[Hiring] Clinical Documentation Specialist @Methodist Health System

Role Description

The Clinical Documentation Specialist is responsible for reviewing medical records concurrently to facilitate accurate representation of severity of illness by improving the quality of the physicians' clinical documentation. This involves extensive record analysis, interaction with physicians, HIM professionals, and nursing staff. Supports the mission, vision, values and strategic goals of Methodist Health System.

Qualifications

• Graduate from an accredited school of nursing. Bachelor degree preferred.
• RN – required; CCDS, CDIP, CCS - preferred
• Basic computer skills
• Critical thinking/problem-solving skills
• Organizational, analytical, writing and interpersonal skills
• Work Experience: 2 years of recent hospital experience required, preferably ICU, CCU or strong med/Surg. CDI, coding or utilization review experience is a plus.

Requirements

• Successfully managing multiple priorities: query follow-up, initial chart review, concurrent chart review, MS-DRG discrepancy resolution.
• Efficient knowledge and usage of tools provided for position including computer software. Accurate input of data into the computerized system.
• Effective and appropriate communication with physicians and hospital staff.
• Perform thorough initial and concurrent medical chart reviews identifying opportunities for documentation improvement.
• Verify that all treated or monitored conditions are properly documented by the physician in the medical record using specific ICD-10 diagnostic terms.
• Verify that all documented diagnoses are clinically supported using industry-accepted diagnostic criteria.
• Formulate clinically credible, compliant queries for the medical staff to ensure accurate and complete documentation.
• Complete timely follow up on all cases; especially those with physician queries (every 1-2 days).
• Communicate with HIM coding staff to resolve MSDRG discrepancies.
• Utilize monitoring tools to track progress of the CDI program.
• Demonstrate strong self-management and accountability while working remotely.

Benefits

• Great Place to Work Certified 2026-2027
• Glassdoor’s Best Places to Work 2025 & 2026
• Glassdoor’s Best Places to Work in Healthcare, Biotech & Pharma 2026
• TIME’s Best Companies for Future Leaders 2025 & 2026
• Newsweek’s America’s Most Admired Workplaces 2026
• Glassdoor’s Best-Led Companies 2025
• Fortune Best Workplaces in Health Care 2025
• Military Friendly Gold Employer 2025
• Becker’s Hospital Review 150 Top Places to Work in Healthcare 2025
• Newsweek’s Americas Greatest Workplaces 2025