Lead Inpatient Clinical Documentation Integrity - Inpatient Clinical Documentation Improvement

We’re hiring an Enterprise Provider Educator – Inpatient CDI! Join our team to train providers on documentation best practices and risk adjustment, deliver tailored education, and develop engaging content across Mayo Clinic.

Reviews inpatient and/or outpatient medical records to ensure accurate representation of severity of illness. Validates that clinical documentation supports medical necessity of services and accurate coding. Ensures documentation reflects patient’s clinical status, risk of mortality, and care complexity. Applies advanced knowledge of disease processes, medications, and critical thinking to identify documentation gaps. Identifies opportunities for improvement in concurrent and retrospective documentation. Ensures compliance with regulatory standards related to documentation, coding, and billing. Collaborates with physicians, coders, case managers, nurses, and other staff to improve documentation quality. Acts as an educator and resource to clinical staff, promoting best practices in documentation. Acts as a change agent for improved documentation and enhanced documentation. Demonstrates strong analytical thinking and problem-solving skills. Communicates effectively, both verbally and in writing, with physicians, leadership, and interdisciplinary teams. Self-motivated with the ability to work independently and without close supervision. Works collaboratively in a dynamic, team-oriented environment. May perform ICDI DRG Secondary Reviews as well as support audit and denial related activities. Performs special projects / Quality Improvement Initiatives. May be asked to perform secondary mortality reviews. Timekeeping delegate. Initiates counseling to staff regarding quality of work, productivity, and team communication for corrective action/ performance improvement plans. Acting as liaison between staff and supervisor. Communicating information and work assignments to others in the unit and carrying out special assignments as requested. Providing work direction and assistance to other employees. Ensuring that the work in the area of responsibility is properly completed. Participate in the orientation and training of new employees. Maintains compliance with ethical, legal, and coding standards. Must be able to work flexible hours, including evenings and weekends, as needed to meet business demands. Applies advanced clinical knowledge and expertise from the Certified Coding Specialist (CCS) or CIC certification to accurately assign inpatient codes, ensuring compliance with coding guidelines and supporting optimal reimbursement. Collaborates with clinical teams to clarify documentation and enhance coding accuracy. Utilizes specialized knowledge from the Certified Risk Coder (CRC) certification to ensure accurate capture in inpatient documentation, supporting risk adjustment and value-based care initiatives. Reviews clinical records to identify and validate chronic conditions impacting patient risk scores and reimbursement.

Key Qualifications:
Excellent written and verbal communication
Strong teamwork, adaptability, and demonstration of situational awareness
Proficiency in Word, PowerPoint, Excel; familiarity with OneNote, SharePoint and Copilot
Project management and problem-solving
Strong attention to detail and excellent organizational skills
Flexibility with work hours to meet business needs

This vacancy is not eligible for sponsorship/ we will not sponsor or transfer visas for this position. Also, Mayo Clinic DOES NOT participate in the F-1 STEM OPT extension program. 

Associate’s and 7 years of experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS) required OR Bachelor’s and 5 years experience as an Inpatient Clinical Documentation Improvement Specialist (CDIS) required.

Certifications (All three areas below required):

• Certified Documentation Improvement Practitioner (CDIP) OR Certified Clinical Documentation Specialist (CCDS) certification
• Certified Coding Specialist (CCS) AHIMA certification OR Certified Inpatient Coder (CIC) AAPC certification
• Certified Risk Adjustment Coder (CRC) AAPC certification
   

Compensation Detail: $90,604.80 - $136,011.20 / year