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Clinical Documentation Improvement Auditor-Trainer

Community Health System

Fresno, CA

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JOB DETAILS
LOCATION
Fresno, CA
POSTED
30+ days ago

Overview

Opportunities for you! 

  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek 
  • Free Continuing Education and certification  
  • Vacation time starts building on Day 1, and builds with your seniority 
  • Free money toward retirement with a 403(b) and matching contributions 

 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. 

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page. 

Responsibilities

The Clinical Documentation Improvement (CDI) Auditor and Trainer oversees and performs quality audits designed to facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risk of mortality, and complexity of care of the patient. Educates members of the patient care team regarding documentation guidelines and other special projects designed to add value and reduce risk to the strategies and objectives of the CDI department and Community Health System (CHS). Designs and prepares audit programs, conducts fieldwork, prepares work papers, drafts reports, and follows up on management corrective actions and denials in accordance with professional audit standards. Responsible for on-boarding of new CDIS. This position requires the individual to come onsite quarterly for team meetings. 

Qualifications

Education

One of the following is required:

  • Associate's Degree or higher in Nursing
  • Doctor of Medicine (MD) from an accredited medical school
  • Doctor of Osteopathic Medicine (DO) from an accredited medical school
  • Medical Degree from a foreign medical school with successful completion of the USMLE Step 1 and Step 2 Exams
  • Master's Degree in Nursing preferred

 

Experience

  • 5 years of clinical experience in an acute hospital setting with demonstrated expertise in Med/Surg, OB. Trauma, ICU, and/or CCU required
  • 1 years of Clinical Documentation Improvement experience required
  • 1 year of auditing and training experience preferred
  • Smarter DX: Prior experience is a plus but not required, as training will be provided. 
  • Experience with Epic and Solventum/Optum is highly desired.

 

Licenses and CertificationsOne of the following is required:

  • RN - Current and valid Registered Nurse license to work within the state of California
  • MD - Doctor of Medicine
  • DO - Doctor of Osteopathic Medicine
  • ECFMG - Educational Commission for Foreign Medical Graduates

One of the following is required:

 

  • CCDS - Certified Clinical Documentation Specialist
  • CDIP - Certified Documentation Improvement Practitioner
  • CCS - Certified Coding Specialist preferred

Disclaimers

• Pay ranges listed are an estimate and subject to change.• If any bonuses are noted, they are only applicable to external hires meeting criteria.

About the Company

C

Community Health System

Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC).

As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.

COMPANY SIZE
10,000 employees or more
INDUSTRY
Healthcare Services
FOUNDED
1985
WEBSITE
http://www.chs.net/

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