What are the responsibilities and job description for the Clinical Documentation Improvement Specialist I position at HealthEcareers - Client?
Mid-Atlantic Permanente Medical Group (MAPMG) invites applications for a Clinical Documentation Improvement (CDI) Specialist I to join our Quality department. This is a full-time opportunity that is 100% fully remote. Candidates must reside in Washington D.C., Maryland, or Virginia, or be willing to relocate to one of these locations for consideration. Please note that the remote policy may be subject to change at MAPMG's discretion.
Mid-Atlantic Permanente Medical Group is comprised of more than 1,700 Permanente physicians and nearly 300 staff professionals who come together to make a positive impact on the health and lives of more than 800,000 members in Virginia, Maryland, and the District of Columbia.
Reporting to a Senior Director of Quality , the Clinical Documentation Improvement Specialist I will support quality initiatives by reviewing medical charts and documents for accuracy and completion. You will use knowledge of clinical and documentation requirements to improve overall patient quality, and accurately capture severity, acuity, and risk of mortality in the patient population. In this role, you will collaborate with physicians, nurses, and other healthcare professionals to ensure the accuracy, completeness, and quality of clinical documentation in the patient medical record. As a CDI Specialist I, you will be responsible for reviewing clinical documentation, querying physicians for clarification, and ensuring compliance with regulatory guidelines.
You can expect to :
- Serve as a subject matter expert in reviewing medical records to ensure complete and accurate documentation for Ambulatory, Inpatient, Surgical, and Behavioral Health encounters
- Independently review medical charts to identify unreported conditions, working closely with medical coding staff and physicians to ensure accurate diagnosis capture and coding across all payer types (e.g., CMS)
- Query medical staff for clear and accurate documentation in the electronic health record, coordinating with clinical treatment teams on coding and documentation requirements
- Analyze data, share findings, and provide actionable feedback to leadership, regional management, and medical teams to support continuous improvement in documentation practices
- Consistently produce high-quality, productive work, meeting established standards and utilizing computer systems and software (e.g., word processing, spreadsheets, presentations) to efficiently complete job duties
- Foster a collaborative work environment through effective communication, teamwork, and strong working relationships with local and regional staff, leadership, and clinical teams
What is required :
Competitive Benefits :
The starting annual salary for this position ranges from $89,291.43 to $111,614.22 depending on circumstances including an applicant’s skills and qualifications, certain degrees and certifications, prior job experience, training, market data, and other relevant factors. In addition to the salary range above, MAPMG offers rich benefits that add substantial value to the total compensation package.
MAPMG continuously works to identify and mitigate healthcare inequities, and that starts with providing an inclusive, supportive environment for our physicians and staff. We encourage applicants of any race, color, religion, sex, sexual orientation, gender identity, or national origin who value diversity and will commit to practicing culturally competent healthcare.
External hires must pass a background check and drug screening.
We are proud to be an equal opportunity / affirmative action employer.
We value our diversity and E / O / E M / F / D / V.
Compensation Information :
89291.43 / Annually - $111614.22 / Annually
Salary : $111,614