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Clinical Documentation Specialist

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Requisition # HRC1127398

Job Summary:

Performs record review and assesses the level of compliance with stated regulatory requirements by area of job focus. Assigns a working MS-DRG/APR-DRG. Assists in clarifying clinical information used for measuring and reporting physician and medical center outcomes which incorporates current DRG methodologies (e.g., MS-DRGs, etc.) by CMS and/or other regulatory/quality reporting bodies. Leads or provides education/training to clinical care (physicians, nurses, etc.) and administrative support team members regarding the clinical documentation requirements essential for demonstrating quality patient care (SOI, ROM, etc.), the regulatory interpretation of outcomes for focused diagnoses, and their impact on reimbursement and quality reporting for the organization. Assists in developing educational materials as needed.

Educational Requirements:

Minimum = High School Diploma/GED 
Preferred = Bachelor's Degree in Nursing or Health Information Management; Foreign medical degree may be considered.


Minimum = Current RN license (not limited to State of California) or higher clinical degree (i.e., MD), or Registered Health Info Admin, or Registered Health Info Tech 
Preferred = Certified Clinical Documentation Specialist or CDIP, CCS


Minimum = 3 years Acute Care Experience
Preferred = Utilization Review, Coding, or Case Management experience

Physical Demands:

Frequent = Sit at a desk or table with some walking, standing, bending, stooping, or carrying of light objects.
Constant = Perform continuous operation of a personal computer for four hours or more; Use hands and fingers to handle and manipulate objects and/or operate equipment.
Rarely = Bend, crouch, stoop, stretch, or crawl. Bend upper torso and reach up and out with hands and arms. Perform unaided lifting of objects, please list the amount of weight that would be lifted, along with the frequency required.

Working Title: Clinical Documentation Specialist
Department: HI CDI/CORE Measures
Business Entity: Cedars-Sinai Medical Center
Job Category: Patient Financial Services
Job Specialty: Revenue Integrity
Position Type: Full-time
Shift Length: 8 hour shift
Shift Type: Day
Base Pay:$47.64 - $76.22

Our compensation philosophy

We offer competitive total compensation that includes pay, benefits, and other recognition programs for our employees. The base pay range shown above takes into account the wide range of factors that are considered in making compensation decisions including knowledge/skills; relevant experience and training; education/certifications/licensure; and other business and organizational factors. This base pay range does not include our comprehensive benefits package and any incentive payments that may be applicable to this role. Pay Transparency Non Discrimination Provision

Diversity and Inclusion at Cedars-Sinai

We are caretakers and innovators committed to the pursuit of equitable healthcare. But health equity is not possible without representation. Our commitment to diversity goes beyond demographics or checking boxes. Our people must reflect the diverse identities, experiences and geographies of the communities and patients we serve – because that’s what our patients, colleagues and communities deserve. Quality Care and Research—For All, By All.

Cedars-Sinai is an Equal Employment Opportunity employer.

Cedars-Sinai does not unlawfully discriminate on the basis of the race, religion, color, national origin, citizenship, ancestry, physical or mental disability, legally protected medical condition (cancer-related or genetic characteristics or any genetic information), marital status, sex, gender, sexual orientation, gender identity, gender expression, pregnancy, age (40 or older), military and/or veteran status or any other basis protected by federal or state law. If you need a reasonable accommodation for any part of the employment process, please contact us by email at and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address.

Cedars-Sinai will consider for employment qualified applicants with criminal histories, in accordance with the Los Angeles Fair Chance Initiative for Hiring.

At Cedars-Sinai, we are dedicated to the safety, health and wellbeing of our patients and employees. This includes protecting our patients from communicable diseases, such as influenza (flu) and COVID-19. For this reason, we require that all new employees receive a flu vaccine based on the seasonal availability of flu vaccine (typically during September through April each year) as a condition of employment, and annually thereafter as a condition of continued employment, subject to medical exemption or religious accommodation. For the same reason, you may also be required to receive other vaccines such as COVID-19 as a condition of employment. Cedars-Sinai reserves the right to make modifications to its required list of vaccines as required by law and/or policy. Cedars-Sinai’s AA Policy Statement

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