[Hiring] Pediatric Clinical Documentation Integrity Specialist @Enjoin

Role Description

The Pediatric Clinical Documentation Integrity Specialist (Pediatric CDIS) serves as a clinical documentation integrity expert focused on pediatric patient populations. This full-time position partners with physicians, advanced practice providers, coding professionals, and healthcare leaders to improve the completeness, specificity, and clinical accuracy of pediatric medical records.

• Perform concurrent and retrospective reviews of pediatric medical records to evaluate documentation completeness, clinical specificity, and accuracy.
• Identify documentation opportunities related to pediatric diagnoses, procedures, complications, comorbidities, severity of illness, risk of mortality, medical necessity, and quality measures.
• Evaluate pediatric documentation using applicable clinical indicators, ICD-10-CM/PCS guidelines, Official Coding Guidelines, and regulatory requirements.
• Ensure documentation accurately reflects the complexity of pediatric patient care and supports compliant code and DRG assignment.
• Develop compliant provider queries to clarify incomplete, conflicting, nonspecific, or clinically unsupported documentation.
• Follow up on outstanding queries and escalate them when appropriate.
• Educate pediatric physicians, advanced practice providers, residents, and multidisciplinary healthcare teams on documentation requirements and best practices.
• Build collaborative relationships with pediatric providers to strengthen documentation quality and clinical reliability.
• Participate in provider education sessions, case reviews, and documentation improvement initiatives.
• Partner with pediatric coding professionals to align clinical documentation with accurate code and DRG assignment.
• Collaborate with quality, compliance, revenue cycle, and client teams to improve documentation and quality outcomes.
• Identify documentation trends and opportunities for targeted provider education.
• Maintain accurate and timely records of reviews, queries, interventions, and outcomes.
• Meet established productivity, quality, accuracy, and turnaround-time expectations.
• Participate in second-level reviews, peer reviews, quality audits, DRG reconciliation, and continuous improvement initiatives.
• Support client reporting, special projects, and other pediatric CDI initiatives as assigned.
• Maintain current knowledge of pediatric coding guidelines, reimbursement methodologies, quality measures, and regulatory updates.
• Protect the confidentiality and security of patient, physician, employee, and client information.

Qualifications

• Minimum of three years of clinical documentation integrity experience.
• At least one year of clinical documentation integrity experience focused specifically on pediatric patient populations.
• Strong understanding of pediatric physiology, disease processes, treatments, clinical indicators, and documentation requirements.
• Experience reviewing pediatric medical records and identifying documentation and query opportunities.
• Working knowledge of ICD-10-CM/PCS, Official Coding Guidelines, MS-DRG and APR-DRG methodology, severity of illness, risk of mortality, medical necessity, and quality reporting.
• Knowledge of compliant query practices and applicable AHIMA and ACDIS guidance.
• Ability to evaluate complex pediatric medical records using sound clinical judgment and critical-thinking skills.
• Experience collaborating with physicians, advanced practice providers, coding professionals, and multidisciplinary healthcare teams.
• Strong written, verbal, interpersonal, and provider-education skills.
• Excellent analytical, organizational, and problem-solving abilities.
• Proficiency with electronic health records and CDI software.
• Ability to work independently in a remote environment while managing multiple priorities and consistently meeting quality and productivity expectations.
• One or more of the following active credentials: Registered Nurse (RN), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Integrity Practitioner (CDIP).

Requirements

• Experience reviewing NICU or PICU encounters.
• Experience performing second-level reviews, peer reviews, quality audits, mortality reviews, or DRG reconciliation.
• Experience educating and engaging pediatric physicians and advanced practice providers.

Benefits

• Comprehensive medical, dental, and vision insurance.
• 401(k) with company match.
• Generous paid time off plus eight paid holidays.
• 100% remote work environment with company-provided equipment.
• Professional development, continuing education, leadership training, and internal career growth opportunities.
• Complimentary annual CEUs.
• Access to advanced coding education and learning resources.
• Employee wellness resources and discount programs.
• Referral bonus opportunities.
• White glove onboarding designed to set you up for success.
• A collaborative, people-first culture proudly recognized as a Great Place to Work® Certified organization.