JOB DETAILS
Clinical Documentation Improvement (CDI) Specialist
CompanyWhite Rock Medical Center LLC
LocationDallas
Work ModeOn Site
PostedApril 30, 2026
About The Company
White Rock Medical Center is a community-based hospital in the heart of the White Rock community. Our east Dallas hospital collaborates and partners with a world-class network of physicians, surgeons and caregiving staff representing the best teams in the healthcare industry. We are committed to providing every person who comes through our doors with the most personal care possible.
About the Role
Description
Job Summary
The CDI Specialist works collaboratively with providers and clinical teams to ensure accurate, complete, and compliant clinical documentation that reflects patient acuity, severity of illness, and quality of care.Key Responsibilities
- Review inpatient and/or outpatient medical records for documentation accuracy and completeness
- Identify documentation gaps and initiate provider queries when appropriate
- Ensure documentation supports correct coding, billing, and quality reporting
- Collaborate with providers, coders, and clinical staff to improve documentation practices
- Educate providers on documentation standards, guidelines, and best practices
- Monitor compliance with regulatory and payer requirements
Qualifications
- Clinical background (RN preferred; LPN, RHIA, RHIT, CCS, CCDS, or CDIP considered)
- Strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG methodologies
- Experience with clinical documentation review and provider querying
- Strong communication and analytical skills
Behavioral Standards
- Wears nametag properly; follows dress code policy; answers phone correctly and promptly; meets deadlines; acts ethically and respectfully.
- Maintains professional and courteous communication with staff, providers, and patients.
Communication/Knowledge
- Understands and explains HIM processes clearly; utilizes AIDET principles in all interactions.
- Provides support and education to departments as needed.
Collaboration/Teamwork
- Attends staff meetings; adheres to HIPAA and patient rights policies.
- Participates in safety, emergency, and disaster response procedures.
- Supports a clean, secure, and organized records environment.
Requirements
Qualifications
- Clinical background (RN preferred; LPN, RHIA, RHIT, CCS, CCDS, or CDIP considered)
- Strong knowledge of ICD-10-CM/PCS, MS-DRG/APR-DRG methodologies
- Experience with clinical documentation review and provider querying
- Strong communication and analytical skills
- On-site role
Key Skills
Clinical Documentation ImprovementMedical Records ReviewProvider QueryingICD-10-CM/PCSMS-DRGAPR-DRGDocumentation AccuracyComplianceCommunicationAnalytical SkillsHIM ProcessesHIPAA
Categories
HealthcareAdministrative
Job Information
📋Core Responsibilities
The CDI Specialist collaborates with providers and clinical teams to ensure clinical documentation is accurate, complete, and compliant, reflecting patient acuity and quality of care. Key duties involve reviewing medical records, identifying documentation gaps, initiating provider queries, and ensuring documentation supports correct coding and billing.
📋Job Type
full time
📊Experience Level
2-5
💼Company Size
228
📊Visa Sponsorship
No
💼Language
English
🏢Working Hours
40 hours
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