Clinical Documentation Specialist Audit and Education
$96.21k - $134.11kAscension
Clinical Documentation Integrity Specialist
Your future role at a glance
Location: Partially Remote- Must reside within Austin, TX - onsite 1x per week
Department: Clinical Documentation Integrity
Schedule: Full-Time | Days | Monday-Friday
Salary: $96,208.99-$134,109.89 per year
Life at Ascension: Where purpose meets opportunity
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Benefits that help you thrive
- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
- Time to recharge: pro-rated paid time off (PTO) and holidays
- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
- Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
- Family support: parental leave, adoption assistance and family benefits
- Other benefits: optional legal and pet insurance, transportation savings and more
How you'll make an impact in this role
- Perform routine audits of CDS reviews, queries, and EHR entries to ensure compliance with internal, industry, and regulatory standards.
- Assess query appropriateness and clinical evidence for alignment with ICD-10-CM/PCS, UHDDS, and CMS coding rules.
- Identify trends and variances in CDI performance, maintaining audit tools and reporting metrics to leadership.
- Provide one-on-one coaching and develop educational materials, including query templates and tip sheets based on performance trends.
- Design and deliver comprehensive CDI training, covering onboarding, continuing education, and skill refreshers.
What minimum requirements you'll need
Licensure / Certification / Registration:
Required Credential(s): Clinical Documentation Prof. credentialed from the Association of Clinical Documentation Improvement Specialists obtained prior to hire date or job transfer date.
Education:
- High School diploma equivalency with 2 years of cumulative experience OR Associate's degree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
What additional preferences we're seeking
- Must have a Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialists (ACDIS)
- RN license in Texas
- Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles
- Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC, mortality), and CMS compliance
- Proficiency with audit tools, EHR systems (e.g., Epic), and CDI software platforms (e.g., Iodine, 3M, Nuance)
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