Description
At ScionHealth, we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.
Job Summary
The CDI Analyst supports the clinical documentation integrity program by analyzing trends, monitoring query effectiveness, and identifying opportunities for improved documentation accuracy and quality. This role works closely with CDI Specialists, coders, providers, and hospital leadership to ensure the medical record reflects the patient’s true clinical picture. The Analyst plays a vital role in regulatory compliance, revenue integrity, and data-driven decision-making. This role will also be responsible for developing, implementing and maintaining education programs that enhance the quality of clinical documentation.
Essential Functions
- Analyze documentation patterns, query outcomes, and DRG shifts to support continuous improvement.
- Evaluate trends in physician query response rates, severity of illness (SOI), and risk of mortality (ROM) to identify gaps.
- Collaborate with CDI Specialists and Coding to ensure DRG accuracy and documentation consistency.
- Provide ongoing reporting for quality metrics, compliance benchmarks, and clinical outcomes.
- Review POA/HAC designations and quality-related documentation elements for completeness.
- Participate in concurrent chart reviews and retrospective audits to ensure data quality.
- Assist with education initiatives for clinical staff based on trends and audit findings.
- Support preparation for external audits and accreditation surveys.
- Maintain current knowledge of CMS regulations, AHA Coding Clinics, and CDI best practices.
- Recommend improvements to documentation workflows and CDI processes based on data findings.
Knowledge/Skills/Abilities/Expectations
- Proficient in EMR systems and CDI/coding analytics platforms.
- Strong understanding of inpatient coding, DRG grouping, and quality indicators.
- Excellent analytical, organizational, and reporting skills.
- Effective communication and collaboration skills with both clinical and non-clinical teams.
- Attention to detail and ability to manage multiple priorities in a fast-paced environment.
- High degree of professional integrity and confidentiality.
- Ability to develop, coordinate and deliver ongoing CDI educational materials, presentations and training sessions tailored to documentation trends and audit findings to providers and other healthcare professionals on both an ongoing and as needed basis.
Qualifications
Education
- Associate or Bachelor’s degree in Health Information Management, Nursing, or related healthcare field required.
- Master’s degree preferred.
Licenses/Certifications
- Certified Clinical Documentation Specialist (CCDS) or Certified Documentation Improvement Practitioner (CDIP) required (or within two years of hire).
- RN, RHIA, or RHIT credential preferred.
Experience
- Minimum 3–5 years of experience in CDI, inpatient coding, case management, or healthcare data analysis.
- In-depth knowledge of ICD-10-CM/PCS, MS-DRGs, and official coding guidelines required.