Documentation Integrity Specialist IV, Clinical Licensure-Risk Adjustment
Documentation Integrity Specialist IV, Clinical Licensure-Risk Adjustment
Description
Support Clinical Documentation Integrity Risk Adjustment programs through documentation quality, identify opportunities for clarification and improvement, and promote alignment with coding, regulatory, and organizational standards. Collaborate with providers, coding, compliance, and operational teams to support audit preparedness, strengthen documentation integrity, improve program effectiveness, and drive continuous quality improvement initiatives.
Requirements
Minimum two (2) years of experience in an inpatient acute care or clinical setting. Bachelors degree in Nursing, Medicine, Health Administration, Health Information Management, or related field AND minimum four (4) years experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field OR Minimum seven (7) years of experience in nursing, medicine, CDI, inpatient coding, quality review, case management, or a directly related field. Physician Assistant License (California) required at hire OR Doctor of Medicine License (California) required at hire OR Nurse Practitioner Certificate (California) required at hire OR Registered Nurse License (California) required at hire