Clinical Documentation Integrity Specialist

The Clinical Documentation Integrity Specialist facilitates the quality, completeness, and accuracy of clinical documentation through concurrent interaction with providers and the healthcare team. This role ensures documentation accurately reflects patient conditions and level of service while communicating with providers to address missing or unclear diagnoses. The position involves assigning MS-DRG/APR-DRG codes, assessing severity of illness and risk of mortality, and ensuring compliance with AHIMA/ACDIS guidelines.