Adapt to varied facility workflows, EHRs, and service lines with minimal training.
Support new CDS onboarding, short-term training, and regional initiatives when not deployed for coverage.
Assist leadership with CDI best practice implementation during transitions/expansion.
Perform compliant query generation to clarify documentation impacting coding, severity, quality, and reimbursement.
Quickly acclimate to local workflows, EHRs (Epic, Cerner), and CDI software (3M, Iodine, Nuance).

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 with 1 year of experience OR 5 years of applicable cumulative job specific experience required.
2 years of leadership or management experience preferred.
CCDS certified with advanced knowledge of clinical documentation, coding, DRG, and CDI standards.
Proven adaptability to various hospital systems and workflows.
Expertise in SOI/ROM, MCC/CC, mortality reviews, and quality indicator alignment (PSI, HAC).
Strong time management, independence, and problem-solving skills.
Proficient with multiple CDI tools (CDE One, Cerner preferred) and remote platforms.
Flexible and available for rapid, minimal-notice deployment.

Senior Clinical Documentation Specialist

Key skills