Clinical Documentation Improvement Specialist I

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 : Doctor of Medicine (MD) degree, Doctor of Osteopathic Medicine (DO) degree, or International Medical Graduate (IMG) status is required Must have a minimum of three (3) years of hands-on clinical experience providing patient care (i.e. inpatient, clinical documentation, discharge planning, and case management) required Minimum of three (3) years of medical coding experience preferred Demonstrate successful knowledge of Current Procedural Terminology (CPT) and Healthcare Common Procedural Coding (HCPCS) Knowledge of clinical documentation review for inpatient and outpatient procedures preferred Strong analytical, organizational, and communication skills required. Ability to collaborate with leadership and diverse teams Candidates must either currently live in or be willing to relocate to the Washington D.C. metropolitan area Must provide documentation of the Covid vaccine 2-dose series (or J&J 1-dose) prior to October 1, 2023, or documentation for 1-dose of the most current Covid vaccine (Pfizer or Moderna) as a condition of employment Must provide documentation for the influenza vaccine as a condition of employment Competitive Benefits : Competitive compensation package 100% employer-funded medical and dental insurance premiums for employees and families effective on the first day of employment Generous paid time off, including vacation, holidays, and sick leave, plus maternity and parental leave Pension plan, and 401(k) retirement plan with employer contributions Life insurance, short-term disability, and long-term disability coverage Education reimbursement 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. Equity, Inclusion, and Diversity : 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.

Salary : $89,291 - $111,614