Clinical Documentation Integrity Specialist

INTEGRIS Health•OK, OK

19h•Onsite

About The Position

Join our team as a day shift, full time, Clinical Documentation Integrity Specialist at INTEGRIS Health in Oklahoma City, OK. INTEGRIS Health, Oklahoma’s largest not-for-profit health system, is seeking a dedicated caregiver to join us in our mission to partner with people to live healthier lives. Benefits of being an INTEGRIS Health caregiver include front-loaded PTO, medical benefits through the extensive INTEGRIS Health network, financial assistance for continued education, 24/7 mental health support and more. Take the first step toward growing your career by joining us.

Requirements

2 years of nursing or clinical coding experience
High School Diploma or GED
AHIMA-RHIA (Registered Health Information Administrator) OR AHIMA-RHIT (Registered Health Information Technician) OR AHIMA-CCS (Certified Coding Specialist) OR AAPC-CIC (Certified Inpatient Coder) OR RN (Registered Nurse)
Day-to-day work requires reviewing clinical documentation to identify gaps impacting code assignment and data integrity; applying knowledge of clinical conditions, documentation standards, and coding principles to ensure accurate and complete records; initiating queries for clarification; supporting alignment between documentation and coding; and maintaining productivity and documentation review accuracy.

Nice To Haves

Experience reviewing clinical documentation for coding alignment

Responsibilities

Reviews clinical documentation to ensure accuracy, completeness, and alignment with coding and regulatory requirements, supporting appropriate reimbursement and data integrity.
Reviews medical records to identify documentation gaps impacting coding accuracy and data integrity.
Initiates queries to obtain clarification and ensure complete and accurate documentation.
Applies clinical, documentation, and coding knowledge to support accurate medical records.
Maintains productivity and quality standards while managing assigned work queues and supports alignment between documentation and coding.
Works with providers, coders, and care teams to support accurate documentation.
Communicates documentation needs and query requests clearly.
Uses clinical knowledge to identify documentation gaps and escalate appropriately.
Completes documentation reviews and queries timely while maintaining quality.
Follows CDI workflows and supports consistent documentation practices.
Supports accurate documentation to ensure appropriate coding and reimbursement.
Adapts to updates in documentation and regulatory requirements.