Job Description

Clinical Documentation Integrity Specialist Job Category : Technical Services Requisition Number : DENIA034692 Posted: April 9, 2026 Full-Time Remote Location Quorum Corporate Office, 1573 Mallory Ln, Suite 100, Brentwood, TN 37027, USA Eligibility You must reside in one of these states to be eligible for this position: Arkansas, California, Kentucky, Massachusetts, Nevada, New Mexico, Oregon, Utah, Tennessee, Texas, Wyoming. Reports To : National Director, Clinical Documentation Integrity Department : Clinical Operations Job Summary The Clinical Documentation Integrity Specialist (CDIS) provides clinically based, concurrent and retrospective reviews of all inpatient medical records. CDI Specialists strive to ensure accurate, complete, compliant, concise and consistent documentation that reflects the true clinical scenario of the patient’s encounter. This additionally serves to reflect the true Severity of Illness (SOI), Risk of Mortality (ROM), and Intensity of Services (IOS) rendered to provide quality care and treatment to the patient. The Clinical Documentation Integrity Specialist serves as a liaison between leadership, medical staff, nursing, coding, case management and quality departments. Excellent communication skills and the ability to critically analyze are essential to successful CDI performance. Key Responsibilities Provides clinically based, concurrent and retrospective reviews of all inpatient medical records ensuring documentation accurately reflects quality of care, severity of illness, and risk of mortality to support correct coding, reimbursement and quality initiatives. Proactively contacts physicians or other clinicians as needed to clarify procedures/diagnoses to ensure proper documentation, including providing information for educational sessions. Performs initial case reviews and follow‑up reviews; experienced CDI Specialists conduct PSI/HAC, retrospective, and second‑level reviews. Submits queries to providers to ensure complete documentation of relevant diagnoses. Assigns diagnosis codes following Official Guidelines and AHA Coding Clinics to obtain an accurate working DRG. Promotes partnership with Coding/HIM team for accuracy of principal diagnosis, procedures, and completeness of documentation to determine working and final DRG, severity of illness, and risk of mortality; acts as liaison between clinical and coding teams. Engages and participates in education delivery to providers through one‑on‑one interactions. Promotes collaboration and engagement with physicians to support query education. Utilizes critical thinking skills and clinical reasoning to identify, clarify, and query accurate representation of documentation to reflect appropriate clinical status of the patient, translating into quality reporting, physician report cards, reimbursement, public health data, disease tracking and trending. Maintains professional competency in documentation and coding practices by staying current with new coding guidelines, policies, federal and state reimbursement updates. Communicates effectively with the multidisciplinary team including physicians, nurses, coders, administration and others. Performs all tasks in accordance with Quorum CDI daily workflow and Inpatient CDI Handbook protocols. Communicates timely with CDI leadership, reporting potential or actual problems; follows Quorum query escalation process for untimely, missing or inappropriate query responses. Consistently demonstrates proficiency in engaging with providers in education, query follow‑up, and face‑to‑face interactions through scheduled encounters. Required Skills & Qualifications Strong organizational, communication, and clinical foundation skills. Proficiency in EMR software, CDI applications (post‑education and orientation), and Microsoft applications. Ability to multi‑task and work efficiently between software platforms. Effective communication in a fast‑paced, multidisciplinary setting. Proficiency in CDI process after onboarding and orientation/education; continuous improvement in proficiency and accuracy expected. Experienced CDI Specialists onboard quickly and meet performance metrics commensurate with experience level. Ability to work independently, prioritize tasks, and seek assistance when needed. Work Experience, Education and Certifications Preferred: Bachelor's degree in a clinical or coding study. Preferred: 2‑5 years acute clinical or coding (IP) experience; Clinical Documentation Integrity experience preferred; more experienced CDI Specialists expected to attain DCI certification. Basic requirements: RN or LVN with current state license, a coding background with sound clinical expertise or a Foreign Medical Graduate; CCDS or CDIP preferred/encouraged with proof of certification when applicable. Proficiency in Microsoft applications, EMR applications, CDI, and coding software. Competitive salary and benefits package. Professional development and advancement opportunities. Supportive, collaborative team environment. Comprehensive healthcare coverage. Retirement savings plan. Paid time off and flexible scheduling options. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr Quorum Health Corporation

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