Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
• High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree with 1 year of experience OR 5 years of applicable cumulative job specific experience required.
• 2 years of leadership or management experience preferred.
• Certified Clinical Documentation Specialist (CCDS)
• Advanced knowledge of clinical documentation, coding rules, DRG assignment, and CDI standards.
• Proven adaptability to different hospital systems, documentation styles, and workflows.
• Expertise in SOI/ROM capture, MCC/CC identification, mortality reviews, and quality indicator alignment (PSI, HAC, etc.).
• Exceptional communication and collaboration skills across virtual and on-site environments.
• Strong time management, independence, and problem-solving abilities.
• Technological proficiency with multiple CDI tools (CDE One and Cerner are preferred), remote platforms, and secure communication methods.
• Ability to remain flexible and available for rapid deployment with minimal notice.
Benefits:
• Paid time off (PTO)
• Various health insurance options & wellness plans
• Retirement benefits including employer match plans
• Long-term & short-term disability
• Employee assistance programs (EAP)
• Parental leave & adoption assistance
• Tuition reimbursement