Clinical Documentation Specialist Audit and Education
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Ascension Health is hiring a Clinical Documentation Specialist Audit and Education. The Clinical Documentation Specialist Audit and Education role conducts routine and ad‑hoc CDI audits, evaluates query appropriateness, maintains audit tools, develops education programs, creates educational materials, and provides targeted documentation coaching to providers, ensuring compliance with coding standards and regulatory requirements.
Key focus areas include Perform routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries for compliance with internal standards, industry guidelines, and regulatory requirements., Evaluate query appropriateness, clinical evidence, and alignment with coding rules such as ICD‑10‑CM/PCS and UHDDS., and Maintain internal audit tools, track performance metrics, and present findings to leadership regularly..
Successful candidates bring Clinical Documentation Prof Credential, Certified Clinical Documentation Specialist (CCDS) Certification, and RN License In Texas. Important skills include CDI Best Practices, DRG Methodologies, MS-DRG, APR-DRG, Coding Principles, and SOI/ROM. Preferred (not required): Clinical Documentation Integrity Audit, Clinical Documentation Education, Clinical Documentation Review, and EHR Entries Compliance.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
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
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Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
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Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
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Time to recharge: pro-rated paid time off (PTO) and holidays
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Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
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Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
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Family support: parental leave, adoption assistance and family benefits
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Other benefits: optional legal and pet insurance, transportation savings and more
How you’ll make an impact in this role
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Perform routine and ad hoc audits of CDI queries, documentation reviews, and EHR entries for compliance with internal standards, industry guidelines, and regulatory requirements.
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Evaluate query appropriateness, clinical evidence, and alignment with coding rules (ICD-10-CM/PCS, UHDDS, CMS).
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Maintain internal audit tools, track performance metrics, and present findings to leadership on a regular basis.
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Develop and deliver comprehensive CDI education programs
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Create and maintain educational materials, tip sheets, and query templates in accordance with evolving CDI best practices.
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Offer targeted documentation education to providers through presentations, individual feedback, and query response coaching.
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'sdegree/Bachelor's degree OR 4 years of applicable cumulative job specific experience required.
What additional preferences we're seeking
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Must have a Certified Clinical Documentation Specialist (CCDS) certification from the Association of Clinical Documentation Improvement Specialists (ACDIS)
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Expert understanding of CDI best practices, DRG methodologies (MS-DRG and APR-DRG), and coding principles.
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Strong knowledge of SOI/ROM, MCC/CC capture, risk adjustment, quality indicators (PSI, HAC, mortality), and CMS compliance.
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Proven ability to develop engaging education content tailored to diverse audiences (clinical, coding, administrative).
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Proficiency with audit tools, EHR systems (e.g., Epic), and CDI software platforms (e.g., Iodine, 3M, Nuance).
Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRights6.12.pdf) poster or EEO Know Your Rights (Spanish) (https://www.eeoc.gov/sites/default/files/2023-06/22-088\_EEOC\_KnowYourRightsSp6.12.pdf) poster.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-Verify statement
Employer participates in the Electronic Employment Verification Program. Please click here (https://www.e-verify.gov/about-e-verify) for more information.
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