Full-Time
Clinical Documentation Improvement Specialist
Updated on 9/3/2026
Exceptional Healthcare
Community hospitals delivering 24/7 emergency care
No salary listed
Dallas, TX, USA
In Person
On-site work is required; travel to ECH hospital locations may be required.
Bachelor's, Associate's
 Medical, Clinical & Veterinary |
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- An associate or bachelor's degree in nursing, Health Information Management, or a related healthcare field is required.
- At least 3 years of clinical experience in acute care is required.
- At least 2 years of CDI experience with concurrent record review and physician querying is required.
- A current unencumbered registered nurse license in the state of practice is required for candidates with a nursing background.
- Prolonged sitting, computer-based medical record review, adequate vision and hearing, and repetitive hand and wrist motions are required.
- Ability to move throughout the facility for physician rounding and training sessions is required.
- Conduct concurrent and/or retrospective medical record reviews to assess documentation accuracy, completeness, and specificity.
- Identify documentation opportunities to clarify diagnoses, procedures, complications, comorbidities, and clinical indicators.
- Ensure documentation supports medical necessity and accurate MS-DRG/APR-DRG assignment.
- Serve as a technical expert in health record content and documentation requirements within the electronic health record.
- Initiate compliant, non-leading queries to physicians and providers to obtain clarification of diagnoses and procedures.
- Collaborate with coders to ensure discharge diagnoses accurately capture clinical status and care delivered.
- Educate providers on documentation best practices, coding guidelines, and regulatory requirements.
- Ensure documentation complies with CMS, AHIMA, ACDIS, and other regulatory standards.
- Monitor and support quality metrics, including case mix index, hospital-acquired conditions, patient safety indicators, and value-based purchasing measures.
- Maintain audit-ready documentation practices.
- Develop and update documentation policies in alignment with CIHQ accreditation standards.
- Track and report CDI metrics such as query response rate, agreement rate, case mix index trends, and financial impact.
- Participate in internal audits and performance improvement initiatives.
- Identify trends and recommend workflow or educational improvements.
- Provide ongoing education to providers and staff regarding documentation guidelines and regulatory updates.
- Support denial management by providing clinical justifications for appealed claims.
- Perform other duties as assigned.
- Emergency room, intensive care unit, medical-surgical, or case management experience is preferred.
- Registered Nurse, Registered Health Information Administrator, Registered Health Information Technician, Certified Coding Specialist, Certified Clinical Documentation Specialist, or Clinical Documentation Improvement Practitioner certification is preferred.
- Certified Clinical Documentation Specialist certification from ACDIS or Clinical Documentation Improvement Practitioner certification from AHIMA is preferred.
- Additional coding credentials such as Certified Coding Specialist, Certified Professional Coder, or Certified Inpatient Coder are a plus.
Exceptional Healthcare operates a network of community hospitals in underserved and rural areas, delivering emergency, trauma, and inpatient care. Its facilities provide a 24/7 emergency department, private single-occupancy inpatient rooms, on-site laboratories, and full radiology services (CT, X-ray, ultrasound). The company builds and runs these hospitals in smaller communities to offer accessible, high-quality medical services with short ER wait times, supported by in-network insurance acceptance and adherence to the Federal No Surprises Act for emergency services. Revenue comes from providing these medical services. Led by Saeed Mahboubi as part of a family-owned organization, Exceptional Healthcare is expanding its footprint with new hospitals in multiple states and plans for continued growth in additional states, aiming to reach more rural populations and improve access to comprehensive emergency and inpatient care.
Company Size
N/A
Company Stage
N/A
Total Funding
N/A
Headquarters
Dallas, Texas
Founded
2016
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Simplify's Take
What believers are saying
- Farmington opened February 18, 2026, adding New Mexico to the operating footprint.
- Exceptional now operates in Arizona, Oklahoma, New Mexico, and Texas, widening referral reach.
- Planned hospitals in South Dakota, North Dakota, Montana, Utah, and Wyoming signal growth runway.
What critics are saying
- No public funding disclosure leaves expansion dependent on family capital and lender confidence.
- Rural reimbursement pressure hits emergency-heavy hospitals hardest under Medicare, Medicaid, and No Surprises disputes.
- A single regulatory shutdown or malpractice event at one hospital could stall the rollout.
What makes Exceptional Healthcare unique
- Saeed Mahboubi's 2014 founder-led model combines development expertise with hospital expansion.
- Exceptional builds 20,000-square-foot community hospitals for underserved rural markets, not sprawling systems.
- Farmington, opened February 18, 2026, proves repeatable micro-hospital deployment across four states.
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Benefits
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
401(k) Company Match
Tuition Reimbursement
Wellness Program