Documentation Specialist

Job description:

We are seeking an experienced Inpatient Clinical Documentation Integrity (ICDI) Specialist to support accurate, complete, and compliant clinical documentation across inpatient and outpatient settings. This role plays a key part in ensuring that patient records accurately reflect severity of illness, risk of mortality, and overall complexity of care.

You will collaborate closely with physicians, nursing staff, case management, and coding teams to improve documentation quality, support regulatory compliance, and ensure appropriate reimbursement and reporting.

Job Description:

Job Title: Clinical Documentation Integrity (ICDI) Specialist

Location: Rochester, MN

Schedule: (8x5)

Shift: Day’s

Pay Range: $2500-$2750 Gross Weekly

Requirements:

Key Responsibilities

· Perform concurrent and retrospective review of inpatient medical records

· Ensure documentation accurately reflects severity of illness and medical necessity

· Support accurate ICD coding and clinical validation of diagnoses and comorbidities

· Identify documentation gaps and query providers for clarification and improvement

· Collaborate with physicians and clinical teams to enhance documentation quality

· Educate providers on documentation best practices and compliance standards

· Apply knowledge of pathophysiology, medications, and disease processes in clinical review

· Ensure adherence to federal/state regulations, coding guidelines, and payer requirements

· Serve as a resource and change agent for documentation improvement initiatives

Required Qualifications

· Minimum 3 years of experience in Clinical Documentation Integrity (ICDI)

· At least 2 years in an inpatient CDI specialist role

· 12 months of recent production CDI experience (within last year)

· High School Diploma or GED required

Certifications (Required – one or more)

· CDIP or CCDS

· RHIT or RHIA

· RN or RRT

· CCS or CCS-P

· International or Domestic Medical Degree (accepted)

**LOCALS accepted at a different pay**

Note: We also have other openings available if you would like to explore.

About Pride:

As a minority-owned business that delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds, Pride Health's expert team provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment of trust and loyalty.

Equal Employment Opportunity Statement:

As a certified minority-owned business, Pride Global and its affiliates - including Russell Tobin, Pride Health, and Pride Now - are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, disability, age, veteran status, or other characteristics.

Benefit Statement:

Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.

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