About this opportunity
Sky-Lakes-Medical-Center lists this Clinical Documentation Improvement Specialist - Clinical Doc Integrity opportunity in klamath falls, Oregon. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Clinical Documentation Improvement Specialist - Clinical Doc Integrity - FT Days
Job Category : Professional
Requisition Number : CLINI
Posted : October 1, 2026
Full-Time
On-site
Salary Range : $79,747.20 USD to $126,048 USD
Locations
Showing 1 location
Description
QUALIFICATIONS
The ideal candidate will possess a strong clinical background, with a minimum of five years of recent hospital experience as a Registered Nurse (RN), four years of recent clinical experience for Nurse Practitioners (NP), or Physician Assistants (PA). They should demonstrate strong organizational and analytical skills and be dependable, with a proven ability to manage their time and responsibilities independently and efficiently with minimal supervision. Professionalism in appearance and conduct is essential. The candidate must be capable of handling multiple priorities while consistently meeting productivity targets. Proficiency in computer use, including familiarity with electronic health records and Windows-based software programs such as Microsoft Office, is required. Additionally, the candidate must be willing and able to understand and support Clinical Documentation Management Program (CDMP) documentation strategies upon completion of relevant training.
Required: Current Oregon RN, NP, LPN, or PA license
TYPICAL PHYSICAL/MENTAL DEMANDS
Light physical demands include sitting/standing at computer terminal for an extended period of time. Mental demands include critical thinking, problem solving and deductive reasoning skills; and the ability to make decisions in stressful situations.
ESSENTIAL JOB FUNCTIONS
Identifies records for review based on prioritization by length of stay, diagnosis, and other defined CDI strategies.
Reviews records and accurately identifies opportunities for improvement in physician documentation related to appropriate assignment of MS-DRG, and capturing major co-morbidities/complications (MCCs) and co-morbidities/complications (CC’s), as appropriate to the payer system.
Identifies opportunities for increasing specificity and accuracy of documentation.
Formulates clinically credible documentation clarifications
Effectively communicates with physicians to obtain clarifications in a timely and compliant manner.
Follows up as needed to ensure a high rate of query responses.
Monitors the CDI process and personal effectiveness to ensure CDS activities are on track to meet the goals of the program.
Consults with Inpatient CDI Manager as needed to optimize process related to specific high-volume high-risk diagnoses.
Communicates with HIM staff and resolves discrepancies in a collaborative manner.
Participates in identification of opportunities for CDI intervention via query or physician education.
Helps ensure the confidentiality and security of patient information accessed through his/her department.
MARGINAL JOB FUNCTIONS
Performs other duties as assigned.
Licenses & Certifications
Required
Registered Nurse
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.
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Worksite address
klamath falls, OR, 97602, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.