Clinical Documentation Informatics Specialist

Franciscan Missionaries of Our Lady Health System

. Perform concurrent and/or retrospective CDI reviews of acute inpatient medical records for physician documentation clarity and specificity .

Posted 10/22/2026full-timeBaton Rouge • Louisiana • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Clinical Documentation Integrity (CDI) through comprehensive reviews, audits, and metric analysis while ensuring compliance with Medicare and Medicaid guidelines. Proficient in collaborating with healthcare professionals and stakeholders to enhance documentation clarity and support CDI initiatives.

Highest-signal resume keywords

Clinical Documentation Integrity (CDI)CDI AuditingMetric AnalysisActive RN LicenseCertified Coding Specialist (CCS)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

CDI ReviewsDocumentation ClarityPrincipal Diagnoses QueriesCoding Trends AnalysisCDI Metrics PreparationProcess MonitoringWorkflow DevelopmentEducational Material CreationCDI Software OptimizationReporting Tools Implementation

Soft Skills

CollaborationCommunicationProblem-SolvingStakeholder EngagementEducation Support

Tools & Technologies

CDI SoftwareReporting ToolsTracking ToolsDashboardsQuery Templates

Certifications & Qualifications

Registered Nurse (RN)Certified Coding Specialist (CCS)

Industry Keywords

Medicare ComplianceMedicaid ComplianceHealth Information ManagementAcute Care Inpatient CodingClinical Nursing

About the role

Key responsibilities & impact

Perform concurrent and/or retrospective CDI reviews of acute inpatient medical records for physician documentation clarity and specificity
Place physician queries requesting clarification of principal diagnoses or secondary patient conditions
Serve as a CDI resource for physicians, CDI staff, coders, and other stakeholders
Perform CDI audits to identify documentation and coding trends or problem areas
Collect, analyze, and prepare CDI metrics, documentation trends, and program measures
Monitor and track CDI processes and outcomes
Follow Medicare and Medicaid compliance guidelines and applicable laws, policies, standards, and reporting requirements
Collaborate with CDI leadership, CDI staff, coding professionals, physicians, departments, vendors, and external partners
Support CDI initiatives, special projects, process improvements, and new process implementation
Liaise between CDI operations, coding, information systems, vendors, and organizational stakeholders
Assist with developing and testing workflows, educational materials, query templates, reference tools, reports, audits, dashboards, and tracking tools
Assist with monitoring and reporting CDI program performance
Support education addressing opportunities for CDI specialists and coders
Assist with testing, implementation, optimization, and ongoing support of CDI software, reporting tools, workflows, and system enhancements

Requirements

What you’ll need

Five (5) years of combined experience in clinical nursing and Clinical Documentation Integrity (CDI), or acute care inpatient coding and CDI
Experience in CDI auditing, CDI secondary level reviews, and/or CDI metric analysis
Graduate of an accredited school of nursing, or Associate’s degree in Health Information Management with RHIT and 2 years of applicable experience, or Bachelor's degree in Health Information Management
Active RN license or Certified Coding Specialist credential (CCS)